Journal of Neonatal Nursing RSS feed: Current Issue. Aims & Scope : This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field. All articles are critically reviewed by professionals working in the appropriate field. Opinions expressed in articles are those of the authors, and not necessarily those of the publisher or of the NNA. JNN is indexed in Cummulative Index to Nursing to Nursing and Allied Health Literature (CINAHL), RCN Nursing Bibliography and British Nursing Index. http://www.journalofneonatalnursing.com/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Journal of Neonatal Nursing1355-1841183June 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.journalofneonatalnursing.com/article/PIIS1355184112000919/abstract?rss=yesEditorial board10.1016/S1355-1841(12)00091-9Journal of Neonatal Nursing 18, 3 (2012)2012-06-01Journal of Neonatal Nursing2012-06-01183S1355-1841(12)X0003-6iihttp://www.journalofneonatalnursing.com/article/PIIS1355184112000828/abstract?rss=yesTalking recently to a neonatal nurse who worked in the US, I was taken aback by the remark “90% of life is about showing up”, not being familiar with it before. Irrespective of the context within which I heard it, I could not help but ponder, and came to accept how true that phrase is and how aptly expressed. Of course it can be applied to all sorts of circumstances, some with a greater impact than others. Nevertheless, at the end it means the same, that if we are not there we cannot learn, we cannot express our opinions or have a voice and therefore mature as a professional. Quite simply we shrink more and more into a shell accepting life the way it is, probably moaning without any legitimate justification for complaint.Time to ‘show up’ in BelfastDee Beresford10.1016/j.jnn.2012.03.008Journal of Neonatal Nursing 18, 3 (2012)2012-04-05Journal of Neonatal Nursing2012-04-05183S1355-1841(12)X0003-6Editorial7373http://www.journalofneonatalnursing.com/article/PIIS1355184112000701/abstract?rss=yesThe neonatal group for physiotherapists working in neonatal care is an affiliated group of the Association of Paediatric Chartered Physiotherapists (APCP), a clinical interest group of the Chartered Society of Physiotherapy (CSP) for those working with children or an interest in children and their physiotherapy. The APCP has affiliated groups which have a specific interest in certain areas of Paediatrics including the Neonatal Physiotherapists group. There are approximately 80 members of the neonatal group, further details on it and the Association can be found on this website www.apcp.org.uk.Neonatal physiotherapy groupFiona Price10.1016/j.jnn.2012.03.002Journal of Neonatal Nursing 18, 3 (2012)2012-03-29Journal of Neonatal Nursing2012-03-29183S1355-1841(12)X0003-6Clinical Practice7475http://www.journalofneonatalnursing.com/article/PIIS135518411200083X/abstract?rss=yesBest Beginnings is the national child health charity that aims to create a society where all babies, irrespective of their socio-economic group, achieve the best possible health outcomes. Its work focuses on the period from preconception to a child's second birthday, when the foundations for a healthy life are laid.The Small Wonders Change ProgrammeSusi Farnworth, Alison Baum10.1016/j.jnn.2012.03.009Journal of Neonatal Nursing 18, 3 (2012)2012-04-27Journal of Neonatal Nursing2012-04-27183S1355-1841(12)X0003-6Clinical Practice7678http://www.journalofneonatalnursing.com/article/PIIS1355184112000816/abstract?rss=yesProduced by the National Association of Neonatal Nurse Practitioners, and endorsed by the American Academy of Pediatrics, the guideline focuses on the clinical management of systemic hypotension in the very low birth weight infant during the first three days of life.News from the American Academy of Neonatal Nurses: New practice guidelines available in the US10.1016/j.jnn.2012.03.007Journal of Neonatal Nursing 18, 3 (2012)2012-04-09Journal of Neonatal Nursing2012-04-09183S1355-1841(12)X0003-6Education Issues7980http://www.journalofneonatalnursing.com/article/PIIS1355184112000841/abstract?rss=yes In 2011, a project plan was discussed following the Neonatal Nurses Association/Drager Education Scholarship award to the author in 2009 (Petty, 2011). The proposal focused on the development of a Learning tool: ‘Knowledge for Neonatal Nursing Practice’, a web-based, interactive resource that guides the learner through a range of topics related to neonatal care, by suggested reading and enquiry in conjunction with self-testing quizzes. The focus is on essential knowledge for neonatal nursing care for both the healthy and high-risk/sick neonate and family in the hospital setting aimed at health professionals in this field.Knowledge for neonatal nursing practice: A self-directed learning programme: DisseminationJulia Petty10.1016/j.jnn.2012.03.010Journal of Neonatal Nursing 18, 3 (2012)2012-04-04Journal of Neonatal Nursing2012-04-04183S1355-1841(12)X0003-6Education Issues8182http://www.journalofneonatalnursing.com/article/PIIS1355184112000798/abstract?rss=yesSarah has had two babies born preterm. The first, Nadia was born 8 June 2008 weighing just 740 g. Nadia was born in Holland and within the first three weeks was transferred to a different hospital in the country in order to undergo a life changing heart operation. Once back in the UK Nadia was admitted to St. Marys Hospital after she developed stridor and was sent to theatre to have a bronchoscopy. Nadia came back from theatre with a tracheostomy and then contracted RSV.Sarah Connelly – Mum to Nadia and RosaKellie Stewart10.1016/j.jnn.2012.03.005Journal of Neonatal Nursing 18, 3 (2012)2012-04-12Journal of Neonatal Nursing2012-04-12183S1355-1841(12)X0003-6Parents' Reflections8383http://www.journalofneonatalnursing.com/article/PIIS1355184112000713/abstract?rss=yesSpecial care baby charity Bliss provides support and advice to families of premature and sick babies throughout the UK at what is an extremely difficult and stressful time. With one in nine babies born each year in the UK needing specialist hospital care there are many parents who need Bliss' support.Bliss Family Handbook for parents of premature and sick babiesKellie Stewart10.1016/j.jnn.2012.03.003Journal of Neonatal Nursing 18, 3 (2012)2012-04-03Journal of Neonatal Nursing2012-04-03183S1355-1841(12)X0003-6Newspoint8484http://www.journalofneonatalnursing.com/article/PIIS1355184112000786/abstract?rss=yesThe National Assembly for Wales' Children and Young People Committee met on 9th February 2012 to consider the progress the Welsh Government has made in implementing the recommendations in the former Health, Wellbeing and Local Government Committee's report on Neonatal Care in Wales. As the Neonatal Nurses Association had given evidence to the original inquiry, we were invited to give an update of the progress made since that report had been published in July 2010.Development of Neonatal Care in Wales: NNA representation at the National Assembly for WalesPamela J. Boyd10.1016/j.jnn.2012.03.004Journal of Neonatal Nursing 18, 3 (2012)2012-03-30Journal of Neonatal Nursing2012-03-30183S1355-1841(12)X0003-6Newspoint8585http://www.journalofneonatalnursing.com/article/PIIS1355184112000348/abstract?rss=yesThe focus of this presentation was firstly to acknowledge the excellent palliative care currently delivered in many maternity and neonatal units, and secondly how this can be further supported by frameworks and guidance in perinatal palliative care which have been recently published, such as and .The place for palliative care in neonatal careAlex Mancini10.1016/j.jnn.2012.01.011Journal of Neonatal Nursing 18, 3 (2012)2012-04-06Journal of Neonatal Nursing2012-04-06183S1355-1841(12)X0003-6Special Article: Perinatal Medicine Harrogate June 20118687http://www.journalofneonatalnursing.com/article/PIIS1355184112000695/abstract?rss=yesLet me say here and now, that I totally support breast feeding as the best nutrition for babies. All my three were breastfed; in fact ironically I was a closet breast feeder, determined to feed my babies despite family pressure and negative comments such as “He should be beyond all that now”. Back then it was considered that it was all a bit inappropriate to be feeding for so long. Now it would be applauded.Individualising breast feeding policiesJudy Hitchcock10.1016/j.jnn.2012.03.001Journal of Neonatal Nursing 18, 3 (2012)2012-04-05Journal of Neonatal Nursing2012-04-05183S1355-1841(12)X0003-6Letter from New Zealand8889http://www.journalofneonatalnursing.com/article/PIIS1355184112000804/abstract?rss=yesIt is a privilege to be writing to you again. I would like to share with you some facts and ideas regarding the implementation of neurodevelopmental supportive care (NDSC) in the NICU in South Africa and would greatly appreciate feedback, ideas and comments in this regard. In a previous edition I shared the best practice guidelines (BPGs) which I developed for my PhD and currently I am happy to announce that these will be part of the role-out of BPGs by the Neonatal Nurses Association of South Africa (NNASA) on a national level. We are planning to start with developmental care and kangaroo mother care (which is part of NDSC) BPGs. Today I am sharing with you the findings and formulation of the first guideline: ‘Direct preterm infant environment’. Most of the information provided in this article should be familiar to the readers; however, I am providing it as background towards the research findings.NICU environment – What should it be like?Welma Lubbe, Christa van der Walt, Hester Klopper10.1016/j.jnn.2012.03.006Journal of Neonatal Nursing 18, 3 (2012)2012-04-16Journal of Neonatal Nursing2012-04-16183S1355-1841(12)X0003-6Letter from Africa9093http://www.journalofneonatalnursing.com/article/PIIS1355184110002954/abstract?rss=yesAbstract: Nurses of the Neonatal Intensive Care Unit have a unique position as they must manage both their actual patient – the infant – and the parent(s). Based on an involuntary ethnographical experience, this manuscript seeks to explain three factors that cannot be understood without the firsthand experience of being the parent of a baby in a level 3 NICU. Specifically: 1) the unconditional love developed in the NICU and its effect on personal beliefs, 2) the fact that parents are always present, hiding but listening, for better or worse, and 3) the reality that during this initial time most parents are willing to accept their children even if they have conditions that the “objective medical world” or biomedical model would consider cruel or selfish.Unconditional love in the Neonatal Intensive Care UnitRose Ricciardelli10.1016/j.jnn.2010.11.014Journal of Neonatal Nursing 18, 3 (2012)2010-12-13Journal of Neonatal Nursing2010-12-13183S1355-1841(12)X0003-6Original Articles9497http://www.journalofneonatalnursing.com/article/PIIS1355184111001086/abstract?rss=yesAbstract: Background: Term newborns commonly undergo evaluations to ‘rule out sepsis’, although the frequency of this practice is unknown. Consequences may include increased duration of hospitalisation, admission to the neonatal unit and mother-infant separation, with interrupted breastfeeding.Method: Newborn infants delivered ≥ 37 weeks gestation without congenital anomalies that had blood cultures performed in January and February 2008 were audited. Sepsis-associated maternal, perinatal and neonatal parameters were collected to classify each infant as having definite, clinical, or no sepsis.Results: 54 of 944 term infants (5.7%) had blood cultures taken to rule out sepsis: 43 (80%) were negative, 11 (20%) had clinical sepsis and none had definite sepsis (3 had contaminants). The majority of evaluations were undertaken in the neonatal unit (59%) or the postnatal ward (34%), with respiratory distress the most frequent indication (38%). Infants with clinical sepsis were more likely to receive resuscitation at birth and to be admitted to the neonatal unit. Of all infants evaluated, 3 received antibiotics for longer than indicated, 1 had antibiotics discontinued early and one infant had antibiotics prescribed that were not optimal.Conclusions: ‘Rule out sepsis’ evaluations are common. Clinical guidelines together with ongoing education and vigilance regarding blood culture collection as well as choice and duration of antibiotics are important.Evaluating suspected sepsis in term neonatesPaul F. Fleming, Della Forster, Tracey Savage, Helen Sudholz, Susan E. Jacobs, Andrew J. Daley10.1016/j.jnn.2011.07.010Journal of Neonatal Nursing 18, 3 (2012)2011-08-02Journal of Neonatal Nursing2011-08-02183S1355-1841(12)X0003-6Original Articles98104http://www.journalofneonatalnursing.com/article/PIIS1355184111001062/abstract?rss=yesAbstract: During clinical practice in 2010 as a final year nursing student, time was spent across two neonatal intensive care units; significant differences were noted in the way professionals involved family in their baby’s care. This article aims to identify areas of practice that reflect a family centred care (FCC) approach when a baby is born prematurely. The birth of a premature baby can put parents under enormous strain. Whilst it is not always possible to prepare for the birth, effective communication can reduce the impact of stress. Parents are the most important part of a baby’s caregiving team, and the delivery of effective FCC requires sensitivity and understanding. This article will identify parents’ needs, and ways that professionals can offer meaningful support. Practice will be reflected upon and recommendations made.How can family centred care be improved to meet the needs of parents with a premature baby in neonatal intensive care?Sarah Cockcroft10.1016/j.jnn.2011.07.008Journal of Neonatal Nursing 18, 3 (2012)2011-09-05Journal of Neonatal Nursing2011-09-05183S1355-1841(12)X0003-6Original Articles105110