Essential nursing practices in the at-risk neonate
DOI:
https://doi.org/10.5281/zenodo.11658697Keywords:
nursing care, neonatal nursing, newbornAbstract
High-risk newborns are a significant concern because of high morbidity and mortality rates. Neonatal nurses play a critical role in neonatal intensive care units (NICUs), providing care that includes oxygen therapy, mechanical ventilation, and infection prevention. However, the effectiveness of these interventions still requires further research. This review followed the Joanna Briggs Institute framework, including identification of research question, selection of relevant studies, data collection and analysis. A comprehensive search was conducted in databases such as Web of Science, Scopus, and Google Scholar, filtering studies published between 2018 and 2024 in English, Spanish, and Portuguese. Of 796 studies found, 15 were relevant. Extracted data included authors, objectives, and methods. The results showed that nursing interventions, such as the use of reflective curtains during phototherapy and the administration of oral dextrose gel, have significant positive effects. In addition, sunlight can complement phototherapy in low-income countries, and continuous positive airway pressure (CPAP) is effective in treating respiratory distress. The review highlighted the importance of nursing interventions in improving neonatal outcomes. However, the lack of comprehensive data and high-quality studies underscores the need for further research to improve neonatal outcomes.
Downloads
References
Al-Harrasi, S., Sabei, S., Omari , O., y Abrawi, U. (2024). Nurses' Job Burnout and Resilience in Neonatal Intensive Care Units. J Perinat Neonatal Nurs, 38(2), 201-211. https://doi.org/10.1097/JPN.0000000000000817
Altimier, L. (2024). Neonatal Nursing: Clinical Concepts and Practice Implications: Part 2. Critical Care Nursing Clinics of North America, 36(2), xi-xiv. https://doi.org/doi.org/10.1016/j.cnc.2023.12.004
Australian Institute of Health and Welfare. (2023). Australia's mothers and babies. https://www.aihw.gov.au/reports/mothers-babies/australias-mothers-babies
Azadi, M., Azimian, J., Mafi, M., y Rashvand, F. (2020). Evaluation of nurses' workload in the intensive care unit, neonatal intensive care unit and coronary care unit: An analytical study. Journal of Clinical and Diagnostic Research, 14(11), 5-7. https://doi.org/10.7860/JCDR/2020/44824.14181
Ballmann, S. (2024). ischarge of infants with complex care needs from the neonatal intensive care unit: Ensuring continued inpatient care via the Bunter Kreis aftercare model. Medizinische Klinik, 119(4), 277-284. https://doi.org/10.1007/s00063-024-01133-z
Barr, P. (2023). Relationships of nursing stress and trait emotional intelligence with mental health in neonatal intensive care unit nurses: A cross-sectional correlational study. Australian Critical Care, 37(2), 258-264. https://doi.org/10.1016/j.aucc.2023.07.005
Beissel, A., Denis, A., Laborie, S., Pillet, F., Gauthier-Moulinier, H., Hommey, S., . . . Touzet, S. (2024). Impact of a nurse education programme on oral feeding in a neonatal unit. Nurs Crit Care., 29(2), 287-295. https://doi.org/10.1111/nicc.12840
Benzies, K., Aziz, K., Shah, V., Faris, P., Isaranuwatchai, W., Scotland, J., . . . Lodha, A. (2020). Effectiveness of Alberta family integrated care on infant length of stay in level II neonatal intensive care units: A cluster randomized controlled trial. BMC Pediatrics., 20(1), 535. https://doi.org/10.1186/s12887-020-02438-6
Bowers, J., y Cheyne, H. (2022). Reducing the length of postnatal hospital stay: Implications for cost, reducing the length of postnatal hospital stay: Implications for cost and quality of care and quality of care. . BMC Health Services Research, 16(6). https://doi.org/10.1186/s12913-015-1214-4
Chen, H., Cheng , S., Hsiung, Y., Chuang , Y., Liu TY, T., y Kuo, C. (2024). Training perinatal nurses in palliative communication by using scenario-based simulation: A quasi-experimental study. Nurse Educ Pract, 75(02), 103885. https://doi.org/10.1016/j.nepr.2024.103885
Dol, J., Campbell-Yeo, M., Murphy, G., Aston, M., McMillan, D., y Richardson, B. (2018). The impact of the helping babies survive program on neonatal outcomes and health provider skills: A systematic review. JBI Database of Systematic Reviews and Implementation Reports., 16(3), 701-737. https://doi.org/10.11124/JBISRIR-2017-003535
Edwards , T., Liu , G., Hegarty, J., Crowther, C., Alsweiler, J., y Harding, J. (2021). Oral dextrose gel to prevent hypoglycaemia in at-risk neonates. Cochrane Database of Systematic Reviews, 7(7), CD012152. https://doi.org/10.1002/14651858.CD012152.pub3
Fanelli, S., Bellú, R., Zangrandi, A., Gagliardi, L., y Zanini, R. (2020). Managerial features and outcome in neonatal intensive care units: Results from a cluster analysis. . BMC Health Services Research, 20(1), 957. https://doi.org/10.1186/s12913-020-05796-0
He, H., Li, J., Li, Z., Lu, H., Lu, J., Quan, Y., y Zhu, X. (2024). Barriers and facilitators in implementing early essential newborn care of well-born babies in low- and middle-income countries: A mixed-method systematic review. Journal of Clinical Nursing, 33(5), 1604-1625. https://doi.org/10.1111/jocn.17057
Ho, J., Subramaniam, P., y Davis, P. (2022). Continuous positive airway pressure (CPAP) for respiratory distress in preterm infants. . Cochrane Database of Systematic Reviews, 10(10), CD002271. https://doi.org/10.1002/14651858.CD002271.pub3
Horn, D., Ehret, D., Gautham, K., y Soll, R. (2021). Sunlight for the prevention and treatment of hyperbilirubinemia in term and late preterm neonates. Cochrane Database of Systematic Reviews, 7(7), CD013277. https://doi.org/10.1002/14651858.CD013277.pub2
Ismail, M., Mahrous, S., y Mokbel, R. (2020). Facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit. International Journal of Nursing and Health Science, 6(1), 18-28. https://doi.org/10.14445/24547484/IJNHS-V6I1P103
Kim , E., Kim S, S., Kim, S., Kim , S., Ahn, S., y Lee, H. (2024). Palliative Care for Infants in the Neonatal Intensive Care Unit: A Scoping Review. J Hosp Palliat Nurs, 26(1), 14-20. https://doi.org/10.1097/NJH.0000000000000985
Kim, N., Lee, J., Park, J., y Lau, S. (2024). Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross‐sectional descriptive study. Nursing & Health Sciences, 26(2), E13115. https://doi.org/10.1111/nhs.13115
Kim, S. (2020). Prevention and management of pain in the neonatal intensive care unit. . Clinical and Experimental Pediatrics,, 63(1), 16-17. https://doi.org/10.3345/kjp.2019.01200
Lee, A., Cheung, Y., Joynt, G., Leung, C., Wong, W., y Gomersall, C. (2019). Are high nurse workload/staffing ratios associated with decreased survival in critically ill patients? A cohort study. Annals of Intensive Care, 7(1), 46. https://doi.org/10.1186/s13613-017-0269-2
Lee, H., Kim, D., y Han, J. (2020). Developing nursing standard guidelines for nurses in a neonatal intensive care unit: A Delphi study. Healthcare, 8(3), 320. https://doi.org/https://doi.org/10.3390/healthcare8030320
Muelbert, M., Lin, L., Bloomfield, F., y Harding, J. (2019). Exposure to the smell and taste of milk to accelerate feeding in preterm infants. Cochrane Database of Systematic Reviews., 7(7), CD013038. https://doi.org/10.1002/14651858.CD013038.pub2
Munn, Z., Peters, M., Stern, C., Tufanaru, C., McArthur, A., y Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 143. https://doi.org/10.11124/JBIES-20-00167
Nasuf, A., Ojha, S., y Dorling, J. (2018). Oropharyngeal colostrum in preventing mortality and morbidity in preterm infants. Cochrane Database of Systematic Reviews, 9(9), CD011921. https://doi.org/10.1002/14651858.CD011921.pub2
Nikuee, N., Rassouli, M., Manuchehri, H., Payandeh, A., y Khanali-Mojen, L. (2020). Correlation between quality of care and length of hospital stay in neonatal intensive care unit. Iranian Journal of Neonatology., 11(2), 54-59. https://doi.org/10.22038/ijn.2020.38372.1606
Ohuma, E., Moller, A.-B., Bradley, E., Chakwera, S., Laith, H.-A., Lewin , A., . . . Mahanani, W. (2023). National, regional, and worldwide estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet, 402(10409), 1261-1271. https://doi.org/10.1016/S0140-6736(23)00878-4
Organización Mundial de la Salud. (2023). Nacimientos prematuros. https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth
Pancieri , L., Silva , R., Wernet, M., Fonseca , L., Hameed, S., y Mello , D. (2024). Safe care for premature babies at home: Parenting and stimulating development. Journal of Child Health Care, 28(1), 8-21. https://doi.org/10.1177/13674935221089450
Peters, M., Marnie, C., Tricco, A., Pollock, D., Munn, Z., Alexander, L., . . . Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119-2126. https://doi.org/10.11124/JBIES-20-00167
Sherenian, M., Profit, J., Schmidt, B., Suh, S., Xiao, R., Zupancic, J., y DeMauro, S. (2023). Nurse-to-patient ratios and neonatal outcomes: A brief systematic review. Neonatology, 104(3), 179-183. https://doi.org/10.1159/000353458
Spence, K., Tarnow-MordI, W., Duncan, G., Jayasuryia, N., Elliott, J., King, J., y Kite, F. (2022). Measuring nursing workload in neonatal intensive care. Journal of Nursing Management, 14(3), 227-234. https://doi.org/10.1111/j.1365-2934.2006.00609.x
St Louis, J., Raffin-Bouchal, S., Benzies, K., y Sinclair, S. (2024). Qualitative Study of Nurses’ Experiences as They Learned to Provide Neonatal Palliative Care. JOGNN, 53(3), 264-271. https://doi.org/10.1016/j.jogn.2023.12.005
Subramaniam, P., Ho, J., y Davis, P. (2021). Prophylactic or very early initiation of continuous positive airway pressure (CPAP) for preterm infants. Cochrane Database of Systematic Reviews., 10(10), CD001243. https://doi.org/10.1002/14651858.CD001243.pub4
Van-Rostenberghe, H., Ho, J., Lim, C., y Abd-Hamid, I. (2020). Use of reflective materials during phototherapy for newborn infants with unconjugated hyperbilirubinaemia. Cochrane Database of Systematic Reviews, 7(7), CD12011. https://doi.org/10.1002/14651858.CD012011.pub2
Young-Cho, I., y Young-Han, A. (2023). Neonatal nurses' educational needs in a family-centered partnership program: Five ways of knowing. Nurse Education Today, 113(02), 106028. https://doi.org/10.1016/j.nedt.2023.106028
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
The journal is licensed under the Attribution License (CC BY), allowing the possibility of copying, distributing, displaying, and producing derivative works, as long as the author is acknowledged and cited.
