Quality Improvement of Nasal Continuous Positive Airway Pressure Therapy in Neonatal Intensive Care Unit

Chen, Chien-Yi; Chou, An-Kuo; Chen, Yu-Lien; Chou, Hung-Chieh; Tsao, Po‐Nien; Hsieh, Wu‐Shiun

doi:10.1016/j.pedneo.2016.04.005

Cited by 42 publications

(62 citation statements)

References 21 publications

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“…Moreover, a Turkish study of RDS management (CPAP-based) reported a low baseline knowledge level among 36 neonatal nurses with 1-5 years of working experience in NICUs (Tiryaki & Cinar 2016). Consistent with Tiryaki and Cinar, another study has reported that medical staff, including nurses, scored 69% on a questionnaire assessing basic knowledge related to NCPAP indications, mechanism applications, contraindications and complications (Chen et al 2017). These earlier findings, along with our findings, highlight the need to improve nursing knowledge of the most common health problems among premature neonates.…”

Section: Discussionmentioning

confidence: 72%

“…The significant improvement in nursing knowledge and practice relating to RDS and its management following the educational sessions attests to the effectiveness of lecture-based, interactive educational interventions. The efficacy of this approach has been confirmed by other studies of neonatal nursing knowledge pertaining specifically to infant nursing care (Shrestha et al 2013;Tiryaki & Cinar 2016;Chen et al 2017). For example, Chen et al (2017) report that the mean scores for knowledge of NCPAP therapy for 59 medical staff working in NICUs, including nurses who had attended lectures and participated in small group discussions, rose from 69.2 to 98.3% following a training programme.…”

Section: Discussionmentioning

confidence: 72%

“…For example, Chen et al. () report that the mean scores for knowledge of NCPAP therapy for 59 medical staff working in NICUs, including nurses who had attended lectures and participated in small group discussions, rose from 69.2 to 98.3% following a training programme.…”

Section: Discussionmentioning

confidence: 99%

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Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Ali

Obeisat

Tarawneh

2019

International Nursing Review

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Aim This study evaluates the effectiveness of an educational intervention in the area of nursing knowledge and practice relating to neonatal respiratory distress syndrome. Background In Jordan, respiratory distress is the leading cause of death among neonates. Recent studies have revealed a knowledge deficit relating to respiratory distress among nurses in neonatal intensive care units, hence the need for advanced training and specialization in this area. Methods A quasi‐experimental, repeated‐measures, one‐group pre‐test–post‐test design was used to assess the effectiveness of the educational intervention. A convenience sample of 48 nurses was recruited from three hospitals in northern Jordan. A self‐reporting questionnaire was used to assess the respondents’ knowledge of respiratory distress and an observational checklist to assess their practice. The study intervention consisted of 12 two‐hour lecture‐based interactive teaching sessions lasting 4 weeks. A follow‐up assessment was conducted 1 month after the post‐test. Results The baseline assessment revealed that more than half of the nurses scored low on knowledge and the majority scored low on practice. One‐way repeated ANOVA showed that post‐test and follow‐up test scores on nursing knowledge and practice were significantly higher than the baseline scores. Conclusion The study findings show the efficacy of educational interventions in enhancing nursing knowledge and practice relating to the care of neonates with respiratory distress. Implications for nursing and health policy For neonatal nurses, periodic teaching and training interventions are essential to ensuring the quality nursing care required to reduce morbidity and mortality rates among neonates. Health policymakers should support nurses in pursuing educational opportunities aimed at enhancing their knowledge of advanced neonate care.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 72%

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Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Ali

Obeisat

Tarawneh

2019

International Nursing Review

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“…Y enidoğan döneminde solunum problemleri önemli mortalite ve morbidite nedenlerindendir (1). Noninvazif (NİMV) ve invazif mekanik ventilasyon (İMV) teknikleri solunum güçlüğü yaşayan ya da solunumu olmayan bebeklerin tedavisinde oksijenizasyon ve ventilasyonu sağlamak için kullanılan tekniklerin başında gelmektedir (1,2) İMV tedavi etmesinin yanı sıra beraberinde Ventilatör İlişkili Pnömoni (VİP) (%.55,2), Bronkopulmoner Displazi (BPD) (1000 gr altı bebekler %52, 1000 gr üstü bebekte %34) (5,6), nozokomiyal enfeksiyon (%24,15) ve pulmoner hemoraji (%12,71) çok sık gelişen komplikasyon ve riskleri geliştirebilmektedir (3)(4)(5).…”

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“…Yoğun bakım ünitelerinde yaygın kullanılan İMV uygulamasının başarısı ya da başarısızlığında en önemli faktörlerden biri de, bebeğin bakımından sorumlu hemşirenin bilgi ve becerisini doğru kullanmasından geçmektedir. Hemşirelik uygulamalarının bireysel farklılık göstermesi ve uygun olmayan yöntemlerin kullanılması, solunum tedavisini geciktirmekte ve komplikasyonları arttırmaktadır (6) Mekanik ventilasyon tedavisi alan entübe hastanın aspirasyonuna bağlı komplikasyonların önlenebilmesi (3)(4)(5) izlemi ve uygun yatış pozisyonunun sağlanmasında yenidoğan hemşirelerinin önemli rolleri bulunmaktadır (1,3,7,8).…”

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Mekanik Ventilasyon Tedavisi Alan Yenidoğanların Bakımında Hemşire: Eğitim ve Bilgi Düzeyi İlişkisi

Başara¹,

Küçük²

2020

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ÖZET Amaç: Araştırma altı hastanenin Yenidoğan Yoğun Bakım Üniteleri'nde (YYBÜ) çalışan 222 hemşire ile MV bakımına ilişkin bilgi durumlarının belirlenmesi amacıyla, tanımlayıcı kesitsel tipte yapılmıştır Hastalar ve Yöntem: Altı hastanenin Yenidoğan Yoğun Bakım Üniteleri'nde (YYBÜ) çalışan 222 hemşire ile MV bakımına ilişkin bilgi durumlarının belirlenmesinde veriler veri toplama formu ile toplanmıştır. Değerlendirmede sayı, yüzde, ortalama, ki kare test istatistikleri kullanılmış, anlamlılık değeri p<0,05 kabul edilmiştir. Bulgular: Hizmet içi eğitim alma, kullanılan mekanik ventilatör tipini bilme, aspirasyon sıklığının belirlenmesi, aspirasyon sırasında gelişen riskler, ağız bakımı malzemeleri, Sertifika Eğitimi ise MV pozisyonu verme, pozisyon değiştirme süresi, aspirasyonda uygulanması gereken basınç ve süreyi bilmeyi etkilemektedir (p<0,05) Sonuç: Yenidoğan Yoğun Bakım Ünitesi hemşirelerinin mekanik ventilatör tedavisi sırasında, yenidoğanın pozisyon, aspirasyonu ve ağız bakımı konularındaki bilgi düzeyleri yeterli olmadığı belirlenmiştir. Hemşirelerin, sertifika ve hizmet içi eğitimleri entegre alması, uygulama protokolleri oluşturulması, uzman hemşire rehberlerin ünitede görev yapması önerilebilir. Anahtar sözcükler: Ebeveyn, kaygı, yenidoğan, yenidoğanın geçici takipnesi NURSE IN THE CARE OF THE NEWBORNS WITH MECHANICAL VENTILATION TREATMENT: EDUCATION AND INFORMATION LEVEL RELATIONSHIP ABSTRACT Purpose: A descriptive cross-sectional survey was used in order to determine nurses' level of knowledge about mechanical ventilation (MV) treatment with 222 nurses who are employees in six hospitals and work in the neonatal intensive care unit (NICU). Patients and Methods: In order to determine nurses' level of knowledge about mechanical ventilation (MV)treatment with 222 nurses who are employees in six hospitals and work in the neonatal intensive care unit (NICU), the data were collected using the data collection form. Number, percentage, mean and chi-square test statistics were used in the assessment and a statistical significance rate of p<0.05 was accepted.Results: In-service training, knowing/knowledge about the type of mechanical ventilation that is used, determining the frequency of aspiration, risks that might develop during the aspiration, oral care supplies and education certificate, on the other hand, affect the changing of MV position, the duration of changing the MV position, and also affect the knowledge of pressure and duration that are required to be applied during the aspiration (p<0.05).Conclusion: It is determined that during mechanical ventilation treatment, the knowledge of nurses working in the NICU was inadequate in terms of newborns position, aspiration and oral care. It can be recommended that getting nursing certification and in-service training integrated, creation of application protocols and working nurse expert guides in the unit. In-service training, nursing certification, creating guidelines for nurse protocols/nursing assessment protocols and being guided by an experienced nurse ...

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Implementation of neurally adjusted ventilatory assist and high flow nasal cannula in very preterm infants in a tertiary level NICU

Piątek

Lehtonen

Parikka

et al. 2022

Pediatric Pulmonology

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Preterm infants treated with invasive ventilation are often affected by bronchopulmonary dysplasia, brain structure alterations, and later neurodevelopmental impairment. We studied the implementation of neurally adjusted ventilatory assist (NAVA) and high flow nasal cannula (HFNC) in a level III neonatal unit, and its effects on pulmonary and central nervous system outcomes. This retrospective cohort study included 193 surviving infants born below 32 weeks of gestation in preimplementa-

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Quality Improvement of Nasal Continuous Positive Airway Pressure Therapy in Neonatal Intensive Care Unit

Abstract: The mobile NCPAP cart with prepacked fixation kits is a practical way of expediting the initiation of NCPAP therapy. The written nursing protocol decreased the incidence of nasal trauma in infants, except for those with an extremely low birth weight.

Cited by 42 publications

References 21 publications

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Mekanik Ventilasyon Tedavisi Alan Yenidoğanların Bakımında Hemşire: Eğitim ve Bilgi Düzeyi İlişkisi

Implementation of neurally adjusted ventilatory assist and high flow nasal cannula in very preterm infants in a tertiary level NICU

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