Pediatric nursing
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The emerging care delivery model for Neonatal Intensive Care Units (NICU) is family-focused, developmentally supportive care. The purpose of this study was to explore and describe mothers' experience of becoming a mother while their infants were receiving care in the NICU. A qualitative research design was used. ⋯ Mothers entered the continua at different points and moved at different rates toward "engaged parenting." The final stage, partnering, required active participation of nurses. Mothers' development evolved in predictable patterns. The results of this study can be considered in implementation and evaluation plans for NICUs moving to family-focused developmental care.
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To develop a simple, single-page measurement tool that evaluates risk of skin breakdown in the pediatric population and apply it to the acutely hospitalized child. ⋯ The Starkid Skin Scale may be useful to pediatric nurses in assessing which patients require intensive prevention measures. Further research is needed as to which of these specific techniques are effective in the prevention of skin breakdown in children.
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The year was 1994. A nurse named Andrew Todd in the Vanderbilt University Medical Center NICU was looking for information on why he felt so overwhelmed while caring for dying babies. He found nothing. ⋯ Brian Carter, neonatologist and ethicist known for his work in perinatal ethics and palliative care. Together Ewing and Carter, neither of whom have ever met Andrew Todd, created an ongoing program to provide ethical and emotional support to those working in the NICU. Ewing and Carter describe their program here.
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Comparative Study Clinical Trial Controlled Clinical Trial
Pain management for newborn circumcision.
To describe current newborn circumcision pain interventions and to identify which forms of analgesia were most effective. ⋯ Information obtained from this project facilitated a change in policy wherein newborn circumcision is performed only with the use of analgesia and not concentrated oral sucrose alone.