Neonatal intensive care unit lighting: update and recommendations

BackgroundVery and extremely preterm infants (VEPIs) experience sensory deprivation in the neonatal intensive care unit (NICU). While various sensory‐supported interventions might improve immediate physiological response, their impact on long‐term development remains unclear. Additionally, these interventions may pose challenges in the NICU environment due to complex treatments and monitoring requirements.AimsThis review aimed to understand the current evidence on sensory‐supported interventions in the NICU, identify the components of these interventions and determine their effects on the VEPIs.Study DesignA systematic search across nine electronic databases (PubMed, EBSCO, EMBASE, Web of Science, Scopus, Cochrane, Cochrane trial, IEEE Xplore DL and ACM DL) was conducted in December 2020 and updated in September 2022. The search gathers information on sensory‐supported interventions for VEPIs in the NICU.ResultsThe search yielded 23 systematic reviews and 22 interventional studies, categorized into auditory (19), tactile/kinesthetic (5), positional/movement support (7), visual (1) and multisensory (13) interventions. While unimodal and multimodal interventions showed short‐term benefits, their long‐term effects on VEPIs are indeterminate. Translating these findings into clinical practice remains a challenge due to identified gaps.ConclusionOur reviews indicate that sensory‐supported interventions have a transient impact, with intervention studies reporting positive effects. Future research should develop and test comprehensive, continuous multisensory interventions tailored for the early NICU stage.Relevance to Clinical PracticeMultimodal sensory interventions show promise for VEPIs, but long‐term effects need further study. Standardizing protocols for NICU integration and parental involvement is crucial. Ongoing research and collaboration are essential for optimizing interventions and personalized care.

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Iluminação como uma infraestrutura de cuidado

Duarte

2024

Revista Vértices

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This integrative literature review addresses the relevance of illumination. Through the lens of infrastructures of care, it proposes three analysis categories: (a) "illumination, culture, and life in society" gather studies on cultural and social aspects involving lighting; (b) "access to lighting, technology, and sustainability" demonstrates how access to light and technologies needs discussion considering structural disparities, resource scarcity, and sustainability; (c) "illumination in healthcare" explores its influence on the environment and perception of users in care settings. These themes intersect and demand a transdisciplinary approach. Analyses suggest that lighting projects and systems can contribute to feelings of welcoming, well-being, and belonging, while ensuring good visibility for services and procedures, alongside controlling glare and reflectance. Expanding exploratory research in social and community settings through case studies and prototype implementation is recommended. There is room for additional research considering illumination as an infrastructure of care, focusing on access and the positive experience of users and citizens.

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Neonatal intensive care unit lighting: update and recommendations

Cited by 6 publications

References 41 publications

Management of asymptomatic neonates born in the setting of chorioamnionitis: a safety comparison of the well-baby and intensive care setting

Management of asymptomatic neonates born in the setting of chorioamnionitis: a safety comparison of the well-baby and intensive care setting

Uni‐ and multimodal sensory‐supported interventions for very preterm and extremely preterm infants in the neonatal intensive care unit: An overview of systematic reviews and interventional studies

Iluminação como uma infraestrutura de cuidado

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