scholarly journals Establishment of Elements and Principles of High Reliability Organizations in Neonatal Intensive Care Unit of de Soyza Maternity Hospital, Colombo, Sri Lanka.

2021 ◽  
Vol 04 (09) ◽  
Author(s):  
J.L. Himali R. Wijegunasekara ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sri Lanka ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
High Reliability ◽  
Maternity Hospital ◽  
High Reliability Organizations ◽  
Management Structure ◽  
Facility Survey

Introduction: “High Reliability Organizations (HRO)” is an innovative safety management concept. An effort to transform a health care setting in Sri Lanka to a HRO – management structure is worthwhile to experience the outcomes of this model in Sri Lankan hospital context. Objective: To establish a HRO - management structure in the Neonatal Intensive Care Unit of De Soyza Maternity Hospital Colombo. Design: Pre / post interventional study design was used. Functional status of HRO structure in the NICU was assessed; using 5 HRO principles (ie. Pre occupation with failure, Resistance to simplify, Sensitivity to operations, Commitment to resilience and Deference to expertise) and 5 HRO elements (ie. Process auditing, Rewarding, Avoidance of quality degradation, Risk perception, and Command and control), at pre and post interventional levels. Methods: Practice of HRO principles was assessed using a Self - Administered Questionnaire with a rating scale, with the participation of all the NICU staff. Practice of HRO elements was assessed by a facility survey using a check list. Intervention consisted of a managerial plan with activities to establish the HRO concept. Results: Results showed a statistically significant increase of “response scores” of participants towards HRO structure and the facility survey showed the establishment of planned activities. Conclusion: It was concluded that implementation of this plan, is gradually establishing the HRO management structure in NICU of DMH.

scholarly journals Necessidades de mães de bebês internados em UTI Neonatal de uma maternidade privada

2021 ◽  
Vol 2 (5) ◽  
pp. 1390-1404
Author(s):  
Alline Silva Pimentel Barcellos ◽  
Geovanna Porto Inácio ◽  
Joana D´Arc Silvério Porto
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Data Collection ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Physical Space ◽  
Maternity Hospital ◽  
Five Dimensions ◽  
Terapia Intensiva

RESUMO A hospitalização do bebê na Unidade de Terapia Intensiva Neonatal (UTI Neo) pode ser acompanhada de momentos de instabilidade, insegurança e rupturas na relação mãe-bebê. A mãe tem um papel importante no desenvolvimento e recuperação do bebê nesta unidade. Desse modo são imprescindíveis a atenção e o cuidado com essas mães. Esta pesquisa identificou a importância e a satisfação das necessidades de mães com bebês internados na UTI Neo de uma maternidade particular. Participaram15 mães, com idade média 28 anos. Os instrumentos utilizados para a coleta de dados foram: questionário sociodemográfico e o Inventário de Necessidades e Estressores de Familiares em Terapia Intensiva (INEFTI). Os resultados evidenciaram que as mães avaliaram as cinco dimensões segurança, proximidade, informação, conforto e suporte como muito importantes a importantíssimas. No entanto, alguns itens demonstraram insatisfação, principalmente no que se refere ao conforto. Espera-se que esses resultados possam atender as necessidades das mães ao favorecer o diálogo, o cuidado e criar melhores condições de acolhimento e de espaço físico para amenizar o sofrimento advindo desse período de internação do bebê na UTI Neo.   ABSTRACT The hospitalization of the baby in the Neonatal Intensive Care Unit (Neo ICU) may be accompanied by moments of instability, insecurity and ruptures in the mother-baby relationship. The mother plays an important role in the baby's development and recovery in this unit. Thus, attention and care to these mothers are essential. This research identified the importance and satisfaction of the needs of mothers with babies admitted to the Neo ICU of a private maternity hospital. Fifteen mothers, mean age 28 years, participated. The instruments used for data collection were: a sociodemographic questionnaire and the Inventory of Needs and Stressors of Families in Intensive Care (INEFTI). The results showed that the mothers evaluated the five dimensions safety, closeness, information, comfort and support as very important to very important. However, some items showed dissatisfaction, especially regarding comfort. It is expected that these results may meet the mothers' needs by favoring dialogue, care and creating better conditions for welcoming and physical space to ease the suffering resulting from this period of hospitalization of the baby in the Neo ICU.

scholarly journals Mothers' feelings about breastfeeding their premature babies in a rooming-in facility

2010 ◽  
Vol 44 (3) ◽  
pp. 713-718 ◽  
Author(s):  
Rejane Marie Barbosa Davim ◽  
Bertha Cruz Enders ◽  
Richardson Augusto Rosendo da Silva
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Maternity Hospital ◽  
Individual Interviews ◽  
Premature Babies

This study aimed at learning about the feelings experienced by mothers while breastfeeding their premature babies in a rooming-in facility, by means of individual interviews with 33 mothers during the period of February to April 2006, at a maternity hospital in Natal/RN/Brazil. The main feelings referred by the mothers regarding their inability to breastfeed their premature babies immediately after delivery were: sorrow, guilt, disappointment, frustration, insecurity, and fear of touching, holding or harming the delicate babies while breastfeeding. However, the mother-child bond that was formed when the baby was discharged from the Neonatal Intensive Care Unit and taken to the rooming-in facility was reflected by feelings of fulfillment, pride, and satisfaction at experiencing the first breastfeeding.

scholarly journals Methicillin-Resistant Staphylococcus Aureus Transmission and Hospital-Acquired Bacteremia in a Neonatal Intensive Care Unit in Greece

2021 ◽  
Author(s):  
ANASTASSIOS GEORGE DOUDOULAKAKIS ◽  
Iris Spiliopoulou ◽  
Nikolaos Giormezis ◽  
Garyfallia Syridou ◽  
Angeliki Nika ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Positive Culture ◽  
Maternity Hospital ◽  
Control Measures ◽  
Methicillin Resistant ◽  
Infection Control Measures ◽  
Hospital Acquired

Abstract The epidemiology of methicillin-resistant S. aureus (MRSA) colonization and infections in a 30-bed, level III university-affiliated neonatal intensive care unit was retrospectively investigated (2014-2018). Virulence, resistance genes and clonality of 46 isolates were determined by PCRs and MLST. Of 1538 neonates, 77 (5%) had a positive culture for MRSA; four bacteremias occured. One major clone was identified, ST225 (23/40, 58%), imported from the same maternity hospital. Another clone, ST217, was predominant (4/6) among colonized health care workers. Four isolates classified as ST80 were PVL-positive, four tst-positive, and two etb-positive. Strengthening of infection control measures with emphasis on hand hygiene was applied.

scholarly journals Fortalecimento do vínculo entre a família e o neonato prematuro

2019 ◽  
Vol 13 (2) ◽  
pp. 298
Author(s):  
Silvelene Carneiro de Sousa ◽  
Yvana Marília Sales Medino ◽  
Kaio Giordan Castelo Branco Benevides ◽  
Alinne De Sousa Ibiapina ◽  
Karine De Magalhães Nogueira Ataíde
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Maternity Hospital ◽  
Nursing Interventions ◽  
Structured Interviews ◽  
Analysis Technique ◽  
Qualitative Descriptive ◽  
Terapia Intensiva

RESUMO Objetivo: identificar quais são as intervenções de Enfermagem realizadas em uma Unidade de Terapia Intensiva Neonatal que promovem o fortalecimento do vínculo entre a família e o recém-nascido prematuro. Método: trata-se de estudo qualitativo, descritivo, realizado em uma maternidade pública, com a participação de nove enfermeiros. Obtiveram-se os dados por meio de entrevista´s semiestruturadas, a análise foi pela transcrição na íntegra e organizando em categorias empregando-se a técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: observou-se que as intervenções mais utilizadas para o fortalecimento do vínculo dos recém-nascidos prematuros e a família são: a entrada livre dos pais na Unidade de Terapia Intensiva Neonatal; trocas de fraldas; administração de dieta; uso de músicas e livros para acalmar os bebês; além do método canguru. Conclusão: conclui-se que a equipe de Enfermagem que assiste o neonato de alto risco procura estar atenta para a dimensão desse fenômeno, procurando desenvolver as intervenções de fortalecimento de vínculo, da melhor forma possível, tendo em vista que os benefícios são mútuos para todos os envolvidos. Descritores: Enfermagem; Unidades de Terapia Intensiva Neonatal; Recém-Nascido Prematuro; Família; Humanização da Assistência; Método Canguru.ABSTRACT Objective: to identify the Nursing interventions performed in a Neonatal Intensive Care Unit, which promote the strengthening of the bond between the family and the premature newborn. Method: this is a qualitative, descriptive study carried out in a maternity hospital, with the participation of nine nurses. The data was obtained through semi-structured interviews; the analysis was by transcription in full and organized into categories using the Content Analysis technique in the Thematic Analysis modality. Results: it was observed that the interventions that were most used to strengthen the bond between premature newborns and the families are: free entry of the parents in the Neonatal Intensive Care Unit; diaper changes; diet management; use of music and books to calm babies; and also the kangaroo method. Conclusion: it is concluded that the Nursing team that assists the high risk newborn tries to be attentive to the dimension of this phenomenon, seeking to develop the interventions of bond strengthening, in the best possible way, considering that the benefits are mutual for all those involved. Descriptors: Enfermagem; Unidades de Terapia Intensiva Neonatal; Recém-nascido Prematuro; Família; Humanização da Assistência; Método Canguru.RESUMENObjetivo: identificar cuáles son las intervenciones de Enfermería realizadas en una Unidad de Terapia Intensiva Neonatal que promueven el fortalecimiento del vínculo entre la familia y el recién nacido prematuro. Método: se trata de un estudio cualitativo, descriptivo, realizado en una maternidad pública, con la participación de nueve enfermeros. Se obtuvieron los datos por medio de entrevistas semiestructuradas, el análisis fue por la transcripción en su totalidad y organizando en categorías empleando la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se observó que las intervenciones más utilizadas para el fortalecimiento del vínculo de los recién nacidos prematuros y la familia son: la entrada libre de los padres en la Unidad de Terapia Intensiva Neonatal; cambio de pañales; administración de la dieta; el uso de canciones y libros para calmar a los bebés; además del método canguro. Conclusión: se concluye que el equipo de Enfermería que asiste al neonato de alto riesgo busca estar atenta para la dimensión de ese fenómeno, buscando desarrollar las intervenciones de fortalecimiento del vínculo, de la mejor forma posible, teniendo en cuenta que los beneficios son mutuos para todos los involucrados. Descriptores: Enfermagem; Unidades de Terapia Intensiva Neonatal; Recém-nascido Prematuro; Família; Humanização da Assistência; Método Canguru.

scholarly journals USE OF OFF-LABEL MEDICATIONS IN A NEONATAL INTENSIVE CARE UNIT

2021 ◽  
Vol 39 ◽  
Author(s):  
Erica Inez Alves Koszma ◽  
Ana Jovina Barreto Bispo ◽  
Isabelle Araujo de Oliveira Santana ◽  
Catharine Natielle Oliveira Dias Belarmino dos Santos
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Regulatory Agency ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Maternity Hospital ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Off Label

ABSTRACT Objective: This paper aims to analyze the use of off label (OL) medicines, according to the National Regulatory Agency, in a neonatal intensive care unit of a high-risk maternity hospital in Northeast Brazil. Methods: A cross-sectional study was carried out, using a convenience sample of newborns that used mechanical ventilation at the Intensive Care Unit. As a reference, OL medications were considered for those without an approval for newborn usage by the Brazilian Health Regulatory Agency (Agência Nacional de Vigilância Sanitária - ANVISA) and by the Food and Drugs Administration (FDA). Results: The sample consisted of 158 newborns, 58.3% male, 87.7% premature, and 70.2% of low or very low birth weight. According to ANVISA, 440 out of the 1,167 prescriptions analyzed were OL, with 98.1% of newborns exposed to at least one of these drugs. According to the FDA, 484 prescriptions were OL, with 75.8% of newborns exposed to at least one of them. Anti-infectives were the most prescribed OL medications. Neonates who presented respiratory failure and pneumonia used these drugs more often; and there was no relation between their use and the number of deaths. Conclusions: Nearly all newborns at the Intensive Care Units, mainly preterm infants, are exposed to at least one off-label (OL) medication during hospital stay, according to the national and international regulatory agencies. No association was found between off-label prescriptions and the frequency of complications or neonatal deaths.

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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