Advances in neonatal care : official journal of the National Association of Neonatal Nurses
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To explore barriers that NICU nurses face when attempting to optimally manage newborn pain. ⋯ A knowledge-practice gap still exists within newborn pain management. Increased caregiver education remains a necessity, but strategies that address resistance to change practice within healthcare settings must also be considered.
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The first breath is the critical moment that initiates life outside the womb. But 10 million or more babies each year need assistance in establishing that first breath. Attempts at assisting the newborn began in ancient times and have undergone significant changes. This article looks at the history of neonatal resuscitation and the establishment of the Neonatal Resuscitation Program that is used today.
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The purpose of this study was to delineate current practice for the selection of nonoral feeding routes in level III neonatal intensive care units (NICUs) across Canada. ⋯ The results of this survey indicate that there are no clear clinical guidelines currently in place to determine route of feeding tubes in NICUs across Canada. Physician preference or history of the institution appears to be the most important variable in determining tube selection. Given the high prevalence of acute and chronic feeding difficulties among NICU survivors, the choice of route of tube should be guided by specific evidence-based criteria.