Journal of Neonatal Nursing RSS feed: Articles in Press. 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//inpress?rss=yesElsevier Inc.en © 2012 Neonatal Nurses Association. Published by Elsevier Inc. All rights reserved. Journal of Neonatal Nursing1355-18412012-05-21 © 2012 Neonatal Nurses Association. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.journalofneonatalnursing.com/article/PIIS1355184112001147/abstract?rss=yesThe role of the ANNP has been integral in the delivery of neonatal care since the first cohorts qualified in the 1990's, unfortunately, as yet the Nursing and Midwifery Council (NMC) have not formally recognised nor recorded the qualification.Join the lobby for register of ANNP - Corrected ProofRóisín McKeon-Carter, Pauline Smith, Debbie Eadie, Glenys Connolly, Dee Keeling10.1016/j.jnn.2012.05.002Journal of Neonatal Nursing (2012)2012-05-21Journal of Neonatal Nursing2012-05-21LETTER TO THE EDITORhttp://www.journalofneonatalnursing.com/article/PIIS1355184112001093/abstract?rss=yesAbstract: Aim: To explore the grief reactions of neonatal nurses caring for dying babies.Methods: This study utilises a qualitative research design. Focus group methods explored neonatal nurses' beliefs, perceptions and experiences of death, dying, grief and loss associated with clinical practice in the neonatal intensive care unit. A deductive data analysis framework was employed to catalogue participant responses into corresponding constructs.Results: Data collected from the focus group interviews were aggregated in deductive analysis against three constructs: Acknowledgement of loss; recognition of the relationship; and inclusion of the griever.Conclusion: The findings from this research contribute to a definition of grief as a pervasive, highly individualized, dynamic process that often is discussed normatively within professional healthcare disciplines. Neonatal nurses routinely deal with grief and feelings of loss. It is important that a framework be developed to help understand the process and to guide appropriate interventions for ongoing support.An exploration of the grief experiences of neonatal nurses: A focus group study - Corrected ProofVictoria J. Kain10.1016/j.jnn.2012.04.001Journal of Neonatal Nursing (2012)2012-05-16Journal of Neonatal Nursing2012-05-16ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS1355184112000865/abstract?rss=yesAbstract: Parents who deliver an infant on the edge of viability are often poorly prepared for the many ethical decisions that will confront them. Physicians will give mothers who are in early labor a quick synopsis of what they can do to treat this very preterm infant, but do not always have the time to explain the ethical ramifications of the decisions that will be made. Furthermore, these parents are often in physical and emotional distress, which is not conducive to an important discussion regarding the quality of life of their infant. These periviable infants, born between 22 and 24 weeks, have a great variation in probability of survival with and without morbidity. Parents need to be given statistics and medical probabilities so they can make informed, ethical decisions regarding their child's future. In the middle of an emergency delivery is not the time to have these important ethical discussions. Due to these problems, parents should be given information earlier in the pregnancy in order to be more informed in the event that they have a baby born at the limits of viability.Creating an ethical environment for parents and health providers dealing with the treatment dilemmas of neonates at the edge of viability - Corrected ProofSusan M. Douglas, Michael D. Dahnke10.1016/j.jnn.2012.03.012Journal of Neonatal Nursing (2012)2012-04-20Journal of Neonatal Nursing2012-04-20ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS1355184112000877/abstract?rss=yesAbstract: Over the last decade, nursing staff and feeding therapists have promoted the upright and sidelying bottle feeding positions as ‘optimal’ for preterm infants. To verify such benefits, very low birth weight infants were randomized to being fed in the customary semi-reclined (control), upright, or sidelying position. The primary outcome was days from start to independent oral feeding. Secondary outcomes included infants' oral feeding skill levels monitored when taking 1,2, 3–5, and 6–8 oral feedings per day. Infants fed in the upright and sidelying groups attained independent oral feeding within the same number of days as control counterparts. There was no difference in the maturation of their oral feeding skills.Is there an advantage for preterm infants to feed orally in an upright or sidelying position? - Corrected ProofChantal Lau10.1016/j.jnn.2012.03.013Journal of Neonatal Nursing (2012)2012-04-20Journal of Neonatal Nursing2012-04-20ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS1355184112000646/abstract?rss=yesAbstract: Subcutaneous fat necrosis of the newborn (SCFN) is a rare disorder. We report the case of a newborn with SCFN which was complicated by hypercalcaemia and nephrocalcinosis. The hypercalcaemia was treated with hyper hydration, furosemide, and corticosteroids but in vein. Finally the patient was given biphosphonate which normalized calcium levels.Biphosphonate therapy in subcutaneous fat necrosis with hypercalcemia and nephrocalcinosis in the newborn - Corrected ProofLamia Sfaihi, Sana Kmiha, Hajer Aloulou, Thouraya Kamoun, Mongia Hachicha10.1016/j.jnn.2012.02.001Journal of Neonatal Nursing (2012)2012-04-05Journal of Neonatal Nursing2012-04-05ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS135518411100189X/abstract?rss=yesAbstract: Neonatal Intensive Care Unit (NICU) nurses are commonly responsible for the care of multiple birth families who are experiencing the unique paradox of grieving for one infant while simultaneously hoping for and attaching to their living infant. It is therefore imperative that the NICU nurse has an understanding of how to provide care that is supportive, holistic and healing for families who have lost a twin. As such, a review of the literature was conducted to develop a greater understanding of the grief parents of a multi-fetal pregnancy experience when one or more of their infants are lost either prior to delivery or in the neonatal period. Recommendations are put forth as to how the NICU nurse can provide care for bereaved parents of multiples as aligned with the human science paradigm of nursing. Additionally, limitations of the current literature as well as recommendations for future research are discussed.Critical review of the literature: Parental grief after the loss of a multiple - Corrected ProofKelley E. Lee10.1016/j.jnn.2011.12.002Journal of Neonatal Nursing (2012)2012-01-30Journal of Neonatal Nursing2012-01-30LITERATURE REVIEWhttp://www.journalofneonatalnursing.com/article/PIIS1355184111001815/abstract?rss=yesAbstract: Purpose: To evaluate possible parental satisfaction indicators, concerning the Neonatal Intensive Care Unit (NICU), which are related to sociodemographic variables.Design: Non-experimental design using a validated parental satisfaction questionnaire. The sample consisted of 550 parents (297 mothers, 253 fathers) whose infants were hospitalized in two Neonatal Intensive Care Units (NICU) in Greece. The parents completed the questionnaire on the day of discharge.Results: Younger Greek women, with basic education level, who live in rural areas and whose infant's length of stay was short, expressed higher levels of satisfaction.Conclusion: The parents' sex and the duration of the infant's hospitalization are the most significant factors affecting parental satisfaction. Background factors should be considered when evaluating parental satisfaction.Factors affecting parental satisfaction in the neonatal intensive care unit - Corrected ProofSpyridoula Tsironi, Nikolaos Bovaretos, Konstantinos Tsoumakas, Margarita Giannakopoulou, Vassiliki Matziou10.1016/j.jnn.2011.11.005Journal of Neonatal Nursing (2011)2011-12-20Journal of Neonatal Nursing2011-12-20ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS1355184111001852/abstract?rss=yesAbstract: Osteogenesis imperfecta is a genetic bone disorder that requires a multi-disciplinary healthcare team to achieve optimal patient outcomes. It is most recognized by excessive brittleness of the bones, and has several classification types, with varying levels of severity. In 2007, type VIII was added to the classification system as a severely deforming and lethal autosomal recessive gene associated with mutations of CRTAP and LEPRE1 genes. The purpose of this case report is to describe a rare case of osteogenesis imperfecta type VIII in the neonate and the multi-disciplinary approach required to manage the patient's care; that includes a variety of nursing specialties.Osteogenesis imperfecta type VIII: A case report - Corrected ProofStacy Hines-Dowell, Shirleatha Lee, Susie Baskin, Ana Janecek, Leslie Rhodes, Flotyl Gresham10.1016/j.jnn.2011.11.009Journal of Neonatal Nursing (2011)2011-12-05Journal of Neonatal Nursing2011-12-05ORIGINAL ARTICLEhttp://www.journalofneonatalnursing.com/article/PIIS1355184111001773/abstract?rss=yesAbstract: This longitudinal cohort study investigated the incidence of postpartum depression (PPD) among mothers of infants cared for in two Neonatal Intensive Care Units (NICU) and factors related to PPD onset. 123 mothers were posted the Edinburgh Post-Natal Depression Scale (EPDS) and a questionnaire to record infant and maternal data at 1 month, and a repeat EPDS scale at 4 months post-discharge. PPD incidence was 15% at 1 month, 14% at 4 months, and varied by NICU (23% vs. 8%). Pre-pregnancy and/or antenatal depression was significantly associated with the incidence of PPD. Mothers who experienced PPD at 1 month had an almost eight fold risk of experiencing PPD at 4 months. Women who were not offered counselling during their infant’s stay on the NICU had a 60% increased risk for PPD onset. The findings highlight the need for routine pre-natal screening and targeted support for mothers with infants admitted to NICU.Postpartum depression in mothers of infants cared for in a Neonatal Intensive Care Unit – Incidence and associated factors - Corrected ProofEva-Britt Bergström, Lars Wallin, Gill Thomson, Renée Flacking10.1016/j.jnn.2011.11.001Journal of Neonatal Nursing (2011)2011-11-28Journal of Neonatal Nursing2011-11-28ORIGINAL ARTICLE