Download or read book An Exploration of NICU Nursing Staff Perspective on the Change from Pod to Private Room Patient Care written by Julie L. Nickels and published by . This book was released on 2018 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Intensive Care Units (NICU) are designed to care for critically ill newborns who require constant care. The design of the NICU may have an impact on not only the patient and their family but also the nursing staff. Historically neonatal intensive care have employed a cohort model of care. In this model multiple infants are in the same room or pod. With success of single room maternity care, the increased need for changes in neonatal care became apparent. Today, new parents desire extended contact with their extremely preterm and often very sick infant. This trend has led a standard of single room care in NICU’s nationwide. Studies have evaluated the benefits of single room NICU care for families, however there are limited studies to evaluate the nursing perspective on how such a change effects care delivered, safety, communication and teamwork. A 10 question survey, using a Likert scale, was sent to 68 nurses currently transitioning from cohort style to private room NICU care. An initial survey was sent prior to the design change and then again 6 weeks after the move to private rooms. This exploratory method is a way to gain simple and meaningful insight into areas of concern before the move thus allowing the ability to compare post survey results with the initial findings. The results showed a significant increase in their satisfaction with the quality of care provided, quality of family focused care, and safety is a priority. The results also showed there to be a significant decline in the quality of family/nurse interactions and in determination to give their best at work. The 2 areas which had no significant changes were employees help others and satisfaction with the quality of communication. A study of this nature could be repeated in other areas to evaluate nursing concerns and attitudes related to major changes in deliver of care. This can be useful when evaluating nurse satisfaction and retention.

Download or read book Neonatal Nurses Experiences of Caring for High risk Infants Involved in Research written by Bella Iomdina and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Although attention has been given to parental attitudes regarding enrollment of their high-risk infants in research, there is a paucity of knowledge in the literature, which investigates nurses? experiences of caring for high-risk infants involved in research. Consequently, there is little understanding of how caring for these infants impacts nursing care. The purpose of this research was to arrive at an increased understanding of neonatal nurses' experiences in caring for high-risk infants involved in research. Attention was given to exploring neonatal intensive care unit (NICU) nurses? perspectives towards neonatal research and the notion of risk to involving high-risk infants in research, their perceived roles and responsibilities with regards to high-risk infants in research, and the impact of research on caring for high-risk infants. This study was built on the research program of the student?s supervisor that seeks to increase the knowledge base of the nature of risk in child health research. An exploratory descriptive study within the qualitative paradigm was used. Seven semi-structured interviews, one focus group interview, and field notes were used to obtain information from seven NICU nurses. All of the qualitative data that emerged was analyzed using the constant comparative data analysis technique. Data analysis revealed that safeguarding their patients, or being a?safety net?, was the essence of nurses? experiences of caring for high-risk infants involved in research. The nurses described their main role was the provision of a safe environment, regardless of the infants? involvement in research. Acting as a?safety net? involved the nurses always being on guard and knowledgeable about their patients? care. The following three themes further depicting the safeguarding experience emerged: feelings within, keeping it near and dear, and making it safer. The first theme, feelings within, uncovered nurses? mixed emotions when caring for infants involved in research, which ranged from positive feelings to feelings of moral distress. The second theme, keeping it near and dear, referred to the uncomfortable feelings and memories that nurses held about situations in which they felt infants enrolled in research had suffered because of their inability of not being able to fully safeguard them. Some of the nurses expressed regretting their choices, such as not speaking up on a patient?s behalf, while others described it as a learning process, which eventually contributed to their abilities to safeguard infants. The third theme, making it safer, was based on the nurses? enthusiasm about the future of neonatal research. The nurses identified many ways in which child health researchers, bedside nurses, REB members, and parents could minimize the risks of involving high-risk infants in research. This study yielded new insights about how NICU nurses care for high-risk infants involved in research that may be used to improve the protection of high-risk infants in research and ultimately contribute to the quality of care for these infants. Recommendations for nursing practice, education, and research are suggested.

Download or read book Religion and Ethics in the Neonatal Intensive Care Unit written by Ronald M. Green and published by Oxford University Press. This book was released on 2019-08-22 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, neonatal Intensive care units (NICUs) in the U.S. and around the world help thousands of sick or premature newborns survive. NICUs are committed to the ideals of family-centered care, which encourages shared decision-making between parents and NICU caregivers. In cases of infants with conditions marked by high mortality, morbidity, or great suffering, family-centered care affirms the right of parents to assist in making decisions regarding aggressive treatment for their infant. Often, these parents' difficult and intimate decisions are shaped profoundly by their religious beliefs. In light of this, what precisely are the teachings of the major world religious traditions about the status and care of the premature or sick newborn? Few studies have grappled with what major religious traditions teach about the care of the newborn or how these teachings may bear on parents' decisions. This volume seeks to fill this gap, providing information on religious teachings about the newborn to the multidisciplinary teams of NICU professionals (neonatologists, advance practice nurses, social workers), as well as to parents of NICU patients, and students of bioethics. In chapters dealing with Judaism, Catholicism, Denominational Protestantism, Evangelical Protestantism, African American Protestantism, Sunni and Shi'a Islam, Hinduism, Buddhism, Navajo religion, and Seventh Day Adventism, leading scholars develop the teachings of these traditions on the status, treatment, and ritual accompaniments of care of the premature or sick newborn. This is an essential book that will serve as a first resort for clinicians who need to understand the religious dynamics influencing anyone making a difficult decision about her sick newborn.

Download or read book Family Centered Care for the Newborn written by Terry Griffin, MS, APN, NNP-BC and published by Springer Publishing Company. This book was released on 2014-04-23 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many regulatory and professional agencies countenance the idea of patient-and family-centered care, yet lack an infrastructure able to support such care or employ health care professionals who lack the necessary education, experience, or skills. This book is a comprehensive guide to family-centered care for healthy, ill, or preterm newborns. It guides health care professionals in creating, supporting, and advancing a culture that values partnerships with families. The book is replete with practical suggestions, strategies for effectively communicating with families, and best practices for health professionals who wish to develop partnerships with families before and after childbirth. At the core of family-centered care is the belief that family-centered care and the ability to convey its particular language is as important to newborn and family wellbeing as clinical care. The book is based on four guiding principles that include treating people with dignity and respect, providing information in ways that are useful and affirming, welcoming family participation in care and decision-making at a level chosen by the family, and collaborating with families at the bedside and beyond. The book offers strategies to promote implementation of a family-centered environment in the delivery room or NICU, practical approaches to communicating with families before and after delivery, and tips on policy review to facilitate a culture of family-centered care. It also discusses how to welcome families during interdisciplinary rounds and nurse hand-offs, and ways to support families during procedures and resuscitation. Key Features: Provides a comprehensive guide to implementing family-centered care for healthy, ill, and preterm newborns Guides health care professionals in creating, supporting, and advancing a culture that values partnerships with families Offers strategies for effectively communicating with families to foster family-centered care Reflects on the power of language used with and about families Includes tips on policy review to foster and support a culture of family-centered care

Download or read book Trauma Informed Care in the NICU written by Mary Coughlin and published by . This book was released on 2016-09 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Coping with Caring for Sick Newborns written by Richard E. Marshall and published by W.B. Saunders Company. This book was released on 1982 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Trauma Informed Care in the NICU written by Mary Coughlin, RN, MS, NNP and published by Springer Publishing Company. This book was released on 2016-08-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend —the provision of trauma-informed care in the neonatal intensive care unit--that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it provides guidelines that encompass the five core measures for age-appropriate care, including the Healing Environment, Pain and Stress, Protected Sleep, Activities for Daily Living, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book’s utility. Key Features: Provides clinically relevant, evidence-based practice guidelines for minimizing trauma in neonates Encompasses the five core measures for age-appropriate care Includes proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE Reviewed and endorsed by transdisciplinary neonatal clinicians [EN1] Not sure I like this word – maybe a development, awareness, etc.?

Download or read book Maximizing Facility Efficiency written by Margaret Elizabeth Taylor and published by . This book was released on 2014 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study observed nurse transit times and activity patterns in an open bay neonatal intensive care unit (NICU) to understand opportunities for improving efficiency by redesigning the NICU layout, and to use these data to estimate the impact of an alternative pod room NICU layout under consideration. The transit times and activity patterns of 4 nurses were observed while working in the open bay NICU in a hospital. Nurses were observed for a combined total of 48 hours, and times and activity patterns were recorded using a customized template for electronic software running on a smart phone. These times and activity patterns were then projected onto a proposed pod room layout for the same NICU to estimate the impact of this redesign prior to actual construction. Results showed that the nurses spent 89% of their work time in the NICU and when in the NICU they spent 44.8% of their time charting neonate information, 40.1% on direct patient care at the incubator, 6.8% of their time in transit between NICU location, 5.4% of the time on washing or sanitizing their hands and 2.9% of the time searching for supplies. Based on this information and the spatial layout of the existing and proposed NICUs it was found that each layout has its own unique layout deficiencies, and the proposed layout does not necessarily improve efficiency. The proposed layout lowers transit times for movements from the incubator to the computer, the incubator to the medical supply cart, and the computer to the medical supply cart however the open bay layout lowers transit times for movements from the incubator to the sink. All other movement transit times depend on the specific pod unit within the pod layout where care is taking place.

Download or read book Exploring Neonatal Intensive Care Nurses Affective Responses to Providing End of life Care written by Stephanie Lynn Lewis and published by . This book was released on 2013 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: Significance. The Joint Commission established standards to evaluate comprehensive end-of-life infant care and the positive outcomes of such care are well documented. However, findings from multiple studies conducted over the last decade indicate that end-of-life care in the neonatal intensive care unit is not provided consistently or holistically to all dying infants. Because nurses are the healthcare professionals most often responsible for providing this care, anything that detracts from their ability to provide it, including their own affective responses, needs to be addressed. Aim. The purpose of this study was to explore—through lived and told stories—the affective, interactional, and meaning-related responses that NICU nurses have while caring for dying infants and their families. Sample, Design, and Methods. Neonatal intensive care nurses were recruited through the online membership discussion boards of the National Association of Neonatal Nurses. Participants were asked to access an online survey link and provide a written narrative describing an end-of-life care situation in which they experienced strong emotions. Demographic data also were collected. Findings. Narrative analysis revealed many affective responses, but three were the most frequent: responsibility, moral distress, and identification. Feelings of responsibility included (a) a commitment to deliver the best end-of-life care possible, (b) professional inadequacy, (c) disbelief, and d) advocacy. Feelings associated with moral distress were quite common and often related to conflicts between nurses, physicians, and families. Nurses reported feelings of identification with families of dying infants through (a) sharing their grief, (b) forming excess attachments, and (c) experiencing survivor-like guilt. Implications. Nurse educators are encouraged to discuss more extensively and perhaps through the use of simulation, the positive and negative emotions that may be experienced by nurses who are involved in end-of-life care situations. Nurse leaders are encouraged to promote supportive environments in NICUs and ensure debriefing opportunities for nurses who have recently cared for a dying infant. Significant associations, such as NICU nurses not perceiving their EOLC education as being helpful in providing that care clinically and the percentage of NICU nurses reporting the presence of an end-of-life care policy in their units of employment, also merit further examination.

Download or read book Developmental Care of Newborns and Infants written by Carole Kenner and published by . This book was released on 2023 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Offers evidence-based guidelines for interdisciplinary, developmentally supportive caregiving for infants and their families, beginning with prenatal planning and continuing through the delivery room and neonatal intensive care unit experiences, the transition to home, and the time following discharge. Provides a foundation for best practices and services as a cornerstone for NICU health professionals' education and clinical practice"--

Download or read book For the Love of Babies One Doctor s Stories About Life in the Neonatal ICU written by Sue Hall and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Developing Training to Address Neonatal Nurse Knowledge Practice and Perceived Attitude for Neonatal Abstinence Syndrome written by and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.

Download or read book Design for Critical Care written by D. Kirk Hamilton and published by Routledge. This book was released on 2010-07-15 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is now widely recognized that the physical environment has an impact on the physiology, psychology, and sociology of those who experience it. When designing a critical care unit, the demands on the architect or designer working together with the interdisciplinary team of clinicians are highly specialized. Good design can have a hugely positive impact in terms of the recovery of patients and their hospital experience as a whole. Good design can also contribute to productivity and quality of the work experience for the staff. 'Design for Critical Care' presents a thorough and insightful guide to the very best practice in intensive care design, focusing on design that has been successful and benefi cial to both hospital staff and hospital patients. By making the connection between research evidence and design practice, Hamilton and Shepley present an holistic approach that outlines the future for successful design for critical care settings.

Download or read book Qualitative Interviewing written by Herbert J. Rubin and published by SAGE. This book was released on 2005 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2nd edition of this work has been completely rewritten to add new examples & to better integrate the presentation of topics. Readers will see how the choice of topic influences question wording & how the questions asked influence the analysis.

Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Download or read book Developmental Science and Psychoanalysis written by Peter Fonagy and published by Routledge. This book was released on 2018-03-26 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a discipline, psychoanalysis began at the interface of mind and brain and has always been about those most basic questions of biology and psychology: loving, hating, what brings us together as lovers, parents, and friends and what pulls us apart in conflict and hatred. These are the enduring mysteries of life and especially of early development-how young children learn the language of the social world with its intertwined biological, genetic, and experiential roots and how infants translate thousands of intimate moments with their parents into a genuine, intuitive, emotional connection to other persons. Basic developmental neuroscience and psychology has also of late turned to these basic questions of affiliation: of how it is that as humans our most basic concerns are about finding, establishing, preserving, and mourning our relationships. These areas in broad strokes are the substance of mind and brain, and the last decade has brought much new science to the biology of attachment, love, and aggression.