Sibling Visiting in a Neonatal Intensive Care Unit

PEDIATRICS ◽  
1983 ◽  
Vol 71 (5) ◽  
pp. 835-838
Author(s):  
Fred Schwab ◽  
Brenda Tolbert ◽  
Stephen Bagnato ◽  
M. Jeffrey Maisels
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Direct Observation ◽  
Neonatal Intensive Care ◽  
Behavioral Patterns ◽  
Control Intervention ◽  
Significant Difference

The effect of sibling visiting in a neonatal intensive care unit was studied. Sixteen siblings of 13 infants were randomly assigned to a visiting or nonvisiting group. Behavioral patterns were measured by questionnaires administered to the parents and by direct observation and interviews with the children. There were no significant changes in the behavior of the children following the birth of their sibling, and there was no significant difference between the behavior scores of the two groups 1 week after the experimental (or control) intervention. The visiting children did not show signs of fear or anxiety during the visit. These data suggest that sibling visiting to a neonatal intensive care unit is not likely to be harmful and might be beneficial to the siblings and their families.

scholarly journals Comparing Neonatal Intensive Care Unit Nursing Support in Mothers With ‎Newborn Abstinence Syndrome (NAS) and Mothers of Healthy Neonates ‎

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Seyedeh Najmeh Hosseini ◽  
Arash Ghodousi ◽  
Narges Sadeghi ◽  
Somayeh Abbasi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Control Group ◽  
Abstinence Syndrome ◽  
Nursing Support ◽  
Study Results ◽  
Significant Difference ◽  
The Impact

Background: The experience of having neonates in the Neonatal Intensive Care Unit (NICU) is a psychological crisis. It might cause many emotional problems for parents. Entire parental support is among the duties of the healthcare team. Therefore, this study aimed to compare the nursing support received by the mothers with Newborn Abstinence Syndrome (NAS) and the mothers of other neonates admitted to the NICU. Methods: The present cross-sectional descriptive-analytic study was conducted in the selected hospitals in Kerman Province, Iran. In total, 62 mothers with NAS and 61 non-addicted mothers with neonates admitted to the NICU were selected through convenience sampling method. The inclusion criteria were neonates under the care of parents, neonate admitted to the NICU for at least 24 hours, opiate dependence in the case group mothers, and no substance dependence in the control group mothers. The amount of nursing support for mothers having neonates with NAS was compared with that of the control mothers. The study groups were homogenized in terms of the study variables (neonate age, gender, and the duration of hospitalization). The required data were collected by the Nurse-Parent Support Tool (NPST) and analyzed in SPSS. Results: The study results revealed that among the neonates of 123 mothers, 75(60.97%) were boys, and 58(39.02%) were girls. The majority of neonates in both groups were breastfed. The mean±SD age of the mothers in the case and control group were 31.93±7.25 and 28.99±4.36 years, respectively. The nursing support level was desirable in both groups, and no significant difference was found in this regard (P>0.05). Furthermore, the level of nursing support in emotional, information-communication, self-esteem, and quality caregiving support dimensions was desirable in both groups. Conclusion: The obtained results revealed that nurses’ support was desirable in both groups. The prevalence of maternal addiction and the impact of this social harm on neonates who were admitted are essential. Furthermore, families having neonates with NAS need more support from the healthcare staff and nurses, in comparison with healthy parents; thus, the importance of this issue should be addressed in training and briefing courses for nurses.

scholarly journals Coagulase-Negative Staphylococcal Infections in the Neonatal Intensive Care Unit

2011 ◽  
Vol 32 (7) ◽  
pp. 679-686 ◽  
Author(s):  
Naomi Jean-Baptiste ◽  
Daniel K. Benjamin ◽  
Michael Cohen-Wolkowiez ◽  
Vance G. Fowler ◽  
Matthew Laughon ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Lower Mortality ◽  
Coagulase Negative Staphylococci ◽  
Clinical Sepsis ◽  
Significant Difference

Background.Coagulase-negative staphylococci (CoNS) are the most commonly isolated pathogens in the neonatal intensive care unit (NICU). CoNS infections are associated with increased morbidity, including neurodevelopmental impairment.Objective.To describe the epidemiology of CoNS infections in the NICU. To determine mortality among infants with definite, probable, or possible CoNS infections.Methods.We performed a retrospective cohort study of all blood, urine, and cerebrospinal fluid cultures from samples obtained from infants aged <121 postnatal days.Setting.A total of 248 NICUs managed by the Pediatrix Medical Group from 1997 to 2009.Results.We identified 16,629 infants with 17,624 episodes of CoNS infection: 1,734 (10%) definite, 3,093 (17%) probable, and 12,797 (73%) possible infections. Infants with a lower gestational age and birth weight had a higher incidence of CoNS infection. When controlling for gestational age, birth weight, and 5-minute Apgar score, we found that infants with definite, probable, or possible CoNS infection had lower mortality (odds ratio [OR], 0.74 [95% confidence interval {CI}: 0.61, 0.89], 0.68 [95% CI, 0.59, 0.79], and 0.69 [95% CI, 0.63, 0.76], respectively) compared with infants who had negative culture results (P<.001). No significant difference in overall mortality was found in infants who had definite CoNS infection compared with those who had probable or possible CoNS infection (OR, 0.93 [95% CI, 0.75, 1.16] and 0.85 [95% CI,0.70,1.03], respectively).Conclusions.CoNS infection was strongly related to lower gestational age and birth weight. Infants with clinical sepsis and culture-positive CoNS infection had lower mortality rates than infants with clinical sepsis and negative blood culture results. No difference in mortality between infants with a diagnosis of definite, probable, or possible CoNS infection was observed.

Abstract 166: Insertion or Replacement of an Advanced Airway is Not Associated With Adverse Outcome in Neonatal Intensive Care Unit Cardiopulmonary Resuscitation

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Kaashif A Ahmad ◽  
Christina N Stine ◽  
Jaclyn M LeVan ◽  
Katy L Kohlleppel ◽  
Steven G Velasquez ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cardiopulmonary Resuscitation ◽  
Neonatal Intensive Care Unit ◽  
Median Time ◽  
Neonatal Intensive Care ◽  
Neonatal Resuscitation ◽  
Advanced Airway ◽  
Significant Difference ◽  
The Impact

Introduction: There is a paucity of data regarding variables that impact the outcome in patients who require cardiopulmonary resuscitation (CPR) in the neonatal intensive care unit (NICU). The impact of initial need or replacement of an existing advanced airway (AA) has not been described in this population. The 2016 Neonatal Resuscitation Program (NRP) places emphasis on AA placement prior to initiating compressions in the delivery room setting. We hypothesized that providers would similarly emphasize airway placement for NICU CPR. Methods: We conducted a retrospective review of patients requiring CPR with chest compressions from 2012 to 2017 across 10 NICUs in San Antonio, Texas. We identified cases by clinician selection of a CPR code and by a review of all patients who died prior to NICU discharge. Results: We review a total of 211 NICU CPR events, 210 of which had complete data regarding the AA. An AA was present at the onset of CPR for 179 (85.2%) of CPR events and an existing airway replaced during CPR for 31 (14.7%) CPR events. All patients without an AA present at onset of CPR had an airway immediately placed. The median time to insertion of AA was 1 minute (IQR 1, 5 minutes). In comparing patients who had an AA present at CPR onset versus absent AA, there was no significant difference in rate of return of spontaneous circulation (ROSC, 63.7% vs 64.5%, p=0.92) or time to ROSC (10.2 vs 12.7 min, p=.66). The median time for replacement of an AA during CPR was 1 minute (IQR 1, 4 minutes). Those with a time to replace the AA of >= 5 minutes had a similar ROSC rate compared to those who had AA replacement in < 5 minutes (75% vs 73.7%, p=.96). The decision to replace an AA during CPR was associated with a non-significant increase in rate of ROSC (74.2% vs 62%, p=0.19) and no significant difference in time to ROSC (11.5 min vs. 10.4 min, p=0.65). Conclusions: The achievement of ROSC or time to ROSC are not impacted by the need to place an initial AA at the onset of CPR or the need to replace the AA during CPR in the NICU. This may be due to the rapid initial placement and replacement of the AA observed in NICU CPR events. These data indicate that NICU CPR providers emphasize rapid AA placement similar to NRP guidelines.

The Effect of Spiritual Care on Stress Levels of Mothers in NICU

2017 ◽  
Vol 40 (7) ◽  
pp. 997-1011 ◽  
Author(s):  
Dilek Küçük Alemdar ◽  
Funda Kardaş Özdemir ◽  
Fatma Güdücü Tüfekci
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Spiritual Care ◽  
Neonatal Intensive Care ◽  
Health Care Team ◽  
Care Group ◽  
Difficult Situation ◽  
Difficult Time ◽  
Significant Difference

Hospitalization of an infant is a difficult situation for the family, and parents require support from the health care team during this difficult time. The aim of this study was to investigate the effect of spiritual care on levels of stress in mothers with infants in a neonatal intensive care unit. This spiritual care study was performed by comparing control and spiritual care pre- and posttest groups. The study population included 62 mothers. The Mother–Baby Introductory Information Form and the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) were used for data collection. Prior to spiritual care, no significant difference was found between the mothers’ PSS:NICU scores, whereas following spiritual care, there was a significant difference between PSS:NICU scores of the mothers, in favor of the spiritual care group ( p < .05). Findings indicate that nurses should be aware and consider the spiritual needs of mothers and must identify and meet these needs.

scholarly journals Effectiveness of Kangaroo Mother Care by Role-Playing Method on Mother’s Resilience and Breastfeeding Self-Efficacy in Neonatal Intensive Care Unit, a Randomized Controlled Trial

2021 ◽  
Author(s):  
fateme mohammadi ◽  
Behnaz Basiri ◽  
Majid Barati ◽  
Salman Khazaei ◽  
Seyedeh Zahra Masoumi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Self Efficacy ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Role Playing ◽  
Kangaroo Mother Care ◽  
Randomized Controlled ◽  
Significant Difference

Abstract Background The purpose of the study is to evaluate the effectiveness of kangaroo mother care by role-playing method on mother’s resilience and breastfeeding self-efficacy in neonatal intensive care unit. Methods In this one-blind a randomized controlled trial,78 mothers of infants admitted to neonatal intensive care unit were randomly assigned into two groups: role-playing method (n = 39), routine method (n = 39). The mothers of the intervention group were trained individually in two 30-minute sessions. After training, mothers performed kangaroo mother Care for their infants three times a day and each time 30 min for 7 days. Mothers in the control group received routine embrace care training (booklet training). Questionnaires were collected before the intervention, one day after and one week after intervention. Data analyses were conducted using SPSS version 22. Results mother’s resilience and breastfeeding self-efficacy in the study groups was significant at the end of the two among groups. Funding demonstrated a statistically significant difference in the score of the resilience (P = < 0.001) and breastfeeding self-efficacy (P = < 0.001) in the each group one day and one week after performing the intervention. In addition, revealed a statistically significant difference between the both groups in of resilience score(P < 0.01) and breastfeeding self-efficacy (P < 0.01) one day and one week after performing the intervention (P < 0.01), So that the role playing method was more effective than the routine method (booklet training). Conclusion Training kangaroo mother care by role-playing and routine methods were both effective in mother’s resilience and breastfeeding self-efficacy, but role-playing method was More effective and can be recommended role playing and routine methods as therapeutic care methods in clinical settings at the beginning of the admission of infants in the neonatal intensive care unit to improve mother’s resilience and breastfeeding self-efficacy.

scholarly journals Evaluation of Mobile Apps Targeted to Parents of Infants in the Neonatal Intensive Care Unit: Systematic App Review (Preprint)

2018 ◽  
Author(s):  
Brianna Richardson ◽  
Justine Dol ◽  
Kallen Rutledge ◽  
Joelle Monaghan ◽  
Adele Orovec ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Rating Scale ◽  
Mobile Apps ◽  
Educational Material ◽  
Subjective Quality ◽  
Significant Difference

BACKGROUND Parents of preterm infants increasingly use their mobile phone to search for health information. In a recent review, websites targeted toward parents with infants in the neonatal intensive care unit (NICU) were found to have poor to moderate quality educational material; however, there is a dearth of literature regarding mobile apps for NICU parents. OBJECTIVE This study aimed to identify and evaluate apps targeting parents of infants in the NICU for quality of information, usability, and credibility. METHODS We systematically searched the Apple App Store and Google Play using 49 key terms (eg, “preterm infant”) from July 26 to August 18, 2017. English apps targeting NICU parents that cost less than $20 were included. Apps for health care professionals, e-books/magazines, or nonrelevant results were excluded. In total, 3 tools were used for evaluation: Mobile Application Rating Scale (MARS) to measure quality; Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-AV) to measure the app’s content usability; and Trust it or Trash It to measure credibility. RESULTS The initial search yielded 6579 apps, with 49 apps eligible after title and description screening. In total, 27 apps met the eligibility criteria with 9 apps available in both app stores; of those, the app with the most recent update date was chosen to be included in the analysis. Thus, 18 unique apps were included for final analysis. Using MARS, 7 apps (7/18, 39%) received a good score on overall quality (ie, 4.0 out of 5.0), with none receiving an excellent score. In addition, 8 apps (8/18, 44%) received a PEMAT-AV score between 51% and 75% on the understandability subscale, and 8 apps (8/18, 44%) scored between 76% and 100% on the actionability subscale. Trust It or Trash It deemed 13 apps (13/18, 72%) as trash for reasons including no identification of sources or lack of current information, with only 5 (5/18, 28%) deemed trustworthy. Reviewer’s expert evaluation found 16 apps contained content that matched information provided by multiple sources; however, most apps did not meet other objective measurement items to support credibility. When comparing the MARS overall quality and subjective quality scores with trustworthiness of apps, there was no statistically significant difference. A statistically significant difference was found between the 2 MARS quality scores, indicating that, on average, apps were ranked significantly lower on subjective quality compared with overall quality measures. CONCLUSIONS This evaluation revealed that of the available apps targeting NICU parents, less than half should be considered as acceptable educational material. Over two-thirds of the apps were found to have issues regarding credibility and just over a quarter were considered good quality. The apps currently available for NICU parents are lacking and of concern in terms of quality and credibility.

Exploring the Impact of a Dual Occupancy Neonatal Intensive Care Unit on Staff Workflow, Activity, and Their Perceptions

2018 ◽  
Vol 12 (2) ◽  
pp. 44-54 ◽  
Author(s):  
Margaret Broom ◽  
Zsuzsoka Kecskes ◽  
Sue Kildea ◽  
Anne Gardner
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Walking Distance ◽  
Prospective Longitudinal Study ◽  
Significant Difference ◽  
Prospective Longitudinal ◽  
The Impact ◽  
Family Centered

In 2012, a tertiary neonatal intensive care unit (NICU) transitioned from an open plan (OP) to a dual occupancy (DO) NICU. The DO design aimed to provide a developmental appropriate, family-centered environment for neonates and their families. During planning, staff questioned the impact DO would have on staff workflow and activity. To explore the impact of changing from an OP to a DO NICU, a prospective longitudinal study was undertaken from 2011 to 2014, using observational, time and motion, and surveys methods. Main outcome measures included distance walked by staff, minutes of staff activity, and staff perceptions of the DO design. Results highlighted no significant difference in the distances clinical nurses walked nor time spent providing direct clinical care, whereas technical support staff walked further than other staff in both designs. Staff perceived the DO design created a developmentally appropriate, family-centered environment that facilitated communication and collaboration between staff and families. Staff described the main challenges of the DO design such as effective staff communication, gaining educational opportunities, and the isolation of staff and families compared to the OP design. Our study provides new evidence that DO provides an improved developmentally environment and has similar positive benefits to single-family room for neonates and families. Such design may reduce the larger floor plan’s impact on staff walking distance and work practices. Challenges of staff transition can be minimized by planning and leadership throughout the development and move to a new design.

Discharging Medically Complex Infants with Supplemental Nasogastric Tube Feeds: Impact on Neonatal Intensive Care Unit Length of Stay and Prevention of Gastrostomy Tubes

2020 ◽  
Author(s):  
Deesha D. Mago-Shah ◽  
William F. Malcolm ◽  
Rachel G. Greenberg ◽  
Ricki F. Goldstein
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Neonatal Intensive Care Unit ◽  
Nasogastric Tube ◽  
Neonatal Intensive Care ◽  
Unit Length ◽  
Final Analysis ◽  
Oral Feeding ◽  
Significant Difference

Objective The aim of this study is to evaluate the feasibility, safety, and efficacy of discharge with supplemental nasogastric tube (NGT) feeds in medically complex infants. Study Design Cohort study of 400 infants enrolled in the Transitional Medical Home (TMH) program at Duke University Level IV neonatal intensive care unit from January 2013 to 2017. Results Among 400 infants enrolled in the TMH, 57 infants were discharged with an NGT. A total of 45 infants with a variety of diagnoses and comorbidities were included in final analysis. Among 45 infants, 5 obtained a gastrostomy tube (GT) postdischarge. Median (25–75th percentile) length of use of NGT in 40 infants was 12 days (4–37). Excluding four outliers who used NGT for ≥140 days, the median length of use was 8 days (3–24). This extrapolates to a median of 288 hospital days saved for the remaining 36 infants. There were only three emergency room visits related to parental concern for incorrect NGT placement. There was no statistically significant difference in percent oral feeding predischarge or growth in first month postdischarge between infants who orally fed versus those who obtained GTs. Conclusion Discharge with supplemental NGT feeds is safe and feasible utilizing a standardized protocol and close postdischarge follow-up. This practice can decrease length of stay and prevent need for GT. Key Points

scholarly journals Stress experienced by mothers of preterm newborns in a neonatal intensive care unit

2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Graciela Feier Fróes ◽  
Eliane Norma Wagner Mendes ◽  
Géssica de Almeida Pedroza ◽  
Maria Luzia Chollopetz da Cunha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Stress Level ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Stressful Situation ◽  
Stress Scale ◽  
Parental Roles ◽  
Significant Difference

Abstract Objective: To evaluate the stress level of mothers of preterm infants with gestational age ≤34 weeks, hospitalized in neonatal intensive care. Method: A cross-sectional study with 74 mothers of premature infants in neonatal intensive care, who answered the “Parental Stress Scale: Neonatal Intensive Care Unit” instrument, validated in Brazil. Results: The mean stress level was 4.41 (± 0.77) and the general stress level was 4.36 (± 0.76), with a significant difference (p <0.001) between the subscale "Alteration in parental roles” and other subscales, meaning that mothers were in a very stressful situation. Conclusion: All items in the subscale "Alteration in parental roles” of the “Parental Stress Scale: Neonatal Intensive Care Unit” were identified as the main source of stress experienced by mothers. This study suggests carrying out further studies with other methodologies to increase the knowledge of maternal stress in the national context, applying care interventions involving the parents.

Evaluation the Effect of Co-Bedding Premature Twin or Multiple Birth Infants on their Growth, Physiological Stability, and Short-Term Prognosis in Nicus

2021 ◽  
Vol 15 (8) ◽  
pp. 2346-2349
Author(s):  
Mina Salimi ◽  
Somaye Jafari ◽  
Arash Bordbar ◽  
Maryam Saboute ◽  
Mandana Kashaki
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Weight Gain ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Arterial Oxygen Saturation ◽  
Routine Care ◽  
Arterial Oxygen ◽  
Multiple Birth ◽  
Significant Difference

The aim of this study was to investigate the effect of co-bedding among premature twin or multiple birth infants on their growth and physiological stability. In this randomized clinical trial, a total number of 80 pairs of premature twin or multiple birth infants hospitalized in the neonatal intensive care unit (NICU) of Shahid Akbar-Abadi Hospital in Tehran, Iran, were randomly allocated into two groups; co-bedded and routine care. The required data were collected through a demographic characteristics information questionnaire and a co-bedding checklist and compared between groups. In the following, data analysis showed that the weight gain and mean of NICU hospitalization days in the co-bedded group were significantly different from those in the standard care infants (P<0.001). However; there was no significant difference in terms of increase in height (P=0.1), head circumference (P=0.4), heart rate (P=0.3), arterial oxygen saturation (P=0.12), and respiratory rate (P=0.68) between groups. It was concluded that co-bedding twin or multiple birth infants could lead to weight gain among them and consequently accelerate their recovery and discharge. Keywords: co-bedding, premature multiple births, neonatal intensive care unit

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