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"Neonatal intensive care units"

Original Articles
Purpose
This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU).
Methods
The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3-4 weeks, and the control group only received standard nursing care.
Results
Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group.
Conclusion
The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

Citations

Citations to this article as recorded by  
  • Effectiveness of psychosocial interventions on the psychological outcomes of parents with preterm infants: A systematic review and meta-analysis
    Sian Hui Chan, Shefaly Shorey
    Journal of Pediatric Nursing.2024; 74: 23.     CrossRef
  • Predicting Children’s Mental Well-Being During COVID-19 Pandemic Based on Maternal Cognitive Emotion Regulation
    Delaram Dehnashi
    Psychology and Behavioral Sciences.2024; 13(5): 129.     CrossRef
  • PREDICTING CHILDREN’S MENTAL WELL-BEING DURING COVID-19 PANDEMIC BASED ON MATERNAL COGNITIVE EMOTION REGULATION
    Delaram Dehnash
    ASEAN Journal of Psychiatry.2024;[Epub]     CrossRef
  • Fordyce happiness training program on the competence of mothers of premature infants admitted to the NICU from Middle East: A quasi-experimental study
    Fereshteh Ghaljaei, Marie Hastings-Tolsma, Nasrin Rezaee
    Pediatrics & Neonatology.2023; 64(5): 512.     CrossRef
  • Identifying the common elements of psychological and psychosocial interventions for preventing postpartum depression: Application of the distillation and matching model to 37 winning protocols from 36 intervention studies
    Yuping Lin, Xiangchun Zhang, Tianchun Zhou, Feng Xu, Xinli Zhu, Huixin Zhou, Xiao Wang, Yan Ding
    Early Intervention in Psychiatry.2023; 17(10): 947.     CrossRef
  • Mindfulness Intervention Improves Coping and Perceptions of Children’s Behavior among Families with Elevated Risk
    Jill T. Krause, Samantha M. Brown
    International Journal of Environmental Research an.2023; 20(23): 7092.     CrossRef
  • The effect of Mindful Parenting Training on Parent–Child Interactions, Parenting Stress, and Cognitive Emotion Regulation in Mothers of Preschool Children
    Zahra Bondar kakhki, Ali Mashhadi, Seyed Amir Amin Yazdi, Shirin Saleh
    Journal of Child and Family Studies.2022; 31(11): 3113.     CrossRef
  • 7,259 View
  • 281 Download
  • 7 Crossref
Noise Level and Frequency Experienced by Premature Infants Receiving Incubator Care in the Neonatal Intensive Care Unit
So Hyun Joo, Tae Im Kim
Child Health Nurs Res 2020;26(2):296-308.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.296
Purpose
The purpose of this study was to identify the noise level and frequency experienced by premature infants receiving incubator care in the neonatal intensive care unit (NICU).
Methods
The participants were 20 premature infants receiving incubator care in the NICU of a university hospital in Daejeon Metropolitan city. The noise level was measured using a professional sound-level meter (ET-958, FLUS, Shenzhen, China) based on a noise classification table developed by the author. The data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
The average noise level experienced by premature infants receiving incubator care in the NICU was 51.25 dB (range: 45.0~81.7 dB). The frequency of noises was highest for factors related to nursing activities (40.3%), followed by human factors (29.1%), machine alarm sounds (20.1%), incubator operation (6.6%), and internal environmental factors (3.9%).
Conclusion
According to the above results, the noise level experienced by premature infants receiving incubator care in the NICU exceeded the recommendations of the American Academy of Pediatrics. Therefore, it is necessary to develop an interventional program to reduce noise in the NICU, and to conduct follow-up studies to verify its effectiveness.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
    Min-hee Cho, Sunghee Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
  • Noise Produced by Neonatal Ventilators Inside and Outside of the Incubators
    Lea Bergez, Gilles Jourdain, Daniele De Luca
    Respiratory Care.2023; 68(12): 1693.     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
  • 8,762 View
  • 580 Download
  • 3 Crossref
Glucose Variations in the First Day of Life of Newborns under Observational Surveillance
Jung Ae Cho, Kyoung Hee Son, Hyun Young Eom, Seo Hae Lim, Yong Hoon Jun, Young Mee Ahn
Child Health Nurs Res 2020;26(2):212-221.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.212
Purpose
Nursing protocols for glucose management are well known for both healthy term newborns and high-risk newborns. However, for less risky newborns who are under only observation surveillance, hypoglycemia could be overlooked unless clinical symptoms develop.
Methods
A retrospective study was performed to explore factors influencing variations in glucose levels in 91 newborns who did not require any interventions, but were under nursing surveillance, at a level II neonatal intensive care unit. Data were retrieved from electrical medical records on glucose levels, demographic characteristics, and other clinical characteristics of newborns in their first day of life from January 2016 to May 2019.
Results
Glucose levels tended to stabilize within the normal range (60~80 mg/dL) as time passed during the first day of life. Cesarean section, multiple gestation, abnormal growth, and later preterm birth were associated with low glucose levels in the first 2 hours of life. Thirty-one newborns experienced a hypoglycemic episode (< 45 mg/dL) during the first 24 hours of life.
Conclusion
The findings of this study support the active encouragement of early feeding within 2 hours of birth and urgent adoption of a structural protocol for glucose surveillance in newborns with potential health problems immediately after birth.
  • 6,603 View
  • 242 Download
Influence of Partnerships with Nurses and Social Support on Readiness for Discharge among Mothers of Premature Infants
Soyeon Yoon, Jeongok Park, Hyejung Lee, Ari Min
Child Health Nurs Res 2019;25(4):417-424.   Published online October 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.4.417
Purpose
The purpose of this study was to investigate partnerships with nurses, social support and readiness for discharge among mothers of premature infants in the neonatal intensive care unit (NICU) and to examine the factors associated with readiness for discharge.
Methods
A survey was conducted among 85 mothers of premature infants hospitalized in a NICU in Seoul, Korea. The collected data were analyzed with descriptive statistics, the t-test, one-way analysis of variance, Pearson’ correlation coefficients, and multiple linear regression using SPSS version 25.0.
Results
The results of the regression analysis showed that partnerships with nurses (β=.32, p=.011) and parenting experience (β=.32, p=.001) were significantly associated with readiness for discharge.
Conclusion
To improve the readiness for discharge among mothers of premature infants, developing strategies to strengthen their partnership with nurses and to provide family-centered care will be needed.

Citations

Citations to this article as recorded by  
  • Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
    Hee Young Kim, Soon Hyun Myung, In Young Cho
    Nurse Education in Practice.2025; 84: 104294.     CrossRef
  • Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
    Jihye Kim, Heemin Chae, Yoonjung Kim
    Journal of Clinical Nursing.2024; 33(7): 2649.     CrossRef
  • Research trends in nurse–parent partnership: A scoping review of the paediatric field in South Korea
    Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
    Nursing Open.2024;[Epub]     CrossRef
  • Association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with congenital heart disease
    Youna Chang, Jiyoung Lim, Hye Won Yoon
    Journal of Pediatric Nursing.2024; 79: 16.     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 a Noncontact Visit Program in the NICU for the Prevention of COVID-19
    Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
    Healthcare.2023; 11(15): 2152.     CrossRef
  • Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
    Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
    Journal of The Korean Society of Maternal and Chil.2022; 26(4): 205.     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
  • 7,219 View
  • 242 Download
  • 9 Crossref
The Relationship between Parental Stress and Nurses' Communication as Perceived by Parents of High-risk Newborns
Chang Hee Lee, Mi Heui Jang, Yong Sung Choi, Hyunsook Shin
Child Health Nurs Res 2019;25(2):184-195.   Published online April 30, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.2.184
Purpose
This study aimed to characterize the relationship between parental stress and nurses’ communication as perceived by parents of high-risk newborns in a neonatal intensive care unit (NICU).
Methods
The participants were 54 parents of high-risk newborns in a NICU. Data were collected from January to March 2018. Parental stress and parents’ perceptions of nurses’ communication ability and styles were measured using a questionnaire.
Results
The average scores for parental stress and nurses’ communication ability were 3.39 and 4.38 respectively, on a 5-point scale. Parents most commonly reported that nurses showed a friendly communication style, followed by informative and authoritative styles. Mothers and fathers reported significantly different levels of parental stress. Parental stress showed a negative correlation with nurses’ perceived verbal communication ability. Higher scores for nurses’ verbal communication ability and for friendly and informative communication styles were associated with lower parental stress induced by the environment, the baby’s appearance and behaviors, and treatments in the NICU.
Conclusion
The findings of this study suggest that nurses need to offer proper information for parents and to support parents by encouraging them to express their emotions of stress and by providing parents with therapeutic communication and opportunities to participate in care.

Citations

Citations to this article as recorded by  
  • Influence of perceived parental child-rearing attitudes and ego identity on college adjustment among Korean nursing students
    Hye Seon Choi, Sona Lee, Eunju Seo
    BMC Nursing.2024;[Epub]     CrossRef
  • The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
    Jiyeon Lee, Sunyeob Choi
    Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
  • Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
    Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
    Healthcare.2023; 11(15): 2152.     CrossRef
  • Effects of parent-provider communication during infant hospitalization in the NICU on parents: A systematic review with meta-synthesis and narrative synthesis
    Nanon H.M. Labrie, Nicole R. van Veenendaal, Ramona A. Ludolph, Johannes C.F. Ket, Sophie R.D. van der Schoor, Anne A.M.W. van Kempen
    Patient Education and Counseling.2021; 104(7): 1526.     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
  • Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea
    Ina Jin, Hun Ha Cho
    Child Health Nursing Research.2021; 27(3): 266.     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
  • 9,368 View
  • 397 Download
  • 7 Crossref
A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
Euna Choi, Youngeun Lee
Child Health Nurs Res 2018;24(4):407-419.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.407
Purpose
The purpose of this study was to explore and describe the meaning and essence of a mother’s experience of hospitalization of her newborn in the neonatal intensive care unit (NICU).
Methods
This study employed a qualitative research design. An interview was conducted with a mother whose newborn was hospitalized in the NICU, and the data were analyzed using Giorgi’s phenomenological method.
Results
Five main themes and 19 formulated meanings were indentified. The 5 themes were ‘drowning in pain’, ‘just look outside the glass door’, ‘being a pillar’, ‘a deepening attachment’, and ‘prepare for nurturing with hope’.
Conclusion
The results of this study provided an in-depth understanding of the experience of a mother with a newborn in the NICU. These results can be used in the development of a nursing intervention program that provides psychological and emotional support to the mother and family.

Citations

Citations to this article as recorded by  
  • Phenomenological Study of Women’s Experiences of Neonatal Transport After Childbirth in Korea
    Hye Min Byun, Jeong Hee Eom
    Journal of Obstetric, Gynecologic & Neonatal Nursi.2024; 53(2): 151.     CrossRef
  • A Qualitative Study of Psychoemotional Changes in Mothers with Children Prenatally Diagnosed with Congenital Heart Disease
    Eun Ju Jo, Jeong Yun Park
    Journal of Korean Association for Qualitative Rese.2024; 9(3): 151.     CrossRef
  • Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
    Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
    Healthcare.2023; 11(15): 2152.     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
  • The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study
    Jiyun Park, Kyung-Sook Bang
    Child Health Nursing Research.2022; 28(2): 103.     CrossRef
  • Not being able to hug our baby before the cables: Early experiences of parents with premature babies
    Nurcan Akgül Gündoğdu, Zeynep Temel Mert, Emine Selda Gündüz
    Nursing Forum.2022; 57(6): 1193.     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
  • Parenting Stress in Preterm and Full-term Infant Mothers by Their Children’s Developmental Stages
    Kieun Kim, Hyejung Lee
    Journal of The Korean Society of Maternal and Chil.2020; 24(3): 162.     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
  • South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit
    Sun Young You, Ah Rim Kim
    International Journal of Qualitative Studies on He.2020; 15(1): 1831221.     CrossRef
  • The Relationship between Stress, Social Support, and Confidence in Paternal Role Perceived by Korean Fathers of High Risk Infants
    Jeong Hee Eom, YeoJin Im
    Journal of Pediatric Nursing.2019; 49: e21.     CrossRef
  • Parenting Experience of Prematurity Parents Based on Grounded Theory
    Jeong Soon Kim
    Journal of The Korean Society of Maternal and Chil.2019; 23(4): 232.     CrossRef
  • 8,091 View
  • 461 Download
  • 12 Crossref
Hydration and pH of the Stratum Corneum in High-risk Newborns in the First 2 Weeks of Life
Young Mee Ahn, Min Sohn, Sangmi Lee
Child Health Nurs Res 2018;24(3):345-352.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.345
Purpose
The study was conducted to measure stratum corneum hydration (SCH) and pH (SCP) in high-risk newborns in the early postnatal period and to explore the features related to patterns of change in those parameters.
Methods
SCH and SCP were measured on the dorsal hand in 99 hospitalized newborns during the first 14 days of life and the results were analyzed using a general linear model.
Results
The mean hydration was 42.9% on day 1, which decreased to 34.6% by 2 weeks (F=15.61, p=<.001). An association was observed between SCH and prematurity (F=21.12, p<.001), as well as for their interaction (F=8.11, p<.001). The mean SCP was 6.2±0.3 on day 1, and decreased to 5.7±0.2 (F=95.75, p<.001), with no association with prematurity. After adjusting for birth weight, SCH was higher in newborns with vaginal delivery (F=9.07, p=.023) and who received phototherapy (F=11.81, p=.011). For SCP, only delivery type had a significant influence (F=6.40, p=.044).
Conclusion
This study suggests that SCH is typically in the 30% range during the early postnatal period, and that an acid mantle on the SC surface is very unlikely to form; these findings could be applied to the nursing process for promoting skin integrity in high-risk neonates.

Citations

Citations to this article as recorded by  
  • The Effect of Sunflower Seed and Almond Oil on Preterm Infant Skin: A Randomized Controlled Trial
    Seda Caglar, Gizem Kerimoglu Yildiz, Ilkay Bakoglu, Ozgul Salihoglu
    Advances in Skin & Wound Care.2020; 33(8): 1.     CrossRef
  • 7,400 View
  • 238 Download
  • 1 Crossref
Purpose
This study was conducted to assess the knowledge and performance of developmentally supportive positioning for premature infants (DSPP) among neonatal intensive care unit (NICU) nurses.
Methods
The participants in this study were 131 nurses working in the NICU at five university hospitals in Daejeon and the city of Cheong-ju. The collected data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
NICU nurses’ average DSPP knowledge score was 24.7 out of 33.0, and their average DSPP performance score was 3.2 out of 4.0. A statistically significant positive correlation was observed between knowledge and performance of DSPP (r=.32, p<.001).
Conclusion
To improve the level of NICU nurses’ knowledge and performance of DSPP, educational programs should be developed and their effectiveness should be verified.

Citations

Citations to this article as recorded by  
  • 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
  • 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
  • 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
  • Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study
    Eun-Ju Yun, Tae-Im Kim
    Child Health Nursing Research.2022; 28(1): 70.     CrossRef
  • Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position
    Nur Fitri, Defi Efendi
    La Pediatria Medica e Chirurgica.2021;[Epub]     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
  • 11,098 View
  • 557 Download
  • 8 Crossref
Hypothermia and Related Factors in High-Risk Infants
Young Mee Ahn, Min Sohn, Namhee Kim, Narae Kang, Seungyeon Kang, Eunmi Jung
Child Health Nurs Res 2017;23(4):505-514.   Published online October 31, 2017
DOI: https://doi.org/10.4094/chnr.2017.23.4.505
Purpose
Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of high-risk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia.
Methods
A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth.
Results
A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia.
Conclusion
Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.

Citations

Citations to this article as recorded by  
  • Using a Plastic Drape to Reduce Hypothermia in Premature Neonates During Peripherally Inserted Central Catheter Placement
    Huong (Kelle) T. Phan, Teresa M. McIntyre
    Advances in Neonatal Care.2022; 22(3): 193.     CrossRef
  • 17,358 View
  • 1,574 Download
  • 1 Crossref
Effect of Education on Infection Control for Multidrug Resistant Organism on Infection Control by NICU Nurses
Jihee Lim, Kyung-Sook Bang
Child Health Nurs Res 2016;22(3):172-181.   Published online July 31, 2016
DOI: https://doi.org/10.4094/chnr.2016.22.3.172
Purpose
This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO).
Methods
One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis.
Results
General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p = .046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period.
Conclusion
Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.

Citations

Citations to this article as recorded by  
  • Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit
    Sawsan Abuhammad, Dalya Alwedyan, Shaher Hamaideh, Mohammed AL-Jabri
    Infection and Drug Resistance.2024; Volume 17: 1937.     CrossRef
  • Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
    Min-hee Cho, Sunghee Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
  • Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study
    Yunhee Won, Jeonghyun Cho, Eunyoung Park
    Korean Journal of Adult Nursing.2023; 35(4): 393.     CrossRef
  • Development of a high-risk neonatal infection control competency scale
    Mi Yu, Hyunju Kang, Jisun Park, Miran Yang
    Journal of Child Health Care.2021; 25(3): 393.     CrossRef
  • Factors Influencing Self-Confidence in Performance of Infection Control for Multi-Drug Resistant Organisms among Nurses in Long-Term Care Hospitals
    So Jin Lee, Mi Ran Kim
    Journal of Korean Academy of Fundamentals of Nursi.2021; 28(2): 226.     CrossRef
  • 14,662 View
  • 350 Download
  • 5 Crossref
Weight Variation in Term Newborns Hospitalized during Early Postnatal Period
Young Mee Ahn, Namhee Kim, Eunyoung Lee, Miyoung Kwak
Child Health Nurs Res 2015;21(4):339-346.   Published online October 31, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.4.339
Purpose
This study was performed to explore the weight variations in high-risk term newborns hospitalized during the early postnatal period.
Methods
A retrospective explorative study was performed with 64 term newborns who were hospitalized in the NICU after birth. Data on daily weight, birth information, and clinical features such as phototherapy, placements, nutritional status were reviewed through medical records for 14 days of life. General Linear Model, GLM was applied to analyze the weight variation by clinical features of these high–risk term newborns for 14 days of life.
Results
Newborns at 40 weeks of gestation showed little weight loss during the few days after birth then steadily gained weight to 7.6% at the 14th day. Infants born at 37-39 gestation showed little weight gain for 14 days though the weight loss itself was not apparent. As well, return to birthweight was not observed in newborns with phototherapy, infants placed on a warmer or infants having gastrointestinal dysfunction for 14 days of life.
Conclusion
Even for term newborns, physiologic weight loss may not be warranted even if newborn is born at less than 40 week of gestation, or with high-risk conditions that warrant admission to NICU.
  • 12,808 View
  • 245 Download
Nursing Students’ Practice Experience in Neonatal Intensive Care Units
Eun A Choi, Kyoung Eun Lee, Young Eun Lee
Child Health Nurs Res 2015;21(3):261-271.   Published online July 31, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.3.261
Purpose
This study was done to identify the meaning and substantial nature of NICU practice among nursing students by applying a research method based on hermeneutic phenomenology in an attempt to lay a foundation for enhancing theoretical and practical child nursing education.
Methods
The participants were eight nursing student who had experience in clinical practicing in NICU. In-depth interviews were performed from April to December, 2014 until data were fully saturated. Collected data were analyzed using Colaizzi’s method.
Results
Seven theme clusters were extracted from fourteen themes. The seven theme clusters of the nursing students’ clinical practice experience in NICU were: 1) Excitement about the clinical practice setting 2) Afraid of practice environment 3) Babies have priority over clinical practice 4) Comparing with adult nursing clinical practice 5) Feeling pity for babies and their parents 6) New awareness about the role of nurses 7) Demands of enhancing clinical practice.
Conclusion
The results of the study provide useful information in understanding nursing students’ practice experience in NICU and establishing effective strategies to support these nursing students.

Citations

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PURPOSE
The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses.
METHODS
Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis.
RESULTS
The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70+/-0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, 3.26+/-0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002).
CONCLUSION
These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

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    Journal of The Korean Society of Maternal and Chil.2020; 24(2): 102.     CrossRef
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    Korean Journal of Women Health Nursing.2017; 23(2): 89.     CrossRef
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