Neonatal nursing during the COVID-19 global pandemic: A thematic analysis of personal reflections

Shaw, Chloë; Gallagher, Katie; Petty, Julia; Mancini, Alexandra; Boyle, Breidge

doi:10.1016/j.jnn.2021.03.011

Cited by 19 publications

(19 citation statements)

References 28 publications

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“…The aim of this audit was to compare neonatal admissions in the South-West of England during 2020 to previous years. We found a decrease in NNU admissions from 2018 to 2020, confirming neonatal staff perceptions [ 7 ]. However, the decrease between 2018 and 2019 was larger than the difference between 2019 and 2020, implying that the COVID-19 pandemic was not necessarily implicated.…”

Section: Discussionsupporting

confidence: 82%

Preterm births in South-West England before and during the COVID-19 pandemic: an audit of retrospective data

Maslin,

McKeon-Carter,

Hosking

et al. 2021

Eur J Pediatr

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The COVID-19 lockdown had a series of intended and unintended consequences, including reduced infections and changes in activities and behaviours. Some of these changes may have been beneficial to perinatal outcomes; however, other factors such as reduced access to face-to-face healthcare may have contributed negatively to antenatal care. The aim of this audit was to evaluate neonatal admissions in the South-West of England during the COVID-19 pandemic in 2020 and the previous two years 2018–2019. Anonymised birth and neonatal admission rates from January to December 2020 was obtained and compared to data from 2018 to 2019. The results demonstrate a decreasing in neonatal unit admissions between 2018 and 2020, 9.48% of live births in 2018 (95% CI 9.17, 9.80) to 8.89% (95% CI 8.65, 9.13) in 2020 ( p = 0.002). Conclusion : There were no significant differences across gestational groups. It is unclear without nationwide data whether our observed trends, decreased neonatal admissions over the past 3 years, are generalisable and related to the COVID-19 pandemic. Future research exploring the impact of lockdowns on behaviour change during pregnancy and support services is warranted to understand the implications of pandemics on pregnancy and preterm birth. What is Known: • The COVID-19 lockdown had a series of intended and unintended consequences; some of which may have been beneficial to perinatal outcomes. • Research suggests that preterm births have not significantly changed overall, but they have decreased in high-income countries. What is New: • In our audit, analysing retrospective data of regional birth and neonatal admission from the South-West of England, we observed a decrease in live birth rates between 2018 and 2020. • A reduction in neonatal unit admissions was observed from 2018 to 2020 with no significant differences across gestational groups. The reduction from 2019 to 2020 was smaller than that from 2018 to 2019 implying that the COVID-19 pandemic in 2020 was not necessarily implicated.

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Section: Discussionsupporting

confidence: 82%

Preterm births in South-West England before and during the COVID-19 pandemic: an audit of retrospective data

Maslin,

McKeon-Carter,

Hosking

et al. 2021

Eur J Pediatr

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“…Pride in the nursing and broader healthcare team in adapting to change quickly, rising to challenges posed, and willingness to explore different ways of delivering care is consistent with other qualitative studies of nursing experiences during the pandemic (Shaw et al, 2021). Another positive outcome of the pandemic confirmed in our study is the realization of the potential of technology to communicate with families, which was recognized as having ongoing benefits post-pandemic in terms of respecting family's travel time, the possibility of inclusion of immediate and extended family members in updates and equity of access.…”

Section: Positive Outcomes Of Adjusting Delivery Of Fccsupporting

confidence: 76%

Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

O’Neill

Devsam

Kinney

et al. 2022

Journal of Advanced Nursing

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Aims and objectives:To understand how the pandemic environment impacted the delivery of FCC of children and families from a nursing perspective in a major tertiary paediatric hospital.Background: Family-centred care (FCC) is a well-established framework to promote parental involvement in every aspect of a child's hospitalization, however, rules and restrictions in place during the COVID-19 pandemic affected the ways in which Family-centred Care could be delivered in practice.Design: This is a qualitative exploratory descriptive study to elicit the perspective of paediatric nurses delivering care to children in a hospital during the COVID-19 pandemic in Victoria, Australia. Methods:Nurses from all subspecialties in a tertiary paediatric hospital were invited to participate in virtual focus groups to discuss their experience of delivering FCC during the COVID-19 pandemic. Focus groups were recorded and transcribed, then analysed using Framework Analysis. Results: Nineteen nurses participated across seven focus groups during June and July 2020. The four themes-Advocating with empathy, Enabling communication, Responding with flexibility, and Balancing competing considerations-and the eight subthemes that were generated, outline how nurses deliver FCC, and how these FCC actions were impacted by the COVID-19 environment and the related hospital restrictions. Conclusion: This study documents the experiences, resilience and resourcefulness of paediatric nurses in Australia during the COVID-19 pandemic as well as moving Family-centred Care from a theoretical framework into a practical reality. Impact: The findings from this study should inform consideration of the impacts of public health policies during infectious disease outbreaks moving forward. In addition by describing the core actions of Family-centred Care, this study has implications for educational interventions on how to translate FCC theory into practice.No public or patient contribution as this study explored nursing perceptions only.

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“…However, the global outbreak of the coronavirus disease (COVID-19) pandemic limited or suspended NICU clinical training for high-risk neonatal infection control. Moreover, even in cases where clinical training is allowed, the opportunities to perform direct nursing has gradually decreased and the training has been limited because of concerns regarding infant patient safety [ 6 , 7 , 8 , 9 ]. NICU requires professional knowledge and skills regarding special equipment and nursing premature infants; however, owing to a lack of nurses with abundant experience and competence, high-risk neonatal nursing is not being provided adequately and NICU nurse training is insufficient [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study

Yang

2022

Healthcare

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Opportunities fomr clinical training in the newborn nursery and neonatal intensive care units (NICU) are becoming insufficient and limited to observation-oriented training. Premature infants admitted to the NICU require specialized and highly sophisticated care. Therefore, this descriptive cross-sectional study aimed to understand nurses’ educational needs for establishing a high-risk premature infant nursing simulation training program. It used a descriptive cross-sectional design. We conducted a survey involving 99 newborn nursery and NICU nurses; data were analyzed using descriptive statistics, a paired t-test, an Importance-Performance Analysis (IPA), a Borich needs analysis, and the locus for focus to confirm educational priorities. The scores indicating the importance of nursing high-risk premature infants were higher than those of performance. Results indicated that the highest educational need was in the “treatment and procedure” domain. After deriving the priority of educational needs using the Borich needs analysis and the locus for focus, “maintenance of various tubes” showed the highest priority. By identifying the training priorities for high-risk premature infants nursing using various analytical frameworks, an extended reality simulation program met nurses’ high-risk premature infant nursing educational needs. Training for high-risk premature infants treatment and procedures—maintaining various tubes—is highly demanded by nurses and should be prioritized.

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Neonatal nursing during the COVID-19 global pandemic: A thematic analysis of personal reflections

Cited by 19 publications

References 28 publications

Preterm births in South-West England before and during the COVID-19 pandemic: an audit of retrospective data

Preterm births in South-West England before and during the COVID-19 pandemic: an audit of retrospective data

Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study

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