TITLE

Evaluation of the role of the neonatal nurse practitioner in resuscitation of preterm infants at birth

AUTHOR(S)
Aubrey, W. R.; Yoxall, C. W.
PUB. DATE
September 2001
SOURCE
Archives of Disease in Childhood -- Fetal & Neonatal Edition;Sep2001, Vol. 85 Issue 2, pF96
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background -- Changes in the work patterns and numbers of medical staff in training grades pose a significant challenge to those responsible for the provision of an effective clinical neonatal service. Advanced neonatal nurse practitioners (ANNPs) may have a role in this changing neonatal service. The effectiveness of the ANNP has been established in North America but has not been properly evaluated in the United Kingdom. Aim -- To evaluate the effectiveness of ANNPs in resuscitation of preterm babies at birth against the standard set by junior medical staff. Setting -- Regional neonatal intensive care unit. Method -- Retrospective analysis of resuscitation details, other basic data, and clinical outcomes of 245 preterm (< 33 weeks gestation) babies born in Liverpool Women's Hospital between January 1998 and April 1999. Results -- Resuscitation teams led by ANNPs provided the same resuscitation interventions as those provided by medically led teams. Although babies resuscitated by ANNP led teams were no more likely to be intubated, they were intubated more quickly and received surfactant sooner (p = 0.0001) than babies resuscitated by medically led teams. Babies attended by ANNP led teams were less likely to be hypothermic on admission to the neonatal unit (p = 0.013). Conclusion -- ANNPs are effective in the resuscitation of preterm babies at birth.
ACCESSION #
12949153

 

Related Articles

  • Neonatal resuscitation for the preterm infant: evidence versus practice. Finer, N.; Rich, W. // Journal of Perinatology;Oct2010 Supplement 1, Vol. 30, pS57 

    In an effort to determine the actual conduct of neonatal resuscitation and the errors that may be occurring during this process, we developed a method of video recording neonatal resuscitations as an ongoing quality assurance project. We initiated video recordings of resuscitations using simple...

  • Recent changes to UK newborn resuscitation guidelines. Wyllie, Jonathan // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Jan2012, Vol. 97 Issue 1, pF4 

    The article discusses the process initiated by the International Liaison Committee on Resuscitation (ILCOR) in revising the guidelines on newborn resuscitation. The most notable change in the guidelines is using air to initiate resuscitation at birth although, due to lack of evidence, the...

  • Neonatal Resuscitation Air or O2? J. D. // Midwifery Matters;Winter2004, Issue 103, p37 

    Focuses on the benefits of neonatal resuscitation-intermittent positive pressure ventilation with room air. Efficiency in the use of time; Advantage for midwife stress level; Availability of the resuscitation.

  • ATTITUDES AND EXPECTATIONS ABOUT MUSIC THERAPY FOR PREMATURE INFANTS AMONG STAFF IN A NEONATAL INTENSIVE CARE UNIT. Martin, Kathleen; Woods, Charles; Shoaf, Rebecca; Block, Steven M.; Kemper, Kathi J. // Alternative Therapies in Health & Medicine;Mar/Apr2004, Vol. 10 Issue 2, p50 

    Background Mush appears to reduce stress in premature infants, but little is known about the attitudes and expectations about music among clinicians caring for these infants. The study questions were: a) would staff like to have mush played In the Neonatal Intensive C'are Unit (NICU). b) would...

  • Long-term effect of neonatal endotracheal intubation on palatal form and symmetry in 8-11-year-old children. Macey-Dare, LV; Macey-Dare, L.V.; Moles, DR; Moles, D.R.; Evans, RD; Evans, R.D.; Nixon, F; Nixon, F. // European Journal of Orthodontics;Dec1999, Vol. 21 Issue 6 

    Premature and low birth weight infants often require neonatal oral intubation for resuscitation and to relieve respiratory distress. The endotracheal tube exerts pressure on the developing palate, which can result in palatal groove formation, a high-arched palate, and palatal asymmetry. The...

  • Nurse practitioner role justified in new research.  // Paediatric Nursing;Jun2004, Vol. 16 Issue 5, p5 

    Reports on the findings of a research that studied the quality of the neonatal care delivered by an advanced neonatal nurse practitioner led service at Ashington Hospital in Northumberland, England. Ability of advanced neonatal care practitioners to deliver quality neonatal care; Evaluation of...

  • Geographically based investigation of the influence of very-preterm births on routine mortality statistics from the UK and Australia. Field, D.; Bajuk, B.; Manktelow, B. N.; Vincent, T.; Dorling, J.; Tarnow-Mordi, W.; Draper, E. S.; Henderson Smart, D. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;May2008, Vol. 93 Issue 3, pF212 

    Background: Comparisons of national perinatal and neonatal mortality often neglect the underlying causes. Objective: To assess effects of very-preterm births in the UK and Australia. Setting: Two geographically defined populations: the former Trent Health Region of the UK and New South Wales...

  • Retrospective study of neonatal ligation during 2002 in United Kingdom of persistently patent arterial ducts. Venkatesh, Vidheya; Lee, Lleona; White, Deborah; Kelsall, Will // Cardiology in the Young;Aug2009, Vol. 19 Issue 4, p383 

    Our aim was to ascertain the number of neonatal ligations of the patent arterial duct performed in the United Kingdom in 2002, and to determine the survival of the neonates after 30 days. A postal questionnaire was sent to the lead paediatician in every hospital in the United Kingdom possessing...

  • Development of care in the NICU. White, R D // Journal of Perinatology;Mar2014, Vol. 34 Issue 3, p174 

    The author discusses the advancements in the field of developmental care for newborn instensive care units (NICUs). He mentions the shift on the paradigm of neonatology including the use of breast milk, skin-to-skin or kangaroo care, and the integration of parents in the care model and decision...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics