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Asian Nurs Res (Korean Soc Nurs Sci) ; 15(3): 189-196, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1370439


PURPOSE: Virtual reality simulation can give nursing students a safe clinical experience involving high-risk infants where access to neonatal intensive care units is limited. This study aimed to examine the effects of a virtual reality simulation program on Korean nursing students' knowledge, performance self-efficacy and learner satisfaction. METHODS: A nonequivalent control group design was applied. Senior nursing students were divided into an experimental group (n = 25) experiencing virtual reality simulation and routine neonatal intensive care unit practice and a control group (n = 25) having routine neonatal intensive care unit practice. The program consisted of three scenarios: basic care, feeding management and skin care and environmental management for prevention of neonatal infection. The total execution time for the three scenarios was 40 minutes. The simulation created immersive virtual reality experiences using a head-mounted display with hand-tracking technology. Data were collected from December 9, 2019, to January 17, 2020, and were analyzed using descriptive statistics and the t-test, paired t-tests, Mann-Whitney test and Wilcoxon signed-ranks test. RESULTS: Compared to the control group, the experimental group showed significantly greater improvements in high-risk neonatal infection control performance self-efficacy (t = -2.16, p = .018) and learner satisfaction (t = -5.59, p < .001). CONCLUSION: The virtual reality simulation program can expand the nursing students' practice experience in safe virtual spaces and enhance their performance self-efficacy and learning satisfaction.

Cross Infection/prevention & control , Infant, Newborn, Diseases/prevention & control , Intensive Care, Neonatal/methods , Neonatal Nursing/education , Virtual Reality , Adult , Female , Humans , Infant, Newborn , Intensive Care Units, Neonatal , Male , Students, Nursing/psychology , Young Adult
Neonatal Netw ; 40(3): 161-174, 2021 May 01.
Article in English | MEDLINE | ID: covidwho-1259288


Early recommendations to separate mothers from their newborns during the coronavirus disease 2019 (COVID-19) pandemic have created a detrimental separation practice. This article presents a review of the latest information regarding the (1) 3 modes of transmission of the virus to the neonate; (2) incidence, clinical signs, and severity of COVID-19 in the neonate; (3) factors to be considered to balance risk and benefits of separation and skin-to-skin contact (SSC) when conducting shared decision making; and (4) compendium of published SSC guidelines; and concludes with recommendations for safe practice of SSC to prevent and/or restrict COVID-19 infection in neonates.

COVID-19/psychology , Kangaroo-Mother Care Method/psychology , Kangaroo-Mother Care Method/standards , Mother-Child Relations/psychology , Mothers/psychology , Neonatal Nursing/standards , Practice Guidelines as Topic , Adult , Female , Humans , Infant, Newborn , Male , Pandemics , Pregnancy , SARS-CoV-2
Neonatal Netw ; 40(3): 175-182, 2021 May 01.
Article in English | MEDLINE | ID: covidwho-1259287


The novel coronavirus disease 2019 (COVID-19), appeared in the United States over 1 year ago. This virus has a wide range of presentations, from being asymptomatic to causing severe acute respiratory syndrome, which can lead to death. It has led to a worldwide effort to find effective treatments, from repurposed medications to new discoveries, as well as the push to develop effective vaccines. As the race to fight this pandemic unfolds, this column provides what is currently available to combat this virus, how it has been utilized in the pregnant population, and what data have been made available about how these treatments affect fetal development and the neonate.

COVID-19/drug therapy , COVID-19/prevention & control , COVID-19/transmission , Infectious Disease Transmission, Vertical/prevention & control , Maternal Health Services/standards , Neonatal Nursing/standards , Severe Acute Respiratory Syndrome/drug therapy , Severe Acute Respiratory Syndrome/prevention & control , Adult , Antiviral Agents/therapeutic use , COVID-19/epidemiology , Female , Humans , Infant, Newborn , Male , Practice Guidelines as Topic , Severe Acute Respiratory Syndrome/epidemiology , Severe Acute Respiratory Syndrome/transmission , United States/epidemiology
Neonatal Netw ; 40(3): 146-154, 2021 May 01.
Article in English | MEDLINE | ID: covidwho-1259286


Coronavirus disease 2019 (COVID-19), which is caused by SARS-CoV-2, has overwhelmed health care systems in 2020, affecting millions of lives worldwide. There have, however, been few reports of the effect this virus has on the newborn population. This case study presents an infant with a vertical transmission of COVID-19, including symptoms, diagnosis, and management, to help inform care for the COVID-19-positive infant.

COVID-19/diagnosis , COVID-19/nursing , COVID-19/physiopathology , COVID-19/transmission , Infectious Disease Transmission, Vertical , Neonatal Nursing/standards , Practice Guidelines as Topic , Adult , Female , Humans , Infant, Newborn , Male , SARS-CoV-2
Neonatal Netw ; 40(3): 140-145, 2021 May 01.
Article in English | MEDLINE | ID: covidwho-1259284


The impact of the COVID-19 pandemic upon the health care landscape has prompted many organizations to revise policies in response to ever-changing guidelines and recommendations regarding safe breastfeeding practices. The application of these professional guidelines into clinical practice is fraught with barriers, inconsistencies, and often-minimal evidential support. Key concerns for health care providers and patients include antenatal versus postnatal transmission, milk transmission, and separation care versus rooming-in, including the subsequent impacts upon breastfeeding and bonding. While SARS-CoV-2 is a novel virus, the volume of literature to support best practice for couplet care continues to be developed at a rapid pace. The benefits of breastfeeding are steeped in evidence and outweigh the potential risk of transmission of COVID-19 from mother to newborn. Health care organizations must continue to seek guidance for policy revision within the ever-growing body of evidence for best practice and evaluate current practices for feasibility during and after hospitalization.

Breast Feeding/methods , Breast Feeding/psychology , COVID-19/psychology , Health Promotion/methods , Mothers/psychology , Neonatal Nursing/standards , Practice Guidelines as Topic , Adult , Female , Humans , Infant, Newborn , Pandemics , Pregnancy , SARS-CoV-2
Neonatal Netw ; 40(3): 134-139, 2021 May 01.
Article in English | MEDLINE | ID: covidwho-1259283


COVID-19 continues to spread across the United States with a continued increase in reported infections and deaths. How this virus effects pregnancy, particularly mothers and their infants around and after delivery, is of particular concern for health care workers. Moreover, concerns for compassion fatigue in the health care worker, as they attempt to provide comprehensive care to this population, is a documented concern that could have long-term effects on workers' ability to provide care. This article will describe the current concerns for the transmission of COVID-19 from the mother to the infant and how that has affected recommendations from several national and international organizations around maternal/infant testing, isolation, breastfeeding, and the infant requiring neonatal intensive care. Effects that changing recommendations may have on health care workers and care delivery, and how these may contribute to compassion fatigue, will also be discussed.

COVID-19/psychology , Compassion Fatigue/physiopathology , Health Personnel/psychology , Neonatal Nursing , Occupational Stress/physiopathology , Adult , Female , Humans , Infant, Newborn , Male , Middle Aged , Pregnancy , SARS-CoV-2 , United States
J Nurs Educ ; 59(12): 692-696, 2020 Dec 01.
Article in English | MEDLINE | ID: covidwho-948858


BACKGROUND: The The Neonatal Nurse Practitioner program at The Ohio State University transitioned from a traditional face-to-face program to a distance-enhanced hybrid model providing course content online with campus visits for procedural skills and simulation in 2017. Although the 2020 COVID-19 pandemic necessitated cancellation of all in-person events across the university, the neonatal nurse practitioner students' learning needs remained the same. METHOD: The onsite experience was redesigned for virtual delivery. Procedural content was accomplished through student-led small-group collaborative critical thinking activities surrounding procedural complications, and other faculty-led scenario discussions. RESULTS: Students collaborated for a Complications Rounds activity (1-day) that promoted learning about procedural skills from a global perspective including safe techniques, monitoring, risks, and troubleshooting complications. CONCLUSION: Procedural content can be achieved when in-person learning is not possible. The Complications Rounds approach can mitigate delays or gaps in practical experiences. Examining complications in-depth increases preparedness, promoting greater awareness of harm prevention when these present in future practice. [J Nurs Educ. 2020;59(12):692-696.].

Education, Distance/organization & administration , Education, Nursing, Graduate/organization & administration , Neonatal Nursing/education , Nurse Practitioners/education , COVID-19/epidemiology , Faculty, Nursing , Humans , Ohio/epidemiology , Pandemics , Schools, Nursing
Rev. bras. enferm ; 73(supl.2): e20200467, 2020. tab, graf
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-646374


ABSTRACT Objective: to identify with the literature the measures to prevent and control neonatal infection by COVID-19. Methods: a scope review carried out by searching for studies in databases and institutional health websites. The final sample was 25 articles. Results: among the main measures are the use of masks by suspected or infected people in contact with healthy newborns, hand hygiene before and after each care and feeding as well as the tools used for milking. It is indispensable to use personal protective equipment by health professionals in neonatology services to maintain a private room for infected newborns or to use physical barriers. Early diagnosis and timely case management is essential to reduce virus transmissibility. Conclusions: the research contributed to elucidate health and nursing actions in preventing and controlling neonatal infection by COVID-19.

RESUMEN Objetivo: identificar con la literatura las medidas para la prevención y el control de la infección neonatal por COVID-19. Métodos: revisión del alcance, realizada mediante la búsqueda de estudios en bases de datos y sitios web de salud institucional. La muestra final fue de 25 publicaciones. Resultados: entre las principales medidas, destacan el uso de máscaras por personas sospechosas o infectadas en contacto con recién nacidos sanos, la higiene de las manos antes y después de cada cuidado y alimentación, así como las herramientas utilizadas para ordeñar. Es esencial utilizar equipos de protección personal por parte de profesionales de la salud en los servicios de neonatología y mantener una habitación privada para los recién nacidos infectados o el uso de barreras físicas. El diagnóstico temprano y el manejo oportuno de los casos es esencial para reducir la transmisibilidad del virus. Conclusiones: la investigación contribuyó a dilucidar las acciones de salud y enfermería en la prevención y control de la infección neonatal por COVID-19.

RESUMO Objetivo: identificar junto à literatura as medidas de prevenção e controle de infecção neonatal por COVID-19. Métodos: revisão de escopo, realizada mediante busca de estudos em bases de dados e sites institucionais de saúde. A amostra final foi de 25 publicações. Resultados: dentre as principais medidas, destacam-se o uso de máscaras por pessoas suspeitas ou infectadas no contato com neonatos saudáveis, a higienização das mãos antes e após cada cuidado e mamada assim como dos utensílios utilizados para ordenha. É indispensável o uso dos equipamentos de proteção individual pelos profissionais de saúde nos serviços de neonatologia e a manutenção de quarto privativo para neonatos infectados ou uso de barreiras físicas. O diagnóstico precoce e manejo oportuno dos casos é fundamental para a redução da transmissibilidade do vírus. Conclusões: a pesquisa contribuiu para elucidação das ações de saúde e enfermagem na prevenção e controle de infecção neonatal por COVID-19.

Humans , Male , Female , Infant, Newborn , Infant , Adult , Pneumonia, Viral/prevention & control , Infection Control/standards , Health Personnel/statistics & numerical data , Practice Guidelines as Topic , Neonatal Nursing/standards , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Hand Hygiene/standards , Personal Protective Equipment/standards , Infection Control/statistics & numerical data , Hand Hygiene/statistics & numerical data , Personal Protective Equipment/statistics & numerical data , Betacoronavirus , Middle Aged