Journal of Intensive and Critical Care Nursing

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Opinion Article - Journal of Intensive and Critical Care Nursing (2022) Volume 5, Issue 2

The quality improvement of demonstrate by longer intensive care unit experience of nurses to gain in clinical and safety outcomes in neonatal intensive care units.

Jameel Mustafa*

Department of Paediatrics, Albaha University, Saudi Arabia

*Corresponding Author:
Jameel Mustafa
Department of Paediatrics
Albaha University
Saudi Arabia
E-mail: [email protected]

Received: 10-Mar-2022, Manuscript No. AAICCN-22-106; Editor assigned: 12-Mar-2022, PreQC No. AAICCN-22-106(PQ); Reviewed: 26-Mar-2022, QC No. AAICCN-22-106; Revised: 28-Mar-2022, Manuscript No. AAICCN-22-106(R); Published: 04-Apr-2022, DOI:10.35841/aaiccn-5.2.106

Citation: Mustafa J. The quality improvement of demonstrate by longer intensive care unit experience of nurses to gains in clinical and safety outcomes in neonatal intensive care units. J Intensive Crit Care Nurs. 2022;5(2):106

Visit for more related articles at Journal of Intensive and Critical Care Nursing

Abstract

Despite evidence that adhering to developmentally supportive care principles yields favourable benefits for the new-born, many problems have been highlighted in the implementation of such care principles in neonatal intensive care units. The goal of this study was to look into and describe compliance with developmentally supportive care principles in a new-born critical care unit. The benefit of developmentally supportive care, the nature of developmentally supportive care, and the barriers to developmentally supportive care were recognised as the three primary themes. Parent involvement, nurse engagement, and holistic care were all subthemes of one of the primary themes, which backed up the findings. The findings can be used to help build or revise policies and practises, which are critical when adopting developmentally supportive care, especially in resource-poor settings where obstacles are exacerbated.

Keywords

NICU, Intensive care, Nurses

Introduction

Neonatal morbidity and death are acknowledged as a global public health concern in developing countries, with the poorest countries having the greatest rates of mortality. The first four weeks of an infant's life are the most fragile, when they are most susceptible to substantial illness and mortality. The Neonatal Intensive Care Unit (NICU) did not exist until the early 1960s, and neonatology was not recognised until the 1970s. These specialised units were formed shortly after President John F. Kennedy's infant son died of respiratory problems and undeveloped lungs. After only 34 weeks of pregnancy, he was born prematurely. His death raised awareness in the United States about the high number of preterm infants who died soon after birth due to immature lung development. By the early 1990s, more than 90% of preterm new-borns had survived, including those born after only twenty-four weeks of pregnancy. The most prevalent causes of neonatal deaths are infections, birth asphyxia, and birth before term. However, the majority of these prevalent causes of infant mortality in neonatal intensive care units can be avoided [1-3].

Premature babies admitted to the NICU are more susceptible to stress than their older siblings. Exposure to light and noise, a high risk of infection from routine invasive treatments, pain from invasive and surgical procedures, and less mother-infant connection are all stressors that cause preterm new-borns to grow and develop slowly. Enhancement of quality Measures like music therapy or aquatic physical therapy can help anxious and crying newborns sleep better by reducing the effects of environmental stressors like noises [4]. Maintaining adequate hand hygiene, maintaining and optimising central venous catheters, and avoiding contamination when obtaining blood samples can all help to reduce infection risk and antibiotic use. Skin-to-skin care and mother-infant connection can help improve social interaction and oral feeding abilities. Because premature infants have different nutritional needs than their mature counterparts, enriched human or own mother's milk is essential. This aids in the provision of essential nutrients that aid in baby growth. Minor precautions such as prenatal corticosteroids and placing the newborn in an occlusive sack to minimise heat loss can help prevent conditions like lung injury and hypothermia [5,6].

Conclusion

Although the rate of neonatal mortality in NICUs has decreased significantly over the previous two decades, the management of severely sick infants who are constantly exposed to multiple risk factors has remained a serious problem. The growth and neurodevelopment of critically sick preterm new-borns are negatively affected by these stimuli. Because the majority of these causes are preventable, adopting proven quality improvement efforts to enhance new-born care outcomes is critical. The goal of this analysis is to find the most recent research on proven quality improvement approaches in the NICU that have been shown to improve new-born health care outcomes.

References

  1. Garg BD, Kabra NS, Bansal A. Role of delayed cord clamping in prevention of necrotizing enterocolitis in preterm neonates: a systematic review. J Matern-Fetal Neonatal Med. 2019;32(1):164-72.
  2. Indexed atGoogle ScholarCross Ref

  3. Patel S, Clark EA, Rodriguez CE, et al. Effect of umbilical cord milking on morbidity and survival in extremely low gestational age neonates. Am J Obstet Gynecol. 2014;211(5):519-e1.
  4. Indexed atGoogle ScholarCross Ref

  5. Talavera MM, Bixler G, Cozzi C, et al. Quality improvement initiative to reduce the necrotizing enterocolitis rate in premature infants. Pediatr. 2016;137(5), e20151119. 
  6. Indexed atGoogle ScholarCross Ref

  7. Hsueh W, Caplan MS, Qu XW, et al. Neonatal necrotizing enterocolitis: clinical considerations and pathogenetic concepts. Pediatr Dev Pathol. 2003;6(1):6-23.
  8. Indexed atGoogle ScholarCross Ref

  9. Kaplan HC, Lannon C, Walsh MC, et al. Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatr. 2011;127(3):427-35.
  10. Indexed atGoogle ScholarCross Ref

  11. Zhou Q, Lee SK, Hu XJ, et al. Successful reduction in central line–associated bloodstream infections in a Chinese neonatal intensive care unit. Am J Infect Control. 2015;43(3):275-9.
  12. Indexed atGoogle ScholarCross Ref

Get the App