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Teaching Novice Neonatal Intensive Care Unit Nurses to Think Critically
Newborn & Infant Nursing Reviews. Burch T et al. - A Critical Thinking Program provides inexperienced nurses an opportunity to pose questions, test skills, and apply concepts and meaning to their newfound knowledge, at a point in time when they are able to better apply this knowledge.
2009-06-24
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Creative Educational Methodologies: Using a Childbirth Simulator with Baccalaureate Nursing Students
Newborn & Infant Nursing Reviews. Beyer N - Several factors determine the complexity of the simulation model chosen by nursing faculty and include such considerations as targeted courses, desired realism, and learning objectives. This article describes a teaching methodology using a childbirth simulator in the clinical education of baccalaureate nursing students during the pediatric/obstetric clinical course.
2009-06-23
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An Innovative Teaching Approach to Nursing Research
Newborn & Infant Nursing Reviews. Estes TS et al. - The nurses worked together to develop a mock study that exemplified the research process by using different types of chocolate chips (“intervention”), measuring outcomes (“taste preferences”) by nurses (“study participants”), and ranking the results (“data methods”). The mock chocolate chip study helped educate and fuel interest in participation in future nursing research.
2009-06-23
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The Effects of Simulation on Nursing Students Critical Thinking Scores: A Quantitative Study
Newborn & Infant Nursing Reviews. Sullivan-Mann J et al. - Experimental participants showed a greater increase in critical-thinking scores, demonstrating that simulation can enhance the quality of nursing education providing guaranteed clinical experiences that increase critical-thinking skills, as well as providing high-tech training for nursing students. Implications for nursing education and further research are discussed.
2009-06-23
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Emerging Trends in Antibiotic Use in Neonates: New or Not-so-New Drugs for New Bugs
Newborn & Infant Nursing Reviews. Ambroise M - Nosocomial sepsis is a major problem in neonatal intensive care units. Bacteria are becoming resistant to antibiotics that once were very effective against sepsis. Multidrug-resistant bacteria are increasing in incidence owing to mutations in their genome or through plasmid encoded genes that confer resistance.
2009-04-01
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Update on the Use of Topical Agents in Neonates
Newborn & Infant Nursing Reviews. Visscher MO - The published research on the effects of topical products on premature and damaged neonatal skin is very limited, especially for adequately sized randomized controlled clinical trials. Health care providers have keen interest and the skills to identify improved treatments through outcomes-based research.
2009-03-27
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Progress in Congenital Cardiac Care for Newborns and Infants: The Emerging Role of “Off-label” Medications
Newborn & Infant Nursing Reviews. Torres M et al. - The article will review selected off-label medications currently used in the pediatric congenital heart management for treatment of perioperative low cardiac output, congestive heart failure, pulmonary hypertension, sedation, anticoagulation, and pain.
2009-03-27
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Chemosensory Development in the Fetus and Newborn
Newborn & Infant Nursing Reviews. Browne JV - Strong, ill-timed, and nonfamiliar odors can interfere with infant physiologic stability and behavioral organization. Hospital chemosensory environments should be adapted to the specific expectations and needs of the infant and mother particularly during delivery and the neonatal intensive care unit experience.
2009-01-12
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Sleep and Brain Development: The Critical Role of Sleep in Fetal and Early Neonatal Brain Development
Newborn & Infant Nursing Reviews. Graven S et al. - Sleep and sleep cycles are essential for the development of the neurosensory and motor systems in the fetus and neonate. They are essential for the creation of memory and long-term memory circuits, and they are essential for the maintenance of brain plasticity over the lifetime of the individual. The importance of sleep and preservation of sleep cycles in infants has been known for more than 40 years. They are critical for the fetus in utero and the preterm infant in the newborn intensive care unit (NICU).
2009-01-12
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Visual Development in the Human Fetus, Infant, and Young Child
Newborn & Infant Nursing Reviews. Graven SN et al. - The development of the visual system involves genetic coding, endogenous brain activity, exogenous visual stimulation after birth at term, and protected sleep cycles, particularly rapid eye movement sleep. Before birth at term, the fetus requires no outside visual stimulation or light. The critical element in development of the visual system before birth at term is protection of rapid eye movement sleep and sleep cycles. Sleep deprivation or disruption in utero and early months of neonatal life causes significant interference with visual development resulting in loss of the topographic relationships between the retina, the lateral geniculate nucleus, and the primary visual cortex in the infant.
2009-01-12
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In Utero Exposure to Selective Serotonin Reuptake Inhibitors: Evidence for Poor Neonatal Adaptation
Newborn & Infant Nursing Reviews. Moulsdale W et al. - This article will critically evaluate the literature regarding perinatal outcomes for infants exposed to SSRI/SNRIs in utero, suggesting practice implications for nursing, medical care, and family education and support for those exposed. There is a growing body of evidence to support a clinical set of symptoms that can be referred to as poor neonatal adaptation; however, insufficient evidence exists to support serotonin toxicity or withdrawal.
2008-09-02
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In Utero Exposure to Selective Serotonin Reuptake Inhibitors: Evidence for Poor Neonatal Adaptation
Newborn & Infant Nursing Reviews. Moulsdale W et al. - This article will critically evaluate the literature regarding perinatal outcomes for infants exposed to SSRI/SNRIs in utero, suggesting practice implications for nursing, medical care, and family education and support for those exposed. There is a growing body of evidence to support a clinical set of symptoms that can be referred to as poor neonatal adaptation; however, insufficient evidence exists to support serotonin toxicity or withdrawal.
2008-09-01
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Evidence-Based Care for the Infant With Necrotizing Enterocolitis
Newborn & Infant Nursing Reviews. Gibbins S et al. - This article presents a clinical scenario that highlights many questions regarding the care of the infant with NEC. A brief discussion of the pathophysiology of NEC as well as signs and symptoms of disease, risk factors for development, and prognosis will be presented. Preventative measures will be discussed. The case study will be used as a framework for examining treatment options, using the best available evidence. Issues of pain management, antibiotic coverage, ongoing assessment, and parental roles will be explored. Practice guidelines will be provided and areas for future research will be proposed.
2008-08-29
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Preventing Transmission of the Human Immunodeficiency Virus From Mothers to Infants: Review of Research and Guidelines for Practice
Newborn & Infant Nursing Reviews. Fonzo LD et al. - This article will discuss strategies, from the current research, to decrease MTCT: prenatal screening for HIV; antiretroviral therapy for mother and infant during pregnancy, labor, birth, and postpartum; optimal birth strategies; and appropriate testing of the newborn for HIV.
2008-08-29
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Distractions and Interruptions: Development of a Healthcare Sterile Cockpit
Newborn & Infant Nursing Reviews. Distractions are a major cause of error in healthcare, especially during the process of medication delivery. Yet, in the healthcare setting, distractions or interruptions are often expected as a "way we do business." In response to these threats, the authors suggest the development of methods that will reduce interruptions and distractions during critical patient care events; in effect, to develop a healthcare "sterile cockpit." This paper discusses recommendations for this process including assessment, identification of prevention strategies, implementation, evaluation, and sustainability. .
2008-05-29
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A Genetic Services Practice Model: Advanced Practice Nurse and Genetic Counselor Team
Newborn & Infant Nursing Reviews. Nurse practitioners and genetic counselors are midlevel providers that can, together, provide clinical evaluation, case management, follow-up, and the genetic counseling aspects of a comprehensive medical genetics consultation. Midlevel providers working with a medical geneticist can expand access to this level of expertise, thereby reaching more patients and consumers. This nurse practitioner–genetic counselor practice model is described in the context of a rural setting. .
2008-03-03
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Clinical Care at the Genomic Interface: Current Genetic Issues in Neonatal Nursing
Newborn & Infant Nursing Reviews. This review article outlines the specific aspects of assessment, genetic screening and testing, and communication of genetic information between provider and patient in both the newborn and pregnancy period. Essential nursing competencies are introduced as a framework for building a skill and knowledge set in clinical genetics as it applies to neonatal care. The potential development of inquiry and research-oriented practice problems are also highlighted. .
2008-03-03
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Disorders of Fatty Acid Oxidation in the Era of Tandem Mass Spectrometry in Newborn Screening
Newborn & Infant Nursing Reviews. With recent advances in laboratory technology with tandem mass spectrometry (MS/MS), the number of infants identified with a fatty acid oxidation disorder has increased dramatically. Disorders of fatty acid oxidation comprise one of the most rapidly growing groups within the field of errors of metabolism. This review will explore the recent developments in newborn screening related to the use of tandem mass spectrometry and disorders of fatty acid oxidation. .
2008-03-03
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Nasal Bone Measurement To Diagnose Down Syndrome
Newborn & Infant Nursing Reviews. Down syndrome detection continues to be one of the main challenges of perinatal medicine. It is important to keep in mind that even the best combination of ultrasound findings and other screening tests are only predictive and not diagnostic. Amniocentesis or CVS is necessary for true diagnosis; yet nasal bone measurement is appearing to be an encouraging marker. .
2008-02-25
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FISH Diagnosis of 22q11.2 Deletion Syndrome
Newborn & Infant Nursing Reviews. This article discusses the pathophysiology and presentation of chromosome 22q11.2 deletion syndrome. The use of FISH as a diagnostic tool is also described, including the FISH process, its use, and its accuracy and reliability in the diagnosis of chromosome 22q11.2 deletion syndrome in the fetus and/or newborn. .
2008-02-25
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Twin to Twin Transfusion Syndrome
Newborn & Infant Nursing Reviews. Twin to twin transfusion syndrome (TTTS) can be a very confusing diagnosis. The goal of this article is to familiarize the audience with the diagnosis, treatment, and outcome of TTTS. An overview of twinning mechanics, as well as the pathophysiology, staging, treatment options, and outcomes of TTTS, will be discussed. It is important for nurses to understand all of the treatment options available so that support can be given regardless of the path families have chosen [more.
2007-12-10
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Welfare Shame, Economic Hardship, and Drug Use: Their Relationship to the Psychological Distress Observed in TANF Recipients
Newborn & Infant Nursing Reviews. Recent studies conducted in Temporary Assistance to Needy Families (TANF) populations show that TANF recipients are more likely to suffer from persistent psychiatric disorders and mental health problems than are non—TANF recipients.
2007-12-05
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Hirschsprung Disease
Newborn & Infant Nursing Reviews. Hirschsprung disease, or congenital megacolon, is a dismotility of the bowel due to the absence of parasympathetic ganglionic cells that results in a partial bowel obstruction. Clinical criteria are age related, and the disease occurs approximately once in every 5000 live births. The goal of surgical repair is to return the bowel to normal function. Parental discharge education is essential to ensure a positive outcome that is free of complications and includes a normal lifestyle for the child [more.
2007-10-11
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Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant
Newborn & Infant Nursing Reviews. Chemical burns in extremely preterm infants have major implications in terms of morbidity and risk management. We report a case of extensive chemical burn in an extremely low birth weight (ELBW) infant caused by clear, colourless solution of 0.5% chlorhexidine in 70% alcohol mistaken for normal saline for skin cleansing during umbilical catheter insertion.
2007-09-27
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Early Recombinant Human Growth Hormone Treatment in Glucocorticoid-Treated Children with Juvenile Idiopathic Arthritis
Newborn & Infant Nursing Reviews. The objective of the study was to evaluate the impact on growth and body composition of rhGH started early after glucocorticoid initiation and to record adverse effects in children with JIA.
2007-07-16
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