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Showing 14 results for Neonatal Intensive Care Unit
Mansoreh Azizzadeh Foruzi, Marzieh Mirjalili, Sakineh Sabzevari, Aliakbar Haghdoost, Aazam Heydarzadeh,
Volume 1, Issue 2 (1-2015)
Abstract
Introduction: Hospitalization of a sick infant in the neonatal intensive care unit was very stressful for parents. They are faced with a number of needs which recognizing these (needs) particularly at discharge time can bereduce their worries about how to health care of their infant. This study was aimed to assessment needs of parents of infants hospitalized in the NICU at discharge time.
Methods:This study is a descriptive analytic study. The sample size was determined based on a pilot study of 92 patients. Data were collected through demographic information questionnaires of Mothers, fathers and neonates and a 56-item questionnaire CCFNI. Using SPSS version 19, the index of central tendency and dispersion and paired t-test, data were analyzed and a significance level of 0/05 was considered.
Results: Findings relating to discharge requirements showed from mothers point of view that need to feel confident was as the most important need (3/80 ± 0/21) and the need of support was the least important (3/24 ± 0/33). Results also showed between the total score domains of needs of mothers with a history of hospitalized infants in the NICU and infant’s diagnosis and the total score domains was significantly different (P=0/03).
Conclusions: Identifying the needs of parents of newborn discharge process provides the medical staff with opportunity to focus on and meet the needs. In this study showed that, the most important need was the need to assurance so that meeting the needs of the parent’s reduces the risk of re-hospitalization of neonate. On the other hand this increases the confidence of parents in the care of premature infants at home.
Mohammad Arshadi Bostanabad, Manijeh Mostafa Gharehbaghi , Soyebe Seyedielmabad,
Volume 2, Issue 1 (9-2015)
Abstract
Introduction : premature and low birth weight infants are one of the high risk population in the community .After discharge, they are more vulnerable than full-term infants and in comparison with full-term born infants need more care. The aim of discharge planning , preparing families for the care of premature infants at home after discharge.
Method :a randomized controlled trial study was conducted on 92 mothers of preterm infants (gestational age: 320/7 -366/7 weeks) in neonatal ICU of Tabriz Alzahra hospital in 2013. Discharge planning was done for intervention group and mothers of control group received routine and usual cares. discharge planning program Includes two group training sessions with practical training and lectures, and videotape training for mothers of premature infants. Maternal stress was measured in both admission and discharge time in two groups by using Parental stress scale. Data analysis was performed using the T-test and X2 test.
Results: There was not any meaningful difference about rate of stress between 2 groups before the intervention. However, after implementation of discharge planing, maternal stress was lower in intervention group than in control group (p≤0.001)
Conclusion: Implementation of discharge planning reduces stress levels of mothers of premature infants .Its implementation could facilitate to return infants from acute care units to family
M Mirjalili , M Azizzade Forouzi , S Sabzevari , A Heidarzadeh , A Haghdost ,
Volume 2, Issue 2 (12-2015)
Abstract
Introduction: Assess the needs of families is essential component to promote family centered care perception of parents’ need by nurses also has effective importance This study was designed to meet the needs of mothers admitted to neonatal intensive care unit.
Method: This study is a descriptive analytic study sample size based on pilot study was 96 mothers. In this study data were collected by using demographic data of mothers, fathers and infants check list and a 56-item questionnaire CCFNI that has 5 subscale sub- support, comfort, information, proximity, and confidence. The data were analyzed by using Independent t-test, Pearson correlation coefficient.
Results: The findings of the study showed that the mean (± SD) age of the mothers 27/87 (6/01 ±). The most important need “to have questions answered honestly about neonatal “, and the least important was “Have friends nearby for support “generally based on perception of mothers assurance needs was the most important subscale Confidence whit mean (± SD) 3/79 (0/22) and supportive needs was the least important subscale 3/28 (0/38).
Conclusion: Base of the result assurance of health and welfare of child are very important to mothers, in charge of NICU have to give sufficient information regarding neonate situation and the treatments, in this was assurance comes to mothers and lower stress of mothers in duration of hospitalization of neonate.
Mr Mansouri Arani , F Alaee Karehroudi , H Manochehri , Ar Akbarzadeh Baghban ,
Volume 2, Issue 2 (12-2015)
Abstract
Introduction: The discharge process begins upon the admission of the infant in neonatal intensive care unit and continues to even after the infant is discharged and taken home. This study was conducted to audit the process of infant discharge from the neonatal intensive care unit of a selected center in Shahid Beheshti University of Medical Sciences and Health Services.
Method: In this study, 90 infants admitted to the neonatal intensive care unit were selected using convenience sampling method. The data were collected using demographic information of the nurses, infants, and parents and a checklist formulated on the basis of existing standards for infant discharge process. The checklist consisted of six parts: 1- available evidence-based guidelines to support the clinic and treatment, 2- documentation, 3- an available plan for individual discharge of every infant simultaneous to the admission according to the ward’s guidelines, 4- training the parents, 5- the plan of the discharge day, and 6- parent questionnaire. The validity and reliability of the checklist was examined using content and face validity (94%) and the inter-rater correlation coefficient (ICC=95%).
Result: The results of the study showed that the implementation rate of the discharge process in the first, second, third, fourth, fifth, and sixth part were weak(score=33), moderate(68), moderate(64), weak(29), moderate(61), and weak(37), respectively. The discharge process cares in all the studied areas were moderate. The entire provided care was of a moderate level. Mann-Whitney test revealed a significant difference between the status of specialized training courses for neonatal intensive care and implementing discharge standards in the second part (P<0.001), third part (P=0.004), fourth part (P=0.004), fifth part (P<0.002), and sixth part (P=0.025).
Conclusion: Regarding the importance of the neonatal intensive care unit and also the comparison made between results of this study and those of other studies performed in other countries, the provided care were not qualified and there was a need to more attempts for improving the quality of discharge process in Iranian hospitals, especially in neonatal intensive care units.
Maryam Marofi, Fatemesadat Mousaviasl, Zeinab Hemati,
Volume 3, Issue 1 (9-2016)
Abstract
Introduction: Burnout is a common problem among medical and health staffs; pediatrics and NICU nurses, according to the more stressors which have to tolerate, may be at higher risk. Nurse’s burnout not only affects negatively patient’s care, but also can harm their physical and mental and general health as well as the quality of work life. The aim of this study was determining the relation between burnout and quality of work life in pediatric and NICU nurses.
Methods: In this descriptive and correlation study, 76 nurses Employed in the pediatrics/NICU wards of Isfahan Medical University hospitals in 2014 were selected. The data gather by Maslach Burnout and Quality of work Life, and was completed by the samples. They were analyzed by SPSS20 and Student’s independent t-test, and Pearson correlation test.
Results: The results showed that the mean score of burnout within the frequency and intensity of the "personal performance" respectively74.2±20.3 and 59.7±20.6, And in terms of frequency and intensity of the "conflict" 47.4±22.1 and 44.8±20.5 was obtained, that the highest average score of burnout within the first personal performance and conflict.(p<0/05)
Conclusion: Due to the high average burnout score in the area of personal performance, and ultimately have a direct impact on the quality of work life pediatric and NICU nurses, therefore The managers and directors of nursing by creating a good working environment and job protection of complications, which can reduce productivity and prevent low quality care.
Bahare Fahhah Tafti, Shirin Hasanvand, Naiire Salmani,
Volume 3, Issue 1 (9-2016)
Abstract
Intrduction: Born premature newborns makes a lot of tension in parents and could have consequences for parents and newborn. By focusing on family-centered care, identifing the amount of tension and its causes can be an incentive for developing new strategies or modifying of existing strategies to reduce tension. This study was conducted to determine the amount and causes of tensions in parents of premature infants hospitalized in neonatal intensive care unit.
Method: This In this analytical-descriptive study 120 parents of hospitalized premature infants in neonatal intensive care unit of Yazd in 1394 were recruited by convenience sampling.After collecting data using parental tension questionnaires, analysis of data was performed using descriptive statistics and independent t-test.
Results::Results showed that the mean and standard deviation of tension 152.65)6.83( in mothers and 136.82)5.64( in fathers and the independent t-test showed a significant difference between stress of mothers and fathers ( p< 0.001 ) .As well as the stress caused by the neonate behavior and appearance of neonate was more in mothers than fathers and the stress caused by the parental role of parent and communicating with neonate was more in fathers than mothers, independent t-test showed a significant difference.
Conclusion:. As mothers' tension was more than fathers' and tension causes were different in parents, when designing interventions, focusing on identified causes seems necessary to reduce tensions
Zahra Zahadatpour, Mitra Edraki, Mr Seyed Mostajab Razavinejad Ardekani,
Volume 5, Issue 1 (9-2018)
Abstract
Introduction: Lullabies are sleepy and relaxing music for Newborns that are used in all cultures to relieve infants. The aim of this study was to determine the effect of lullabies on heart rate changes during endotracheal suctioning.
Method: In this clinical trial, 25 neonates admitted to the NICU section of Za'inab Hospital in Shiraz were examined. Each Newborns was evaluated twice. In both cases, 10 minutes before and after the suction, the heart rate of the infants were recorded using the APIB.
Results: The mean heart rate before suctioning was not significant between the two groups (P = 0.39), while the mean heart rate after suction in the lullaby group was significantly lower than silence (P <0.001). Mean The heart rate before suctioning was not significant in the lullaby group before the suctioning (P = 0/133), but in the silence group, it was significant (P <0.001).
Conclusion: Considering the findings of this study showed that lullabies are effective in reducing heart rate due to endotracheal suctioning, it is recommended that nurses use this method as an effective intervention to reduce the pain and stress of newborns in painful procedures.
, ,
Volume 5, Issue 2 (1-2019)
Abstract
Introduction: preterm birth is a stressful event for families. This study was conducted to determine the parental stress sources and some related factors in mothers of premature s Infants in Neonatal Intensive Care Units.
Method: In a cross-sectional design study, a total number of 153 mothers with Premature Infants in Neonatal Intensive Care Units were recruited through the convenient sampling method. Data were collected using a demographic questionnaire, and Miles’s parental stress tool. This Likert scaled tool contained three dimensions of “sights and sound, baby looks and behaves and change in parental role.
Results: The factors related to sight and sounds (3.43±1.33) were considered as the most important stressor for mothers. The factors related to change in parental role (3.30±0.86) and baby looks and behaves (2.90±0.87) were in the next order, respectively. Pearson correlation coefficient showed a direct significant correlation between the gestational age and birth weight and an indirect significant correlation between the number of hospitalization days with parental stress (p<0.05). Also, based on Spearman's correlation coefficient, the connection of newborns to ventilator had a direct and significant statistical relationship with parental stress (p<0.05).
Conclusion: Based on the results, the necessity of interventions to reduce the stress of mothers of premature infants admitted to the intensive care unit is necessary, especially in the context of environmental factors causing tension in mothers of neonates with lower birth weight, lower gestational age and mothers of neonates connected to ventilator and mothers of infants who are stay for a longer period in NICU
Sahar Rahimi Golsefid, Sara Jan Mohamadi, Seyedeh Naeimeh Seyd Fatemi, Hamid Haghani,
Volume 5, Issue 2 (1-2019)
Abstract
Introduction: Moral distress is one of the major sources of stress for nurses who provide end-of-life care to infants. The purpose of this study was to evaluate the effect of end-of-life care education on the Moral distress of nurses in neonatal intensive care units.
Method: In a clinical trial study with 66 nurses (33 control and 33 intervention groups), neonatal intensive care units in two hospitals affiliated to Iran University of Medical Sciences in 1396, At first, the control group in both centers was included in the study and completed Hamric's MDS-R questionnaires in three stages,pre-test, two weeks after the pre-test and one month after the pre-test. After collecting the questionnaires, the intervention group entered the study and after completing a pre-test questionnaire, participated in the End-of-Life Workshop, which was held in two consecutive sessions of two consecutive weeks. Their Moral distress were compared with the control group in the pre-test, immediately after intervention and 2 weeks after intervention (one month after the pre-test).
Results: The research units in the two groups of test and control were homogeneous for all demographic variables. There was no significant difference between the two groups in terms of moral distress before training (P = 0.226). After implementing the educational program, the morphology of the intervention group decreased to two weeks after the intervention (P = 0.013). Covariance test was performed to remove the effect of pre-test score.
Conclusion: The results of this study indicate the effect of the end-of-life care program on decreasing the moral distress of NICU nurses. Use of this training program is recommended to managers and planners of educational programs.
Aazam Heidarzadeh, Mansooreh Azizzadeh Forouzi, Zeinab Taheri, Mahlagha Dehghan,
Volume 5, Issue 4 (6-2019)
Abstract
Introduction: The existence of high stress and premature birth mother after effects and its negative consequences on children and their families to show the need for intervention. In this context, nurses are in a unique position to help parents. this study was aimed to Study of effect of Educational program on stress of parents of premature infants in neonatal intensive care units of Shahrekord.
Method: This quasi-experimental study was performed on 62 Mothers of premature infants who were randomly assigned to intervention and control groups. Data were collected through demographic information questionnaires of Mothers and infant and parental stress scale. Participants in the intervention group received Training programs to coping with stress in after the NICU face to face for 30 minutes during 3 sessions. Data was analyzed bySPSS v 18 and Test t, t and Fisher.
Results: The mean age of mothers was in the intervention group 28/25(7/56) and the control group 28/12( 6/1). The mean parental stress before training in both intervention and control groups, respectively, 4/62(0/18) and 4/43(0/37) that did not show a significant difference (P =0/01). and after training, respectively 4/39(0/38) and 3/41(0/9) that the difference in stress between the two groups was significant after the intervention (P=0/0001), Moreover, between birth weight and breast feeding and a significant amount of stress parents so that parents stress decreased with increasing birth weight (P> 0/05).
Conclusion: According to reduction of stress of mothers recommended with the design appropriate training programs and involvement of mothers in care of infant In addition relieving stress parents, the risk of re-hospitalization infant in unit also reduced.
Batool Pouraboli, Mansooreh Forozy, Maryam Ghazanfra Nejad, Yones Jahani,
Volume 5, Issue 4 (6-2019)
Abstract
Introduction: Nurses have a great influence on reducing the stress of parents because of their exceptional situation in intensive care units. The aim of this study was to investigate the communication performance of nurses and satisfaction with hospital care from the viewpoints of mothers of newborns admitted to the neonatal intensive care units of Shiraz University of Medical Sciences in 2015.
Methods: This is a cross sectional descriptive-correlational study. The population consists of 220 mothers of newborns admitted to neonatal intensive care units of three hospitals of Namazi, Hafez and Hazrat Zainab. The data collection tool was a questionnaire consisting of three sections: demographic data of mothers, the questionnaire of communication performance and satisfaction with hospital care.
Results: in this study, the mean age of mothers was 27 years, the average duration of the hospitalization of newborns was ten days and the average gestational age was 36 weeks. In addition, the mean communication performance of the nurses was lower than the mean satisfaction of mothers. Comparing the dimensions of satisfaction, satisfaction with hospital care had lower average than other dimensions. Communication performance had no significant relationship with the satisfaction dimensions and p>0.05 but it had a significant relationship with total satisfaction (p = 0.001)
Conclusion: Concerning the importance of the nurses’ position, communication, educational and caring skills should be further strengthening to enhance the satisfaction of mothers. Also according to the results obtained from this research, it appears that mothers require better relationship with nurses based on the cause of the hospitalization of their children. Along with being sensitive towards the caring needs of the newborns, nurses should have a proper interaction with parents.
Farinaz Saeidi, Seyed Mirhadi Mousavi, Rahele Janani,
Volume 7, Issue 2 (1-2021)
Abstract
Introduction:
The positive effects of kangaroo mother care which can be pointed, in order to fulfill the needs of the premature infant to, heat, breast-feeding, infection protection, motivating breastfeeding in the mother tenderness, and reducing the pain. The aim of the present study was to investigate the compliance of kangaroo mother care audits of mothers with newborns admitted to Tabriz Alzahra Hospital with the standards of the Ministry of Health and Medical Education.
Methods:
This descriptive cross-sectional study 600 mothers had premature infants in NICU and newborns from August to February 2017 at Alzahra Medical Education Center. The data were collected through a researcher-made questionnaire including Environmental equipment and nursing care during the care process, which was made based on the criteria and standard of care provided by the Ministry of Health. SPSS13 and descriptive statistics, inferential statistics and t-test were used to analyze the data. Based on the scores obtained from the questionnaire, the status of executive care was categorized in three categories: as, desirable, relatively desirable and undesirable
Results:
The results of the environmental factors questionnaire scores are 90% and infant factors 95%, both of which are in the desired range. These results indicate that the implementation of cure maintenance is almost standard in the Ministry of Health and Medical Education at the Alzahra Educational Cente.
Conclusion:
According to the results, the implementation of care in the Alzahra Educational Center is close to the standards of the Ministry of Health and Medical Education. This study identified negative affective factors and will be placed on the priority of the hospital's strategic problems.
Nazi Dezvaree, Somayeh Rostamli, Mahak Shariat, Malihe Kadivar, Leila Shahbaznezhad, Saleheh Tajali,
Volume 10, Issue 2 (1-2024)
Abstract
Introduction : Optimal collaboration between members of the patient management team; especially physicians and nurses; can effectively prevent stress by creating an appropriate moral atmosphere that leads to the improvement of the quality of care.This study aimed to determine the attitude of nurses and physicians toward physician-nurse collaboration working in the neonatal intensive care units of the teaching hospitals in Tehran, the capital of Iran.
Methods: In this descriptive and analytical study, carried out in the neonatal intensive care units of the teaching hospitals in Tehran in 2018-2019, 234 physicians and nurses, selected by the available sampling method, participated in the study. Data were analyzed by SPSS V21 software with T-test, Pearson, and Anova.
Results: The mean attitude score of nurses was 24.15 with a frequency percentage (40.25%) compared to physicians' 25.70 with a frequency percentage (42.80%) (P<0.05). The highest average score in the questionnaire was related to teamwork and information sharing among physicians and nurses, 6.75 and 8.73 respectively. A significant relationship was found between nurses' attitudes toward work experience, working hours, and liability insurance (P<0.05).
Conclusion: The attitude of the nurses and physicians about physician-nurse collaboration in this study was revealed to be unsatisfactory. One of the important reasons for the negative score of the attitude of nurses and physicians towards collaboration may be the point that sufficient importance is not given to the role of nurses in patient management. It is therefore recommended to identify factors affecting the improvement of collaboration, as well as maintaining enough weight to the role of nurses in patient management by further studies.
Masoumeh Jamali, Faeze Jahanpour, Razieh Bagherzadeh, Roqayeh Gashmard,
Volume 10, Issue 3 (4-2024)
Abstract
Introduction: With the birth of a premature newborn, mothers experience new relationships, especially with nurses. The stress caused by the hospitalization of a premature newborn can negatively affect the health of the mother and then the health of the newborn. Therefore, a recent study was conducted to assess the relationship between spiritual health and perception of the communication with the nurse, in mothers with premature newborns admitted to the neonatal intensive care units of hospitals in Bushehr province in 2022.
Methods: The current research is a cross-sectional descriptive-analytical study. The statistical population of this study was 218 mothers of premature newborns admitted to the neonatal intensive care units. Data gathering was done by convenience sampling and by using a demographic form of mother and newborn, spiritual health questionnaire (Palutzian & Ellison) with two dimensions, religious health and existential health and perception of communication with a nurse (Reid et al) questionnaire.
Result: 54% of mothers had average spiritual health and 46% of them had high spiritual health. The mean and standard deviation of perception of communication with the nurse was 62.41±10.42. The result of linear regression showed that the mother's existential health can be a positive predictor for the perception of communication with the nurses
(=β0.437 ؛ P>0.001). Also, no significant relationship was between the mother's religious health and perception of communication with the nurse (=β0.085 ؛ P=0.001).
Conclusions: Since existential health as a part of spiritual health can be a positive predictor perception of the communication with the nurse, it is suggested that the hospitals have programs for the parents of premature newborns, specifically the mothers, to improve their spiritual health, especially the existential health. By increasing optimal interactions with the nurse, it will reduce stress and increase participation in the care of the newborn.
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