Neonatal network : NN
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Neonatal network : NN · Mar 2014
Impact of a parent-directed pamphlet about pain management during infant vaccinations on maternal knowledge and behavior.
To evaluate the impact of a parent-directed instructional pamphlet about managing pain during infant vaccinations. ⋯ Altogether, 354 mothers participated. A two-way (site, phase) ANOVA revealed no interaction (site 3 phase) in knowledge or use of pain-management strategies after routine two-month infant vaccinations; hence, there was no evidence of a benefit provided by the pamphlet. However, within the intervention site, only 21 percent of mothers read the pamphlet. Reading the pamphlet was associated with higher knowledge. This suggests some possible benefits of the pamphlet, provided that mothers read it.
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When women addicted to opioids seek prenatal care, the treatment of choice is methadone. Methadone mediates the addiction by reducing fluctuations in maternal serum opioid levels and protecting the fetus from repeated withdrawal episodes. ⋯ Despite the magnitude of this national problem, there is a dearth of literature to guide NICU nurses on how to best support mothers of infants with neonatal abstinence syndrome (NAS) in the care of their infants. The purposes of this article are to review what is known about women in methadone treatment who have a history of opioid addiction and apply that evidence to guide neonatal nurses to support mothers of infants with NAS in the NICU.
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Neonatal network : NN · Jul 2013
Randomized Controlled TrialApplication of plastic wrap to improve temperatures in infants born less than 30 weeks gestation: a randomized controlled trial.
The primary aim of the study was to evaluate whether the application of a plastic wrap immediately after birth is more effective than the standard care of temperature management for improving admission temperatures to the neonatal intensive care unit (NICU) in infants <30 weeks gestation. ⋯ A total of 92 infants were analyzed: 49 in the control group and 43 in the intervention group; 48 (52.2 percent) were <27 weeks gestation, and 44 (47.8 percent) were <30 weeks gestation. The infants' temperatures were assessed for two hours following admission.
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Over the past 30 years, there has been a modest improvement in the survival rates of U. S. infants. ⋯ Nurses have an obligation to remain abreast of neonatal ethical standards because they are intimately involved in caring for these patients. Therefore, the aim of this article is to (a) summarize the extant neonatal bioethical literature to appreciate the complex ethical issues that translate into practice challenges, (b) present a framework that guides the assessment of the benefits and burdens of neonatal intensive care in the clinical setting to solicit and provoke dialogue, and (c) provide examples that advocate for educational training for neonatal healthcare providers in support of ethically sound care to affected families and infants.