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"Intensive care units, neonatal"

Original Articles

Purpose
The purpose of this study was to investigate perceptions of fatherhood among fathers of high-risk neonates and their confidence regarding neonatal care.
Methods
A study was conducted of 100 fathers whose neonates had been admitted to a neonatal intensive care unit (NICU) for at least 48 hours. Perceptions of fatherhood, neonatal characteristics, and fathers' confidence regarding neonatal care were measured using a self-reported questionnaire. The survey took approximately 10 minutes to complete and was completed anonymously. The factors that affected fathers' confidence regarding neonatal care were analyzed using multiple regression.
Results
The scores for positive and negative perceptions of fatherhood were relatively high at 4.27 and 3.42 out of 5 points, respectively. A positive perception of fatherhood was found to influence fathers' confidence regarding neonatal care.
Conclusion
NICU nurses should encourage fathers to effectively perform their parenting roles by implementing educational programs and interventions to promote positive perceptions of fatherhood and fathers' confidence regarding neonatal care after discharge.

Citations

Citations to this article as recorded by  
  • Fathers in the neonatal unit: A narrative review
    Claire Webber, Paula Foran, Karen Walker
    Journal of Neonatal Nursing.2025; 31(2): 101617.     CrossRef
  • Review of the Research Literature on the Impact of Father Absence on Child Development in Alignment with the Sustainable Development Goals (SDGS)
    Hadiye Kucukkaragoz
    Journal of Lifestyle and SDGs Review.2025; 5(4): e06117.     CrossRef
  • Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study
    Emanuele Buccione, Davide Scarponcini Fornaro, Damiana Pieragostino, Luca Natale, Adelaide D’Errico, Valentina Chiavaroli, Laura Rasero, Stefano Bambi, Carlo Della Pelle, Susanna Di Valerio
    Nursing Reports.2024; 14(2): 1212.     CrossRef
  • Supporting Fathers in the Neonatal Intensive Care Unit
    William Hull, Alejandra Rodriguez, Nathan Talarico, Curry Bordelon
    Journal of Perinatal & Neonatal Nursing.2024;[Epub]     CrossRef
  • 3,075 View
  • 109 Download
  • 4 Crossref
Purpose
Nursing students are susceptible to medication safety incidents in the neonatal intensive care unit (NICU) related to a lack of communication experience. The purpose of the present study was to investigate the impact of a NICU medication safety simulation (NMSS) focusing on communication clarity, patient hand-off confidence, and patient safety competency in senior-year nursing students.
Methods
The study utilized a nonequivalent control group pretest-posttest design. In total, 60 nursing students were assigned to two groups. The experimental group participated in the NMSS, which included three medication error scenarios. Pairs of students completed the scenarios together in 10 to 20 minutes. Data were analyzed using the chi-squared test, independent t test, and ANCOVA.
Results
The experimental group showed significant improvements in communication clarity (p=.015), and patient safety competency (p<.001) compared to the control group. Using the pretest values as covariates, patient hand-off confidence scores significantly increased (p=.027).
Conclusion
Implementing the NMSS focusing on communication in the pediatric nursing curriculum helped students to communicate clearly and concisely about medication errors, and its use is recommended to promote patient safety competency in the NICU.

Citations

Citations to this article as recorded by  
  • Medication safety simulation training for anesthesia professionals
    Sarah Rollison, Anne M. Sauri, Ramon L. Medina, Darlena G. Jones, Wuraola Olawole, Virginia C. Simmons
    Clinical Simulation in Nursing.2025; 98: 101660.     CrossRef
  • Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
    Su Jin Jung, Jin-Hee Park
    Journal of Korean Academy of Fundamentals of Nursi.2024; 31(1): 100.     CrossRef
  • Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
    Se-Young Jung, Eun-Young Kim
    Journal of Korean Academy of Nursing.2024; 54(4): 563.     CrossRef
  • Effect of Team-based Simulation Training on Nursing Students' Patient Safety Competence and Performance Confidence
    Min-Jeong Chae, Hyo-Ju Jeong
    Journal of Digital Contents Society.2024; 25(11): 3449.     CrossRef
  • Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
    Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
    Nurse Education Today.2023; 126: 105823.     CrossRef
  • 4,592 View
  • 160 Download
  • 5 Crossref

Review Article

Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
Hanna Lee, Ji Hyeon Park, Haeryun Cho
Child Health Nurs Res 2022;28(1):9-22.   Published online January 28, 2022
DOI: https://doi.org/10.4094/chnr.2022.28.1.9
Purpose
The purpose of this study was to identify the gaps in research related to developmentally supportive care in the neonatal intensive care unit (NICU). The ultimate goal was to explore directions of further research on developmentally supportive care for premature patients.
Methods
The Arksey and O'Malley scoping review method was used. Articles on developmentally supportive care for preterm infants in the NICU, written in English or Korean, were identified through electronic search engines. A total of 279 papers were identified in the initial search, of which 22 full-text papers were included in this review.
Results
Several nursing studies have been published in the past 5 years. The important elements of developmentally supportive care were family-centered care and management of the NICU environment. The primary developmentally supportive care interventions were training programs to promote the care competency of NICU nurses.
Conclusion
It is necessary to actively develop comprehensive developmental support interventions that consider the various elements of developmentally supportive care for preterm infants. Additional studies should be done to develop programs that provide direct intervention for premature infant and their families.

Citations

Citations to this article as recorded by  
  • Content Validity for the NICU Caregiver Behavior Checklist
    Amy Carroll, Cecilia Roan, Catherine Verrier Piersol, Michele Kacmarcik Savin
    Nursing for Women's Health.2025; 29(1): 44.     CrossRef
  • Competency based performance of mothers on preterm neonatal care through Neonatal Integrative Developmental Care (NIDC) interventions: An interventional pilot project
    Sandra Jyothi Saldanha, Veena Gretta Tauro
    Journal of Neonatal Nursing.2024; 30(2): 130.     CrossRef
  • Maternal Participation in Sensory Care of Preemies: A Pilot Study Examining the Effect on Neonatal Outcome in NICU
    Renilda Shanthi Lobo, Theresa Leonilda Mendonca
    Journal of Health and Allied Sciences NU.2024; 14(02): 202.     CrossRef
  • Effects of white noise on preterm infants in the neonatal intensive care unit: A meta‐analysis of randomised controlled trials
    Qing Zhang, Qiugui Huo, Peizhen Chen, Wenying Yao, Zhihong Ni
    Nursing Open.2024;[Epub]     CrossRef
  • Exploring Effect of Postdischarge Developmental Support Program on Preterm Infant Neurodevelopment and BDNF Gene DNA Methylation
    Jun Zhang, Mi Cao, Shaoting Yue, Jingmin Yan, Yanyan Shang
    Advances in Neonatal Care.2023; 23(2): E50.     CrossRef
  • Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
    Han Na Lee, Haeryun Cho
    Heliyon.2023; 9(1): e12944.     CrossRef
  • Knowledge and perception on developmentally supportive care for preterm babies among staff nurses working in the neonatal intensive care unit of Tertiary Care Center in South India
    Lavanya Subhashini, V Saritha, Monappa
    BLDE University Journal of Health Sciences.2023; 8(1): 69.     CrossRef
  • 7,209 View
  • 367 Download
  • 7 Crossref
Original Articles
Nursing support perceived by mothers of preterm infants in a neonatal intensive care unit in South Korea
Mihae Im, Jina Oh
Child Health Nurs Res 2021;27(2):146-159.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.146
Purpose
The aim of this study was to clarify and define the concept of nursing support as perceived by mothers of preterm infants.
Methods
The research was conducted using Schwartz-Barcott and Kim's hybrid model. Sixteen articles were analyzed during the theoretical phase. In-depth interviews were conducted with 10 mothers of preterm infants in the fieldwork phase. In the final analytical phase, the attributes of nursing support were defined.
Results
There were four themes and 10 attributes of nursing support as perceived by mothers of preterm infants. Professional care and emotional care for the baby were identified as attributes of baby care support. Information related to the disease, inpatient environment, baby's daily hospital life, and mother-centered care were identified as attributes of information delivery support. Empathy for mothers and therapeutic communication with the mother were identified as attributes for mental care support. Lastly, providing a chance for the mother to take care of the baby and reinforcement of the maternal role were identified as attributes of maternal role support.
Conclusion
The 10 attributes of this study could provide a base for the development of a nursing support instrument and practical guidelines for mothers in neonatal intensive care units.

Citations

Citations to this article as recorded by  
  • The Effect of Breast Massage and Warm Compress Application on Milk Production and Anxiety in Mothers with Premature Newborn: A Randomized Controlled Trial
    Şeyma Ertugral Mollaahmetoglu, Gulten Guvenc
    Breastfeeding Medicine.2025;[Epub]     CrossRef
  • Transforming neonatal nursing: a randomized controlled trial comparing kangaroo care and standard protocols for survival in preterm infants with respiratory distress syndrome
    Osama Mohamed Elsayed Ramadan, Afrah Madyan Alshammari, Abeer Nuwayfi Alruwaili, Nadia Bassuoni Elsharkawy, Ali Alhaiti, Nagwa Ibrahim Mabrouk Baraka
    BMC Nursing.2025;[Epub]     CrossRef
  • Mother-child separation in critical care: emotional implications, impact on the bond and intervention strategies
    Jorge Leodan Cabrera Olvera , Carmen Graciela Zhizhpon Gavidia , Jonathan David Velasco Cedeño , Gabriela Lisbeth Sinchiguano Moreno
    Salud, Ciencia y Tecnología.2025; 5: 1440.     CrossRef
  • What matters to families about the healthcare of preterm or low birth weight infants: A qualitative evidence synthesis
    Lisa Hurt, David Odd, Mala Mann, Hannah Beetham, Emma Dorgeat, Thomas CW Isaac, Annie Ashman, Fiona Wood
    Patient Education and Counseling.2023; 115: 107893.     CrossRef
  • Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
    Maryam Maleki, Abbas Mardani, Celia Harding, Mohammad Hasan Basirinezhad, Mojtaba Vaismoradi
    Women's Health.2022;[Epub]     CrossRef
  • Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
    Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
    Child Health Nursing Research.2021; 27(3): 297.     CrossRef
  • The Development and Validation of a Perceived Nursing Support Scale for Mothers of Preterm Infants
    Mihae Im, Jina Oh
    Asian Nursing Research.2021; 15(5): 317.     CrossRef
  • 7,329 View
  • 338 Download
  • 7 Crossref
Factors Influencing Post-traumatic Growth in Mothers with Premature Infants Admitted to the Neonatal Intensive Care Unit
Hyeun Soo Lee, Sook Jung Kang
Child Health Nurs Res 2020;26(2):267-276.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.267
Purpose
Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit.
Methods
A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression.
Results
The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049).
Conclusion
For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

Citations

Citations to this article as recorded by  
  • A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
    Wang Xingyanan, Lv Yuanhong, Liu Yang, Xiao Zhitian
    BMC Pregnancy and Childbirth.2025;[Epub]     CrossRef
  • Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
    Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
    Child Health Nursing Research.2021; 27(3): 297.     CrossRef
  • Relationship dynamics: the protective effect of relationship satisfaction and dependency on parents’ mental health after having a preterm baby
    İlknur Okay, Çiğdem Yavuz Güler
    Health Psychology Report.2021; 9(4): 372.     CrossRef
  • 6,993 View
  • 301 Download
  • 3 Crossref
Application of a Documentary about High-risk Newborns in Nursing Education: An Exploratory Study
Hyun-Ju Kang, Juyoun Yu
Child Health Nurs Res 2020;26(2):173-180.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.173
Purpose
The purpose of this study was to explore nursing students' recognition and understanding of the clinical environment of high-risk neonatal nursing care after watching a documentary about the neonatal intensive care unit (NICU), where high-risk newborns are treated.
Methods
This study was a qualitative content analysis. In total, 151 nursing students’ personal essays describing their reactions to a documentary about the NICU were analyzed using the NVivo 12 program.
Results
Nursing students’ experiences of engaging with a documentary about the NICU were structured into four thematic categories: ‘actual observations of the imagined NICU’, ‘observation and recognition of nursing knowledge’, ‘empathy with people related to the baby’, and ‘establishing attitudes and values as a nurse’.
Conclusion
Based on the results of this study, it is suggested that documentaries can be applied in nursing education about high-risk newborns.

Citations

Citations to this article as recorded by  
  • Chronological Changes in the Portrayal of Korean Nurses in TV Documentaries
    Eunjin Kim, Gumhee Baek, Aram Cho, Mijin Byun
    Journal of Korean Academy of Nursing Administratio.2023; 29(4): 341.     CrossRef
  • The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
    Sun-Yi Yang, Yun-Hee Oh
    Nurse Education Today.2022; 117: 105464.     CrossRef
  • 6,355 View
  • 214 Download
  • 2 Crossref
Factors Influencing Developmental Care Performance among Neonatal Intensive Care Units Nurses
Hyemi Hong, Hyun-Mi Son
Child Health Nurs Res 2020;26(2):131-139.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.131
Purpose
This study was conducted to identify factors related to developmental care performance among neonatal intensive care units (NICU) nurses.
Methods
The participants were 139 nurses who had provided care to premature infants for more than 6 months and were recruited from the NICU of 8 hospitals. Data were collected from September 1 to December 1, 2017 through questionnaires that encompassed developmental care performance, developmental care perceptions, and the nursing work environment.
Results
More than half (51.8%) of the participants responded that they had never received developmental care education, and for 89.6% of those who had received developmental care education, it was a one-time event. The average developmental care performance of NICU nurses was 0.81, with a range of 0.5~1 point. Multiple regression analysis, demonstrated that the nursing work environment (β=.27, p=.001) and developmental care perceptions (β=.23, p=.004) influenced developmental care performance, with a total explanatory power of 14%.
Conclusion
Based on these results, developmental care education for the NICU nurses must be provided systematically. In addition, strategies to improve nurses' perceptions of developmental care and to provide appropriate support for the nursing work environment can promote developmental care performance.

Citations

Citations to this article as recorded by  
  • “Effectiveness of a Multimodal Teaching Program on Nurses” Knowledge Acquisition, Practice, and Perception of Neurodevelopmental Supportive Care in NICU: A Non-randomized Controlled Trial
    Raghu V A, Manju Vatsa, Neeraj Gupta, ** Latha, Thuileiphy T
    Journal of Neonatology.2025;[Epub]     CrossRef
  • Nurses’ perspectives on implementing sleep protection for premature infants in the neonatal intensive care unit: a qualitative study
    Yujing Gu, Yunfei Tang, Yan Xue, Juan Wu, Jun Xie
    BMC Health Services Research.2025;[Epub]     CrossRef
  • A Cross‐Sectional Study on Nurse‐Parent Partnership in the Pediatric Intensive Care Units
    Premalatha Paulsamy, Shadia Hamoud Alshahrani, Krishnaraju Venkatesan, Kousalya Prabahar, Manjula Gopinathan Bhagavathy, Mathar Mohideen Nagoor Thangam, Vinoth Prabhu Veeramani, Samya Mohamed Hegazy, Rehab Ahmed, Vigneshwaran Easwaran, Haseena T. A., Hala
    International Journal of Clinical Practice.2024;[Epub]     CrossRef
  • Korean nurses’ knowledge, opinions and current practice of trauma-informed pediatric nursing care in South Korea: a descriptive study
    Kyung-Sook Bang, Sun Woo Hong, Hwal Lan Bang, Ji-Hye Choe, Sinyoung Choi
    Child Health Nursing Research.2024; 30(4): 309.     CrossRef
  • Factors influencing neonatal intensive care unit nurses' parent partnership development
    Eun Kyoung Kim, In Young Cho, Ji Yeong Yun, Bobae Park
    Journal of Pediatric Nursing.2023; 68: e27.     CrossRef
  • Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
    Han Na Lee, Haeryun Cho
    Heliyon.2023; 9(1): e12944.     CrossRef
  • Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
    Han Na Lee, Ji Hyeon Park, Haeryun Cho
    Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
  • Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study
    Tumla Shrestha, Archana Pandey Bista, Sarala Shrestha, Radhika Regmi, Foroozan Atashzadeh-Shoorideh
    Nursing Forum.2023; 2023: 1.     CrossRef
  • Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units
    Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son
    Asian Nursing Research.2022; 16(1): 25.     CrossRef
  • Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
    Hanna Lee, Ji Hyeon Park, Haeryun Cho
    Child Health Nursing Research.2022; 28(1): 9.     CrossRef
  • Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study
    Soohyun Kim, Sun-Mi Chae
    Child Health Nursing Research.2022; 28(2): 142.     CrossRef
  • Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study
    Sun-Yi Yang
    Healthcare.2022; 10(11): 2197.     CrossRef
  • Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
    Da-Ae Shin, Kyung-Sook Bang
    The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
  • 8,469 View
  • 494 Download
  • 13 Crossref
Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units
Su Jin Lee, Eun Kyoung Choi, Jeongok Park, Hee Soon Kim
Child Health Nurs Res 2019;25(4):377-387.   Published online October 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.4.377
Purpose
The purpose of this study was to examine the correlation between a flexible parental visiting environment and parental stress in neonatal intensive care units (NICUs).
Methods
The study participants included 60 parents of premature infants in NICUs. Structured questionnaires and interviews, as well as observations by researchers using a caregiving behavior checklist, were used to measure the flexibility of the parental visiting environment and parents' stress levels. Quantitative and qualitative data were collected concurrently and were initially analyzed as separate data sets. Data collection extended from March 11, 2018 to June 30. 2018 and the data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, and Pearson correlation coefficients.
Results
There was a negative correlation (r=-.30, p=.021) between parental stress and the total number of visits in 7 days. We also found that the average duration of each visit and the number of caregiving behaviors performed by parents were positively correlated (r=.73, p<.001).
Conclusion
When designing a flexible visiting environment for parents, parents should be encouraged to visit their babies. By doing so, stress can be reduced both for babies and for parents. Therefore, it is suggested that the related polices and regulations in South Korea should be changed to provide more a flexible visiting environment to promote better parent-child attachment and family adjustment.

Citations

Citations to this article as recorded by  
  • Parents' experiences of family-centred care in neonatal intensive care units: A qualitative thematic synthesis
    Mawahib Almalki, Aideen Gildea, Breidge Boyle
    Journal of Neonatal Nursing.2025; 31(3): 101655.     CrossRef
  • Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
    Nameun Yu, Mi Yu
    Journal of Perinatal & Neonatal Nursing.2024;[Epub]     CrossRef
  • Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
    Young Ah Park, YeoJin Im
    Qualitative Health Research.2024;[Epub]     CrossRef
  • Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
    In Young Cho, Won-Oak Oh
    Journal of Child and Family Studies.2023; 32(9): 2681.     CrossRef
  • Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
    Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
  • Beliefs and attitudes of nurses towards open visiting policy in neonatal intensive care units: A descriptive cross-sectional study in northwest of Iran
    Fatemeh Ghorbani, Mahnaz Jabraeili
    Journal of Neonatal Nursing.2022; 28(2): 123.     CrossRef
  • Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
    Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
    Child Health Nursing Research.2021; 27(3): 297.     CrossRef
  • Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
    Da-Ae Shin, Kyung-Sook Bang
    The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
  • Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
    Ah Rim Kim
    Asian Nursing Research.2020; 14(5): 327.     CrossRef
  • 7,190 View
  • 296 Download
  • 9 Crossref
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