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Facilitating Breastfeeding in the Neonatal Intensive Care Unit: Identifying Barriers
(2016-06)
The evidence for the use of human milk as the gold standard in infant nutrition is well documented. The American Academy of Pediatrics,1 the U.S. Department of Health and Human Services, the U.S. Surgeon General,2 the ...
Examination of Neonatal Nurse Practitioner Competence and Confidence: Insight for Educational Programs and Faculty
(2017-08-17)
Purpose: The purpose of this pilot study was to determine any relationship between education level, type of educational program, number of clinical practice sites as a student, and time in practice with the self-reported ...
Implementation of an Infant-Driven Feeding Algorithm
(2017-05-13)
Purpose: The purpose of this quality improvement project was to implement an infant-driven feeding tool in an effort to transition to a uniform infant-driven feeding culture in the Neonatal Intensive Care Unit (NICU). ...
The Relationship Between Adverse Events and the Administration of Fluids, Medications, and Blood Products Through an Umbilical Arterial Catheter in Neonates
(2014-07-30)
The field of neonatology lacks adequate research to support or oppose the use of umbilical arterial catheters (UACs) for the administration of most fluids, medications, and blood products. There are recognized risks of ...
Extracorporeal Membrane Oxygenation in the NICU
(2015-05-01)
Extracorporeal membrane oxygenation (ECMO) was developed for adults but has been used in neonates as a life-saving rescue therapy for infants with respiratory failure and/or cardiac collapse as a result of congenital ...
Outcomes of Infants Admitted Under the Golden Hour: A Quality Improvement Initiative
(2018-05-12)
Background: The “golden hour” refers to the first hour of a premature infant’s life. Golden hour protocols focus on thermoregulation, prompt initiation of intravenous fluids, prompt initiation of antibiotics, and timely ...
Hyperoxia and Hypoxia in the NICU: The Impact of RN Education on Alarm Limit Compliance and Alarm Response
(2018-05-12)
Oxygen is the most common drug used in the medical management of preterm infants. Nurses in the Neonatal Intensive Care Unit (NICU) are primarily responsible for responding to oxygen saturation (SpO2) alarms and titrating ...
Parent and Nurse Attitudes towards Parental Engagement in the Neonatal Intensive Care Unit
(2014-07-30)
A significant group of parents with babies in the Neonatal Intensive Care Unit (NICU) fail to build strong relationships with the nurses caring for their babies. Many parents feel unsupported and unwelcome at the bedside ...
Factors Affecting Heated Humidity and Condensation in Neonates Receiving Respiratory Support
(2014-07-30)
The optimal goal when providing heated humidification to neonates receiving respiratory support is to mimic natural gas conditioning with core temperature at 37°C, 100% saturation with water vapor, and absolute humidity ...
Improving Parental Satisfaction in Transition to Home from the NICU: A Quality Improvement Project
(2012-07-13)
Problem: Bringing an infant home from the Neonatal Intensive Care Unit (NICU) can mean caring for a baby with multiple health care needs, or minimally, feeding and growth issues. The infant may require a regimented ...