The NICU Lighted Environment
Lighting technologies are rapidly evolving, creating many opportunities for good lighting within the NICU. With the widespread adoption of advanced solid-state lighting technologies, lighting no longer needs to be static. Rather, lighting systems can be more easily adjusted to the different and changing visual and non-visual needs of the professional staff, infants and family members throughout the 24-hourday. This paper provides a conceptual framework for defining good lighting in the NICU, recognizing the needs of various constituent groups, each with very different needs from the lighting. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Mark S. Rea, Mariana G. Figueiro Tags: Article Source Type: research
Components of a Tool for Early Detection of Developmental Delays in Preterm Infants: An Integrative Literature Review
This study aimed to contribute to the knowledge about the early detection of developmental delays. Such early detection can influence early interventions, contributing to improved short and long-term developmental outcomes of preterm infants with subsequent improved quality of life and decreased burden of illnesses. No existing screening tool for early detection of developmental delays in preterm infants was available for use in resource-restricted settings. The components to be included in such a screening tool were identified and described by conducting an integrated literature review, comprising the phases: preparing a ...
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Zarine Wessels, Welma Lubbe, Karin (CS) Minnie Tags: Article Source Type: research
Single Family Rooms for the NICU: Pros, Cons and the Way Forward
Single family rooms (SFRs) have been embraced by many as essential to the design of a modern NICU. It is generally accepted that they reduce the risk of nosocomial infection, facilitate individualized and developmentally appropriate levels of sensory input for infants and enhance parental comfort and privacy. Most centers that have adopted SFRs report that staff and families view the shift positively. However, there are some potential concerns with exclusive use of SFRs, most important being the possible negative impact of an environment devoid of important sensory inputs on the developing preterm neonate. (Source: Newborn...
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Michael S. Dunn, Elizabeth MacMillan-York, Kate Robson Tags: Article Source Type: research
Celebration in the Face of Trauma: Supporting NICU Families through Compassionate Facility Design
For families, the modern NICU is a place of both trauma and celebration. In order to support families through these types of experiences, NICUs should be designed to encourage family reunification and presence, facilitate psychosocial support, address/minimize sensory impact, offer social connection, and enable positive framing and revisioning of NICU parental experiences. Design teams must also consider how the NICU becomes an educational space for families, and ensure that the lessons parents learn there will serve them and their children well in the future. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Kate Robson, Elizabeth MacMillan-York, Michael S. Dunn Tags: Article Source Type: research
Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)
NICU surface material finishes require consideration to support the design of a healing environment benefitting the patients, families, and caregivers. The evidence from a growing body of research that focuses on the healthcare facility design influence on occupant outcomes suggests that material finishes for the NICU contribute to the clinical, operational and social dimensions of health outcomes. The main surface finishes in the NICU are the flooring, ceiling, walls, work surfaces, and upholstery. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Debra Harris Tags: Article Source Type: research
Advancing NICU Care with a New Multi-purpose Room Concept
Neonatal intensive care unit (NICU) design has been evolving in significant ways in response to changes in neonatal care, based on continuing research. The single family room concept has gained broad acceptance for improving the physical environment for the preterm baby and its family while in the NICU. While there are many benefits associated with the single family room, there are some scenarios in the NICU that could benefit from the development of larger, multi-purpose patient rooms. The extended family room is a design concept for a new patient room prototype; one that has the flexibility to accommodate some of these a...
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Sue Ann Barton, Robert D. White Tags: Article Source Type: research
Technology – Considerations for the NICU of the Future
Modern neonatal intensive care arose from, and will forever depend upon, technology. There are increasing pressures to leverage new technologies to make care safer, more efficient and cost-effective. Changes in the delivery room will bring better monitoring and data display for the resuscitation team. Sensing and monitoring advances will be used in the NICU, measuring a wider range of physiologic parameters. Better integration of technologies with the EMR will be the basis for decision support and predictive analytics. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: William D. Rhine Tags: Article Source Type: research
Integrating Infant Mental Health with Breastfeeding Support: Five Years of the Trifecta Approach
Although often perceived as being “easy” or “natural,” breastfeeding can be a complex and emotional experience for new mothers and their families. Breastfeeding mothers often receive varied and conflicting advice from multiple providers. This paper presents an integrated infant mental health model of breastfeeding support ca lled the Trifecta for the breastfed infant. Developed in 2011 in the Breastfeeding Management Clinic at the Children's Hospital Colorado, this unique program evolved to best meet the needs of the breastfeeding mother–infant dyad. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Melissa Buchholz, Dena M. Dunn, Lorry Watkins, Maya Bunik Tags: Article Source Type: research
How Affordable is Childbearing in India? An Evaluation of Maternal Healthcare Expenditures
This study examines the extent of healthcare expenditure incurred for seeking delivery care including ANC and PNC across the socio-economic characteristics. Further, this study examines the extent of catastrophic delivery expenditure and its impoverishing effect on Indian women. The present study used unit level records of the 71st round of the National Sample Survey Office (NSSO) which was surveyed during January to June in 2014 on the theme ‘Social Consumption: Health.’ Results reveal that women who gave births to their babies in public hospitals spend rupees 1587 for the childbirth whereas the women who gave births ...
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Pushpendra Singh, Virendra Kumar, Sonia Verma Tags: International Connections Column Source Type: research
The Question of “When?” The Timing of Tests and Measures in Newborn and Infant Research
This Research Methodology Column will address issues and topics pertinent to conducting neonatal and infant research. Some of the columns will address current issues and topics while others will address longstanding or classic issues and topics. The goal of these columns is to inform novice and expert nurse researchers about the research process with neonates and infants, and help troubleshoot issues that might prevent, impede, or suspend research. This column is devoted consideration of timing of specific tests and measures with neonate/infant research participants. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Jana L. Pressler Tags: Research Methodology Column Source Type: research
Reflections on Infant Mental Health Practice, Policy, Settings, and Systems for Fragile Infants and their Families from Prenatal and Intensive Care through the Transition Home and to Community
This special edition of NAINR is entitled, “Infant Mental Health in the Continuum of Intensive Care and Beyond”. This is a timely topic, as there is a great deal of increasing openness to mental health issues in intensive care units for babies, and the field of infant mental health (IMH) has gathered momentum with an increasingly sound e vidence base to support the work. Importantly, not all professionals who care for babies and families in hospitals or who work in maternal fetal and intensive care units and in home and community-based settings after discharge are aware of the mental health needs of both babies and the...
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Joy V. Browne, Ayelet Talmi Tags: Guest Editorial Source Type: research
Policies and Systems Support for Infant Mental Health in the Care of Fragile Infants and Their Families
This article explores important considerations essential to promoting effective and competent care including a focus on building trauma-informed settings, the training of nursing and ancillary staff, and the reflective support necessary to help cope with the experience and stress of caring for very ill infants and their families. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Jordana Ash, Marian E. Williams Tags: Article Source Type: research
Infant Mental Health with High Risk Populations
The importance of the attachment between an infant and his or her primary caregiver is well established. However, there has been less emphasis in the literature on the critically important relationship between healthcare providers and caregivers of critically ill infants and young children, and particularly the relationships between providers and caregivers who are considered high risk. It is these very parents whom are often most in need of connection and support but perceived as “difficult” and thus receive less. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Bethany Ashby, Stacey R. Bromberg Tags: Article Source Type: research
Infant Mental Health in Prenatal Care
We describe obstetric practices that utilize an integrated infant mental health approach. Integrated infant mental health models in prenatal care emphasize the importance of the maternal fetal relationship, both from a medical as well as a relational perspective. Professionals using an infant mental health informed approach during the course of obstetric care have an opportunity for promotion of the relationship between the mother and her baby and, if needed, can intervene at the earliest possible time, minimizing the psychological vulnerability of the prenatal period. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Bethany Ashby, Stephen Scott, Patricia P. Lakatos Tags: Article Source Type: research
Infant Mental Health (IMH) in the Intensive Care Unit: Considerations for the Infant, the Family and the Staff
Infant mental health is an emerging evidence based field that enhances infant parent relationships and provides opportunities for early infant regulation that optimizes later social and emotional development. Infant mental health in intensive care settings is an approach that emphasizes the importance of helping manage stressful events for infants, parents, and staff, and supports early relationship development using reflective practice. Educational and experiential preparation for multidisciplinary IMH providers specific to work in infant intensive care is described. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 30, 2016 Category: Perinatology & Neonatology Authors: Joy V. Browne, Dailyn Martinez, Ayelet Talmi Source Type: research
