NEONATES ADMITTED TO THE NEONATAL INTENSIVE CARE UNIT IN GUJARAT, INDIA: A TIME-MOTION ANALYSIS OF THE MOTHERS STAYING IN THE NEONATAL UNIT

2016 ◽  
Author(s):  
Dharti Patel
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Motion Analysis ◽  
Neonatal Intensive Care ◽  
Neonatal Unit ◽  
Time Motion

Emotional Responses of Neonatal Intensive Care Nurses to Neonatal Death

2020 ◽  
pp. 003022282097188
Author(s):  
Berna Köktürk Dalcalı ◽  
Şeyda Can ◽  
Hanife Durgun
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Emotional Responses ◽  
Neonatal Unit ◽  
Neonatal Deaths ◽  
Intensive Care Nurses ◽  
Content Analysis Method ◽  
Data Saturation

The study was planned as a descriptive qualitative study to determine the emotional responses of neonatal intensive care nurses to work in the neonatal unit and to neonatal deaths. The sample of the study consisted of 7 nurses who work at the neonatal intensive care unit since data saturation was achieved. The data were collected using the “Semi-Structured In-Depth Interview Guide for Nurses”. The data were analyzed using the content analysis method. Following codes were reached as a result of the study: ‘happiness-sadness’, ‘professional satisfaction-exhaustion’, ‘empathy’, ‘responsibility-guilt’, ‘hope-despair’ under the theme of being a nurse at neonatal unit’; ‘unforgettable first loss’, ‘professionalism in intervention-and then: sadness, ‘mature-premature difference’, ‘difficulty in giving hurtful news-inability to associate with death’ and ‘attachment-burnout’ under the theme of experiencing neonatal loss.It was seen that nurses’ emotions about working at neonatal intensive care unit were generally positive; however, these emotions changed to negative after neonate’s relapsing and death.

scholarly journals Developing a practical methodology to improve the health-care services: studying a neonatal intensive care unit case in Oman

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nasr Al-Hinai ◽  
Ahm Shamsuzzoha
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Services ◽  
Neonatal Intensive Care ◽  
Care Staff ◽  
Content Type ◽  
Care Services ◽  
Time Motion

PurposeThis study aims to develop a practical methodology to identify possible areas of improvements as well as exploring how to improve the health-care staff flow within a selected department in a hospital.Design/methodology/approachIt focuses on showing how to properly study and analyze the health-care services and processes practiced at a selected department within a hospital. For this, several techniques like non-value-adding activities, time motion study, spaghetti diagram, layout analysis, etc. are used.FindingsTo test the proposed methodology, a neonatal intensive care unit (NICU) of a hospital in Oman was considered as a case study. The study revealed that this unit has several potential improvements capabilities. Further, this study also discussed possible areas of improvements of this case unit and suggested how such improvements can be implemented.Originality/valueSeveral possible improvements are suggested and are discussed with the hospital authority, which can be clarified as the re-layout of the NICU rooms, reorganization of the store to improve the staff flow, increase the work efficiency, introduction of Help Us Support Healing policy, etc., which can enhance the entire operational system at the studied NICU.

Whole Genome Sequencing in Real-Time Investigation and Management of a Pseudomonas aeruginosa Outbreak on a Neonatal Intensive Care Unit

2015 ◽  
Vol 36 (9) ◽  
pp. 1058-1064 ◽  
Author(s):  
Rebecca J. Davis ◽  
Slade O. Jensen ◽  
Sebastiaan Van Hal ◽  
Björn Espedido ◽  
Adrienne Gordon ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Infection Control ◽  
Neonatal Intensive Care Unit ◽  
Whole Genome Sequencing ◽  
Genome Sequencing ◽  
Neonatal Intensive Care ◽  
Neonatal Unit ◽  
Whole Genome

OBJECTIVETo use whole genome sequencing to describe the likely origin of an outbreak of Pseudomonas aeruginosa in a neonatal unit.DESIGNOutbreak investigation.SETTINGThe neonatal intensive care unit service of a major obstetric tertiary referral center.PATIENTSInfants admitted to the neonatal unit who developed P. aeruginosa colonization or infection.METHODSWe undertook whole genome sequencing of P. aeruginosa strains isolated from colonized infants and from the neonatal unit environment.RESULTSEighteen infants were colonized with P. aeruginosa. Isolates from 12 infants and 7 environmental samples were sequenced. All but one of the clinical isolates clustered in ST253 and no differences were detected between unmapped reads. The environmental isolates revealed a variety of sequence types, indicating a large diverse bioburden within the unit, which was subsequently confirmed via enterobacterial repetitive intergenic consensus–polymerase chain reaction typing of post-outbreak isolates. One environmental isolate, obtained from a sink in the unit, clustered within ST253 and differed from the outbreak strain by 9 single-nucleotide polymorphisms only. This information allowed us to focus infection control activities on this sink.CONCLUSIONSWhole genome sequencing can provide detailed information in a clinically relevant time frame to aid management of outbreaks in critical patient management areas. The superior discriminatory power of this method makes it a powerful tool in infection control.Infect. Control Hosp. Epidemiol. 2015;36(9):1058–1064

scholarly journals Parental experience of interaction with healthcare professionals during their infant’s stay in the neonatal intensive care unit

2017 ◽  
Vol 103 (4) ◽  
pp. F343-F348 ◽  
Author(s):  
Katie Gallagher ◽  
Chloe Shaw ◽  
Narendra Aladangady ◽  
Neil Marlow
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Healthcare Professionals ◽  
Neonatal Unit ◽  
Family Needs ◽  
Parental Experience ◽  
Information Giving

ObjectiveTo explore the experiences of parents of infants admitted to the neonatal intensive care unit towards interaction with healthcare professionals during their infants critical care.DesignSemi-structured interviews were conducted with parents of critically ill infants admitted to neonatal intensive care and prospectively enrolled in a study of communication in critical care decision making. Interviews were transcribed verbatim and uploaded into NVivo V.10 to manage and facilitate data analysis. Thematic analysis identified themes representing the data.ResultsNineteen interviews conducted with 14 families identified 4 themes: (1) initial impact of admission affecting transition into the neonatal unit; (2) impact of consistency of care, care givers and information giving; (3) impact of communication in facilitating or hindering parental autonomy, trust, parental expectations and interactions; (4) parental perception of respect and humane touches on the neonatal unit.ConclusionFactors including the context of infant admission, interprofessional consistency, humane touches of staff and the transition into the culture of the neonatal unit are important issues for parents. These issues warrant further investigation to facilitate individualised family needs, attachment between parents and their baby and the professional team.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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