Global Perspectives on the Neonatal Intensive Care Unit: Vulnerable Babies of the World

Premji, Shahirose; Kanji, Zeenatkhanu

doi:10.1053/j.nainr.2011.04.004

Cited by 3 publications

(3 citation statements)

References 32 publications

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“…To achieve success, it is essential that quality clinical care be provided and that qualified, well-trained healthcare professionals are available (Agarwal et al 2007;Wall et al 2010). In addition to the provision of medical care, skilled nursing care and lowcost interventions have been associated with improved mortality and morbidity in sick and at-risk newborns (Carlo et al 2010;Premji & Zeenatkhanu 2011). Nurses and midwives are the front-line workers for millions of unwell babies, yet there remains a worldwide shortage of nurses trained in neonatal or newborn care, particularly in low-or middle-income countries because of the lack of recognition of the need and/or low resources (Kinney et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Educational barriers of nurses caring for sick and at‐risk infants in India

Campbell-Yeo

Deorari

McMillan

et al. 2014

International Nursing Review

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Aim To gain ideas and information from healthcare providers to optimize the education and clinical practices of nurses caring for sick or at‐risk newborns in India. Background Improving infant survival has been identified as a Millennium Development Goals; however, India still faces many challenges with 3.1 million neonatal deaths and 2.6 million stillbirths annually. Skilled nursing care has been associated with decreased morbidity and mortality in newborns. However, core competencies in newborn care education and training are lacking for nurses. Methods Qualitative data were collected from 12 focus groups with 101 newborn care providers from three areas of India as well as from a 2‐day stakeholders' meeting. Data analysis was undertaken using descriptive and thematic content analysis. Results Perceived challenges included limited manpower and high nurse turnover, lack of access to evidence‐based orientation to newborn care and problems with access to appropriate learner‐based, neonatal training. Relevant, ongoing education opportunities, led by nursing leaders were identified to be important solutions. Conclusion Findings provide insight into the current healthcare system in India with specific reference to the nursing care of at‐risk newborns. There is a lack of existing resources to provide standardized and specific orientation curricula for nurses. Implications for Nursing and Health Policy Policy makers in health and education need to: support and enact learner‐based orientation and continuing educational opportunities as well as ongoing competency‐based education programmes; encourage nurse leader involvement and support; and provide sustainable system‐related supports. Nurses and other health providers need to work together to influence government policy.

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Section: Introductionmentioning

confidence: 99%

Educational barriers of nurses caring for sick and at‐risk infants in India

Campbell-Yeo

Deorari

McMillan

et al. 2014

International Nursing Review

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“…1,2 The majority of neonatal deaths occur in developing and low resource countries. In 2010, 1.7 million children died in India before their 5th birthday.…”

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confidence: 99%

“…The leading causes of death in India include pneumonia, preterm complications, sepsis, birth asphyxia, still births, tetanus, congenital malformations, and diarrhea. 2 Little et al explained that a proportion of deaths diagnosed as stillbirths in developing countries are a result of lack of oxygen during late-term labor and if recognized as such, the neonate is often able to respond to resuscitative measures and survive. 3 Nurses, midwives, auxiliary midwives, skilled birth attendants, and village health care workers play a key role in neonatal care and resuscitation in rural India because they deliver the majority of babies.…”

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confidence: 99%

Building Nurse Capacity Related to Neonatal Resuscitation Training in Hyderabad, India, Using the Knowledge to Action Framework

Riley

2015

Newborn and Infant Nursing Reviews

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Call For Neonatal Nursing Specialization in Developing Countries

Premji

Spence²,

Kenner³

2013

McN: The American Journal of Maternal/Child Nursing

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In an attempt to reach Millennium Development Goals, health facility births, which are births occurring in health centers, facilities, or institutions under the care of a skilled birth attendant, are increasing in developing countries. We examined the state of neonatal nursing care in the context of issues related to the capacity of these health facilities to provide quality care and the high facility mortality rates in those neonates admitted to hospital. Neonatal nursing as a specialty within a community-hospital-community network system is proposed as an effective scaling-up strategy to improve neonatal survival. Establishment of international competency standards for neonatal nursing together with regulatory processes with mechanisms to facilitate specialty education forms the basis for the specialty of neonatal nursing. We have identified a strategy to mobilize financial resources for the development of the specialty of neonatal nursing. Evaluation of trends in mortality and identification of process indicators will facilitate examination of the effectiveness of the introduction of the specialty of neonatal nursing as a scaling-up strategy.

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Global Perspectives on the Neonatal Intensive Care Unit: Vulnerable Babies of the World

Cited by 3 publications

References 32 publications

Educational barriers of nurses caring for sick and at‐risk infants in India

Educational barriers of nurses caring for sick and at‐risk infants in India

Building Nurse Capacity Related to Neonatal Resuscitation Training in Hyderabad, India, Using the Knowledge to Action Framework

Call For Neonatal Nursing Specialization in Developing Countries

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