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Pre natal development milestones
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Study one. Like my current unit, the NICU in this study had no hospital-based neonatal safe sleep program. The data they collected during preintervention, using random unit audits, showed that on average their nursing staff were modeling safe sleep practices only 20% of the time (Zachritz, Fulmer, & Chaney, 2016, p. 49). The objective of their study was to implement a clinical and educational safe sleep program with a long term goal of reducing sleep-related deaths among infants discharged from their NICU. They used a bundle approach to design the project which consist of purchasing sleep sacks; creating a unit-based clinical guideline to promote safe sleep practices; creating standardized caregiver discharge education; and providing outreach …show more content…
education sessions in the community during women’s prenatal visits (Zachritz, Fulmer, & Chaney, 2016, p. 50). Within six months of implementing their safe sleep program, a random unit audit showed that nurses and other unit staff were modeling safe approximately 90% of the time (Zachritz, Fulmer, & Chaney, 2016, p. 53). Nurse who were not following their safe sleep program where usually taking care of infants with neonatal abstinence syndrome (NAS) from drug exposure in the womb. These nurses received reeducation on the importance of following the safe sleep program. Study two.
While the objective of this study was to increase the percentage of eligible infants engaging in safe sleep practices in the NICU, like study one, they used pre- to post-intervention audits, created a standard of practice, and used education as a means to teach their safe sleep standard. Before the initiation of their intervention, they carried out a baseline audit, to determine the percentage of eligible infants engaging in safe sleep practices (SSPs) (Hwang, O’Sullivan, Fitzgerald, Melvin, Gorman, & Fiascone, 2015, p.863). They defined safe sleep by four components: (1) supine position; (2) in a flat crib with no incline; (3) no positioning devices; and (4) no toys, comforters or quilts in the sleep environment (Hwang, et al., 2015, p. 863). All four components must be meet to comply with SSP. Web based teaching modules and in-person teaching were used as the form of education. Of the 755 cases carried out during the baseline audit, 395 were eligible for SSP. Over a two week period crib audits were conducted. Form the pre-to post-intervention period, they showed significant improvement in overall complacence with SSP (25.9 % to 79.9 %) (Hwang, et al., 2015, p. …show more content…
864). Impression I have learned from these studies the important role nurses play in advocating for their patients and being the voice for the patient to implement change to policy and procedures.
As a nurse, it is my responsibility to understand the research literature on safe sleep practice and mirror it in my own practice. Furthermore, it is important for me to continue to search for answers to unsolved safe sleep issues in my practice either by reviewing further research or conduction my
own. Pediatricians Once infants in my care leave the NICU, the next medical personal they usually see is their pediatrician. While I have always believed, that pediatricians would reiterate the importance of safe sleep to their patient’s parents, like nurses, they are failing at this task. Despite both a clear recommendation against bed-sharing from the American Academy of Pediatrics (AAP) and evidence that bed sharing is common, practicing pediatricians either fail to provide advice against bed-sharing or provide advice inconsistent with the recommendation not to bed share (Schaeffer & Asnes, 2018, p. 51). I reviewed one qualitative study about what pediatricians tell their parents about bed-sharing.
...based research will provide a means to implement changes in the way we care for neonates in the NICU. These changes will promote growth and development for the neonate and facilitate positive paternal bonding experiences.
My goal for the behavior change project was to increase my sleeping duration. I measured my time of sleep in minute(s) and used the data to develope a bar graph that depict my duration of sleep per night in one week. Comparing the original and updated graph, there is a minimal decrease in my sleeping duration. Based on the original graph, my lowest sleep time is 124 minutes and my highest sleep time is 492 minutes. After averaging all the time I slept through seven days, I am averaging around 346 minutes of sleep a night. In the updated graph, my sleep time is slightly lower at 308 minutes a night. As explained in Part C, my intervention is very much contingent on my school and work schedule. Therefore, the sleeping duration recorded shows a sign of negative outcome since there are many things to do and study for near the end of the semester. Part of my intervention was to remind myself that I should get ready to sleep by using the alarm on my phone. During the project, I identified a facilitator that I believe was helpful to support my sleeping habits. Exercising before sleep has still proven to be the most efficient way to help me fall asleep. Expending energy requires me to replenish by sleeping; something I noticed after a long day at work during the weekend. My ability to sleep through noises has not shown any sign of improvement, since it
Both Dr. Richard Ferber and Dr. William Sears have impressive credentials. Richard Ferber, M.D is an associate professor of neurology at Harvard Medical School. His other credentials include board certification in pediatrics and sleep disorders medicine and being the director of the Center for Pediatric Sleep Disorders at Children’s Hospital in Boston. Beginning in 1978, he has been doctoring children with sleep problems. Dr. William Sears is an Associate Clinical Professor of Pediatrics at the University of California, Irvine, School of Medicine. Dr. Sears received his pediatric training at Harvard Medical School’s Children’s Hospital in Boston and The Hospital for Sick Children in Toronto, where he served as associate ward chief of the newborn nursery and associate professor of pediatrics. Dr. Sears is a fellow of the American Academy of Pediatrics and a fellow of the Royal College of Pediatricians. In addition to all his professional credentials he is a father of eight children and has written over 30 books associated with ...
After a long while of looking at small tools and a lack of sleep, a nurse’s eyes can be weary, just like anyone else. Nurses need rest just as much, if not more than, the rest of the general population. There are only twenty four hours in a day and if one works for a twelve hour shift it does not leave much room to enjoy family or have a social life. Because of this, nurses are often sleep deprived and they find alternative sources of escape. Some of the so called sources or coping mechanisms are medicinal. Nurses have a good knowledge of medications and their side effects, so one might think they would be confident in taking drugs they provide their patients on a regular basis; however, many nurses use that knowledge to abuse these medications. They may take some from work instead of giving their patients their full dose and may overdose on those drugs to escape the stresses of daily
The short-term benefits to infants of co-sleeping with their mothers would be increase breast feeding which promotes bed-sharing, increase sleep interval and duration, less crying time, increase compassion to mother’s communication (McKenna, Mosko , & Richard, pg. 604). Short-term benefits to mothers who co-sleep with their infants would be more sleep time with gratification, increase sensitization to infant’s physiological-social status, increase wellbeing and the ability to understand developmental signals from the infant, and improved skill to supervise and accomplish infant wants (McKenna, Mosko , & Richard, pg. 604). Long-term benefits of co-sleeping for infants are under-represented, but it can spread relief with sexual identity, infants become independent and increase control of their reactions and anxiety, and they become more self-determining in task problem solving and initiating because they are better at being unaccompanied (McKenna, Mosko , & Richard, pg. 604). Parents should know the benefits of co-sleeping either long-term or
In the field of social work, social work practitioners encourage clients to take part in self-care activities as self-care is one factor that promotes subjective well-being (cite). For example, self-care activities a social worker may recommend to their clients are eating healthy, exercising, practicing mindfulness and getting enough quality sleep. Self-care is one variable indicative to subjective well-being as self-care supports an individual’s physical and mental health. In this paper I am focusing on a particular self-care activity, improving sleep hygiene practices, and how not getting enough quality sleep may affect subjective well-being.
When we think of the NICU environment, we must first think of the newborn infant coping with health issues, a stressful and stimulating environment, and an unnatural separation from the mother and the father. In addition to attending to the infants medical need, its essential that we work towards alleviating the discomfort that the baby might feel by facilitating physical and emotional closeness between the baby and his or her parents. Bonds between parents and the infant are among the most enduring, fundamental aspects of human experience. Premature births, or any other health conditions that result in NICU hospitalization, can disrupt the natural attachment process. As nurses, we have the incredible opportunity to be the facilitators of bonding
Some parents of infants think co-sleeping is beneficial, however; experts do believe that this practice is very dangerous. Every parent has the decision to co-sleep (sharing a bed with your baby), its weather they do or not that counts. There are reasons parents decide for or against, for example; if you’re a heavy sleeper, you might accidently roll over and suffocate your child. You might not realize that something like could happen, but it can. “Most parents just figure it will be easier for them, it’s not like every parent of a newborn is going to spend hours re-searching reasons not to co-sleep” (lifescience)
Registered Nurse RN. 2014. Nursing care plan and diagnosis for Disturbed sleep pattern. Available at: http://www.registerednursern.com/. Access date 24 January 2014
In the classroom setting, the nurse assists families in understanding their level of risk, shows the benefit of learning safe sleeping habits, encourages the sharing of barriers, and provides education and training. The nurse uses learning strategies that include lectures, simulation, active learning and experiential learning. The goal is to tap into the parent’s motivation to avoid a negative outcome by teaching them the tools to provide their babies with a safe sleeping environment. If nurse repeats this goal effectively throughout the community, the impact will be a decrease in infant mortality for babies in the black community in Franklin
Qualitative research is subjective and pieces together a person’s experiences, interactions, beliefs, attitudes, and behavior to gain insight into the action and choices of human behavior, which contributes to the development of evidence-based interventions and guidelines (Grove, Gray, & Burns, 2015). In the article by Gaydos et al. (2015) regarding infant safe sleep recommendations, a qualitative study was conducted to gain knowledge of how providers counsel low-income, African American mothers on sudden infant death syndrome (SIDS) prevention and how well they understand and adhere to the safe sleep recommendations. The purpose of this paper is to discuss this qualitative research study that will:
The topic for my CNL Educator Project is the Increased Utilization of Skin to Skin Contact in the Neonatal Intensive Care Unit (NICU). Kangaroo Care (KC) was developed in Colombia by Dr. Edgar Rey in response to a lack of staffing and resources. Dr. Rey discovered that with timely uninterrupted and sustained mother-infant skin-to-skin contact there was also a decrease in infant mortality rates (Akhtar et al., 2013, p.49). The driving forces in support of this educational project are the multitude of benefits to neonates in the NICU.
Using secondary sources from academic journals, as well as other peer-reviewed materials in the science of sleep medicine, this report outlines how academic performance and physical health is affected by chronic sleep
Following the sleeping guidelines for infants is so important because it is a matter of life or death and although convenience for a new mother would serve a great deal of help I would rather not have the guilt of knowing I could have prevented my child’s death by following these guidelines. In 1992, The American Academy Pediatrics recommended that infants be place on their backs to reduce the risk of SIDS. Research has shown the SIDS have increased when infants sleep on their back versus sleeping on their stomach or on their side (Santrock, 2009). Also I would not have anything inside the crib that would cause suffocation such as blankets and stuff animals. I would keep the room temperature comfortable for my infant so I could avoid using unnecessary items in their
Sleep and Sleep Disorders. Centers for Disease Control and Prevention, 1 July 2013. Web. 7 May 2014. .