Neonatal Nurses NICU Quality Improvement

Purdy, Isabell B.; Melwak, Mary Alice; Smith, Joan; Kenner, Carole; Chuffo-Siewert, Rebecca; Ryan, Donna J.; Geller, Pamela A.; Hall, Sue

doi:10.1097/anc.0000000000000352

Cited by 14 publications

(9 citation statements)

References 37 publications

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“…While valuing these needs, nurses experience difficulty building relationships with families due to time constraints (Hendson, Reis, & Nicholas, ). Similarly, a lack of continuity of care reduces the potential for building relationships (Hendson et al, ; Purdy et al, ; Wigert et al, ). Mothers in this study highlighted the difficulties of forming relationships with nurses who did not consistently care for their infant.…”

Section: Discussionmentioning

confidence: 99%

Caring for Indigenous families in the neonatal intensive care unit

2020

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Inequitable access to health care, social inequities, and racist and discriminatory care has resulted in the trend toward poorer health outcomes for Indigenous infants and their families when compared to non‐Indigenous families in Canada. How Indigenous mothers experience care during an admission of their infant to the Neonatal Intensive Care Unit has implications for future health‐seeking behaviors which may influence infant health outcomes. Nurses are well positioned to promote positive health care interactions and improve health outcomes by effectively meeting the needs of Indigenous families. This qualitative study was guided by interpretive description and the Two‐Eyed Seeing framework and aimed to understand how Indigenous mothers experience accessing and using the health care system for their infants. Data were collected by way of interviews and a discussion group with self‐identifying Indigenous mothers of infants less than two years of age living in Hamilton, Ontario, Canada. Data underwent thematic analysis, identifying nursing strategies to support positive health care interactions and promote the health and wellness of Indigenous infants and their families. Building relationships, providing holistic care, and taking a trauma‐informed approach to the involvement of child protection services are three key strategies that nurses can use to positively impact health care experiences for Indigenous families.

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Section: Discussionmentioning

confidence: 99%

Caring for Indigenous families in the neonatal intensive care unit

2020

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“…for minimizing stress and fostering effective coping mechanisms among parents. 42 In addition to the unit rule, the spatial separation between the NCU and mothers' wards emerged as a significant barrier for the mother-infant attachment. Similar findings are reported in previous studies in the Nepalese context.…”

Section: Ejmsmentioning

confidence: 99%

Stress and Coping among Parents of Preterm Infants Admitted to Neonatal Care |Units of Central Hospitals of Nepal

Shrestha,

Pandey Bista,

Subedi

2024

Europasian J Med Sci.

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Background: Hospitalization in neonatal care units (NCUs) is distressing to parents. Stress and inadequate coping with the situation hinder parents' emotional health and parenting roles. The dearth of information is available about it in Nepali context. Therefore, this study was conducted to explore the stress and coping strategies of parents of PTIs in NCUs. Methods: The descriptive phenomenological study was conducted in NCUs of three public tertiary hospitals in Kathmandu Nepal. In-person in-depth interviews were conducted among the purposively selected 15 parents of preterm and low birth weight infants admitted to NCUs. The obtained data were analyzed using the content analysis method. Findings: Two themes emerged namely psychological distress and insecurity and coping with the support system. Their distress was related to the condition and progress of their PTIs, infant-parent separation, altered parenting roles, and the burden of longer hospitalization. Family, friends, other parents, and staff of NCUs were their support sources. They coped with the situation with religious faith, patience, sharing with peer parents, being close with the PTIs, and involving in PTI care. Conclusion: Admission of PTIs to NCUs is distressing to parents. In addition, to support from family and friends, parents valued NCU staffs' support for coping and expected more support. Opportunities for infant-parent attachment, care involvement and peer-to-peer support are their effective coping measures. Improving parental support provision in NCUs considering the stressors and effective coping measures would be praiseworthy to enhance the psychological well-being of the parents

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“…NICU nurses are the medical staff who spend the longest time with premature infants while providing treatment and nursing care during their hospitalization. Therefore, NICU nurses are responsible for actively advocating and providing DP to premature infants, acquiring the professional knowledge and skills required to positively induce the developmental potential of premature infants, and applying that expertise to nursing practice [13][14][15]. In South Korea, nesting is applied as a part of DP in most NICUs.…”

Section: Introductionmentioning

confidence: 99%

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

Yun¹,

Kim²

2022

Child Health Nurs Res

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Purpose: This study aimed to develop and evaluate the effectiveness of an educational program on developmental positioning (EPDP) for nurses in neonatal intensive care units (NICUs).Methods: The study utilized a non-equivalent control group pretestposttest design. Sixty NICU nurses were recruited from two university hospitals in Daejeon, South Korea. The EPDP consisted of a 7-week program: 3 weeks of education and practice, followed by 4 weeks of encouragement messages using social networking services. Developmental positioning (DP) posters and DP aids were also provided during the intervention period. The intervention group (n=30) received the EPDP, but not the control group. The data were analyzed using the x2 test, the Fisher exact test, the independent t-test, and repeated-measures analysis of variance.Results: Participants' knowledge (t=7.49, p<.001), attitudes (t=1.99, p=.001), self-efficacy (t=2.99, p=.004), performance of DP (t=2.98, p=.004) and Infant Positioning Assessment Tool (IPAT) scores (F=29.50, p<.001) were significantly higher in the intervention group than in the control group.Conclusion: The EPDP can be an effective and useful program for improving the performance of DP among NICU nurses by increasing their knowledge, attitudes, and self-efficacy of DP. However, further research involving various NICU settings is needed to gather more empirical evidence.

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Neonatal Nurses NICU Quality Improvement

Abstract: This article disseminates evidence and encourages scientific investigation into various methods of supporting emotional health of NICU parents to create better health outcomes.

Cited by 14 publications

References 37 publications

Caring for Indigenous families in the neonatal intensive care unit

Caring for Indigenous families in the neonatal intensive care unit

Stress and Coping among Parents of Preterm Infants Admitted to Neonatal Care |Units of Central Hospitals of Nepal

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

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