South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study

Purpose: While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education.Methods: Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978).Results: The nursing students' experiences were grouped into four categories: “expectations for and anxiety about clinical practice", "acquisition of a wide range of knowledge regarding neonatal nursing", "challenges faced in clinical practice", and "experiencing interpersonal changes".Conclusion: The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.

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Shortening the Application Time of Alcohol-Based Hand Rubs to 15 Seconds May Improve the Frequency of Hand Antisepsis Actions in a Neonatal Intensive Care Unit

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2017.217 ◽

2017 ◽

Vol 38 (12) ◽

pp. 1430-1434 ◽

Cited By ~ 9

Author(s):

Axel Kramer ◽

Didier Pittet ◽

Romana Klasinc ◽

Stefan Krebs ◽

Torsten Koburger ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Clinical Practice ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Application Time ◽

Improve Hand Hygiene ◽

Independent Observer ◽

Hand Antisepsis

BACKGROUNDFor alcohol-based hand rubs, the currently recommended application time of 30 seconds is longer than the actual time spent in clinical practice. We investigated whether a shorter application time of 15 seconds is microbiologically safe in neonatal intensive care and may positively influence compliance with the frequency of hand antisepsis actions.METHODSWe conducted in vitro experiments to determine the antimicrobial efficacy of hand rubs within 15 seconds, followed by clinical observations to assess the effect of a shortened hand antisepsis procedure under clinical conditions in a neonatal intensive care unit (NICU). An independent observer monitored the frequency of hand antisepsis actions during shifts.RESULTSAll tested hand rubs fulfilled the requirement of equal or even significantly higher efficacy within 15 seconds when compared to a reference alcohol propan-2-ol 60% (v/v) within 30 seconds. Microbiologically, reducing the application time to 15 seconds had a similar effect when compared to 30-second hand rubbing, but it resulted in significantly increased frequency of hand antisepsis actions (7.9±4.3 per hour vs 5.8±2.9 per hour; P=.05).CONCLUSIONTime pressure and workload are recognized barriers to compliance. Therefore, reducing the recommended time for hand antisepsis actions, using tested and well-evaluated hand rub formulations, may improve hand hygiene compliance in clinical practice.Infect Control Hosp Epidemiol 2017;38:1430–1434

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Antiseptic use in the neonatal intensive care unit - a dilemma in clinical practice: An evidence based review

World Journal of Clinical Pediatrics ◽

10.5409/wjcp.v5.i2.159 ◽

2016 ◽

Vol 5 (2) ◽

pp. 159 ◽

Cited By ~ 23

Author(s):

Sundar Sathiyamurthy ◽

Jayanta Banerjee ◽

Sunit V Godambe

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Clinical Practice ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Evidence Based

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175. Implementation of Clinical Practice Guidelines for Care of Neonates With Necrotizing Enterocolitis Reduces Broad Spectrum Antibiotic Use in the Neonatal Intensive Care Unit

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy210.188 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S78-S78

Author(s):

Jonathan Albert ◽

Ishminder Kaur ◽

Geoffrey Bajwa ◽

Suzanne Touch ◽

Emily Souder ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Clinical Practice ◽

Neonatal Intensive Care Unit ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Broad Spectrum ◽

Neonatal Intensive Care ◽

Antibiotic Use ◽

Broad Spectrum Antibiotic

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

International Journal of Medical Toxicology and Forensic Medicine ◽

10.32598/ijmtfm.v9i4.26184 ◽

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.

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Time Series Analysis for Forecasting Hospital Census: Application to the Neonatal Intensive Care Unit

Applied Clinical Informatics ◽

10.4338/aci-2015-09-ra-0127 ◽

2016 ◽

Vol 07 (02) ◽

pp. 275-289 ◽

Cited By ~ 6

Author(s):

Stephen Hoover ◽

Eric Jackson ◽

David Paul ◽

Robert Locke ◽

Muge Capan

Keyword(s):

Intensive Care Unit ◽

Time Series ◽

Intensive Care ◽

Clinical Practice ◽

Linear Regression ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Resource Planning ◽

Forecasting Models ◽

Best Fitting

SummaryAccurate prediction of future patient census in hospital units is essential for patient safety, health outcomes, and resource planning. Forecasting census in the Neonatal Intensive Care Unit (NICU) is particularly challenging due to limited ability to control the census and clinical trajectories. The fixed average census approach, using average census from previous year, is a forecasting alternative used in clinical practice, but has limitations due to census variations.Our objectives are to: (i) analyze the daily NICU census at a single health care facility and develop census forecasting models, (ii) explore models with and without patient data characteristics obtained at the time of admission, and (iii) evaluate accuracy of the models compared with the fixed average census approach.We used five years of retrospective daily NICU census data for model development (January 2008 - December 2012, N=1827 observations) and one year of data for validation (January - December 2013, N=365 observations). Best-fitting models of ARIMA and linear regression were applied to various 7-day prediction periods and compared using error statistics.The census showed a slightly increasing linear trend. Best fitting models included a nonseasonal model, ARIMA(1,0,0), seasonal ARIMA models, ARIMA(1,0,0)×(1,1,2)7 and ARIMA(2,1,4)×(1,1,2)14, as well as a seasonal linear regression model. Proposed forecasting models resulted on average in 36.49% improvement in forecasting accuracy compared with the fixed average census approach.Time series models provide higher prediction accuracy under different census conditions compared with the fixed average census approach. Presented methodology is easily applicable in clinical practice, can be generalized to other care settings, support shortand long-term census forecasting, and inform staff resource planning.

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