Pros And Cons Of Neonatal Intensive Care Units

In conclusion, the purpose of this initiative is to reduce CLABSI by at least 75% in the NICU at Aurora Bay Care Medical Center. This will be accomplished through training and education to the doctors, nurses, any staff that comes into contact with the infants, and the parents. This is a win-win for both the patients as well as the hospital because it will reduce morbidities and mortalities caused by the preventable infection as well as reduce costs significantly for the hospital.

A. the literature review provided articles that were relevant and a number of relevant studies and theories were described throughout the study.

When providing a healthy and safe environment both inside and outside the nursery, there are factors myself and other practitioners need to consider; individual children and any specific needs they may have, for example at my work place we a baby with Prader-Willi syndrome, a rare genetic condition that causes restricted growth, poor core muscle strength, learning difficulties, behavioural problems such as temper tantrums or stubbornness and a permanent feeling of hunger which will start between the age of 2 and 8 years old. The practitioners who work with the baby must always consider

In this article, the authors emphasize the effectiveness of Kangaroo Care on neonatal infants. The author is fond of Kangaroo Care because of its least invasive, cost effective, and natural treatment that can help with infant’s temperature. The purpose for this article is to answer the questions about Kangaroo Care and note the variety of benefits that it can do for infants. In addition, this article recognizes the benefit Kangaroo Care has on third world nations and that this natural treatment can help the infants that do not have access to the health care system. However, in resource rich countries, the incubator is commonly used and Kangaroo care is coming rarer. The reason Kangaroo Care is rising to the surface again is because there is a desire to humanize the care, promote early bonding, and establish breastfeeding.

To help prevent this issue I have created a program for the Fairfax hospital Neonatal Intensive Care Unit (NICU) to facilitate the bond between mother and child while both are recovering and being cared for. The pilot program called “rooming-in” allows mother and child to be on the same private room where other family can also stay. The room will be designed to give maximum support to both mother and baby by having all resources in room as well as a private team of nurses.

data and a meta-analytic framework to synthesize results across sites. This study found that the

Hi Melissa, as you mentioned the NICU population is one of the most susceptible populations for infections and preventing them will save lives. I agree with you about the use of the Lippitt change theory on the NICU, I believe the most important step from this model is assessing motivation among staff. The biggest strength is the recognition of the need for change, and then follow recommendation from evidence based practice research. I like the idea of change the age for visitors and proper hand wash for all visitors. Educate staff about the benefits of remove jackets during patient care, and implementing the use of gowns. I like your idea of secret observers and that warnings will be issue for the non-compliant and the rejecters of the new

There are some limitations to this literature review. One limitation is some of these studies may be outdated being that they are from the 1990s (i.e: Dulit et. al, 1990; Miller et. al, 1993; and Dougherty et. al, 1999). Another limitation is some of the studies were not randomized samples (i.e: Miller et. al, 1993 and Tragesser et. al, 2013). If samples are not random this could mean the results are bias.

This study was limited due to the small sample size. Although the conclusions are valid, more research with a

One of the most controversial behaviours parents can do is adjust the babies sleeping environment. There have been multiple arguments on this topic; however, research has shown that a babies sleeping environment can impact their sleeping safety tremendously. Some safety precautions all care givers can do is: placing the baby on their back to sleep, keeping the crib clean and clear of any toys or pillows, don’t overheat the baby with clothes or blankets instead try a sleeping sack, and lastly allow the baby to sleep in the caregivers room for the first six months or until the infant is capable of rolling over on their own. Another way to help prevent SIDS is by using a pacifier. Strangely enough, pacifiers can reduce the risk of SIDS due to the fact that they help prevent a baby from going into a deep sleep. Though, caregivers need to take precaution when doing this if an infant is breast feeding as they should not be introduced to pacifiers until they are nursing well. Consequently, one of the easiest ways to prevent SIDS is to not ignore sicknesses, especially respiratory related issues. In the first year of an infant’s life something as simple as a cough or old can impact them greatly. By taking an infant to a clinic, doctor, or even the emergency room as soon as any signs of sickness strike could save their life. Ultimately, there is no guaranteed that these precautions will work and unfortunately SIDS does happen. Despite that, there are multiple ways for caregivers to cope with this

There is an increasingly large need for the care provided by certified child life specialists as the healthcare field continues to move toward more well rounded, family-centered care. The stressors and trauma caused by the hospitalization of a family member can leave life-long negative impacts. While the child life field is expanding quickly, little attention has been paid to the psychosocial, emotional, and developmental needs of neonatal intensive care unit (NICU) patients and families. Parents and siblings of infants in NICUs face communication gaps from doctors and nurses, and stress and anxiety when struggling to understand not-so-easily comprehensible medical jargon. Additional negative impacts take effect when attempting to cope with

The latest research of skin-to-skin care is that when it is used there should be modified visiting policies and cluster care to allow more uninterrupted time for the parents and the newborn. More of the research has shown that door hangers should be provided to mothers when they do not want to be disturbed. Also, a garment should be given to mothers and fathers to facilitate skin-to-skin care. One last part of the newest research is to institute an afternoon naptime for mothers to decrease fatigue and safety concerns (Ferrarello & Hatfield, 2014). In the end, Evidence Based Practice will improve patient outcomes and help healthcare professionals make the best decisions when it comes to their

Cullen and Gendreau compare and contrast the many studies on this subject, the meta-analyses conclusions, their strengths, weaknesses, inconsistencies, and the trends that follow the studies

The provision of breast milk for the high-risk neonate cared for in the Neonatal Intensive Care Unit (NICU) is essential. Human milk is the preferred nutrition for all infants (AAP, 2012). Human milk provision is especially beneficial for the vulnerable ill or premature infant. The infant’s transition from the nutrients received in utero by the placenta and amniotic fluid would continue through the use of colostrum or the first milk (Rhodes, 2014). The preterm infant, having missed the last trimester in utero to receive the placental immunoglobulin IgG, would receive a passive immunity of immunoglobulin sIgA if given colostrum.

The ultimate goal in neonatal healthcare is not to simply “save babies,” but to improve the quality of life for the infant and parent. The child is being treated, but the family must live with the long-term consequences of the daily decisions made in caring for the baby. The two main issues in this decision making process include the stake of survival and the future quality of life. Even the smallest decisions, such as mode of ventilation or environment the baby is kept, can and will affect the infant’s transition to normal. The most famous case of neonatal decision-making involves a baby born in 1982. He was born with Down’s syndrome and a tracheoesophageal fistula, or abnormal connection between the upper parts of the esophagus and windpipe.