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  • 1.
    Aagaard, Hanne
    et al.
    Lovisenberg Diaconal University College, Oslo, Norway.
    Hall, ElisabethO.C.
    Health, Aarhus University, Aarhus, Denmark; Faculty of Health Sciences and Nursing University of Faroe Islands, Torshavn, Faroe Islands.
    Audulv, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Ludvigsen, Mette S.
    Department of Clinical Medicine - Randers Regional Hospital, Aarhus University, Aarhus, Denmark; Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
    Westergren, Thomas
    Department of Public Health, University of Stavanger, Norway; Department of Nursing Science, University of Agder, Norway.
    Fegran, Liv
    Department of Nursing Science, University of Agder, Norway.
    Parents’ experiences of transitioning to home with a very-low-birthweight infant: a meta-ethnography2023Ingår i: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 29, nr 3, s. 444-452Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeks' gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parents' discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: ‘approaching discharge with both uncertainty and confidence’; ‘discharge as a longed-for though disordering turning point’; and ‘facing joys, worries and multiple challenges when at home’. The overarching interpretation was ‘discharge as double-edged sword’. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never-endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating continuous support from knowledgeable providers.

  • 2.
    Bruce, Elisabeth
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Ahnlund, Anna-Ella
    Region Blekinge, Neonatal Unit at Children and Youth Clinic, Blekinge Hospital, S-392 44 Karlskrona, Sweden.
    Svennberg, Elin
    Region Kalmar, Child Health Care Centre, Nybro Kommun, S-382 32 Nybro, Sweden.
    Swedish neonatal nurses’ experiences of enhancing attachment to children born prematurely2022Ingår i: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 28, nr 5, s. 344-348Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study was to illuminate pediatric neonatal nurses' (PNNs') experiences of enhancing early attachment for the premature children in neonatal intensive care (NIC). An interview study with 8 PNNs in NIC in southeastern Sweden was conducted, and analyzed by content analysis. Result, illustrated three categories: Enabling closeness between the child and the parents, Supporting parents’ sense of parenthood, and Obstacles to enhancing attachment. Discussion, PNNs have a great role to supporting parents, but several barriers need to be addressed to make it easier for the PNN in NIC to enhance attachment for the child.

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  • 3.
    Scherman, Elna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Johansson, Linda
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Gradin, Maria
    Örebro University Hospital.
    van den Berg, Johannes
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Eriksson, Mats
    Örebro University Hospital.
    Procedural pain in neonates: Do nurses follow national guidelines? A survey to Swedish neonatal units2014Ingår i: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 20, nr 1, s. 31-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To investigate if nurses at neonatal units in Sweden have adopted national guidelines when neonates are exposed to intravenous catheter, capillary heel prick, venepuncture and injections, to identify the frequency of documentation of pharmacological and behavioural treatments and to compare the answers from the nurses with results from an earlier national survey completed by the chief neonatologists at the same units.

    Design and sample: Four nurses at a total of 44 neonatal units in Sweden, received questionnaires. A total number of 116 surveys were analysed (response rate 66%).

    Main outcome and results: All units had written guidelines for prevention and treatment of pain. Behavioural treatments were used in every painful procedure in the study, but only1/5 used EMLA often or always. There was a higher tendency to document the use of drugs than behavioural treatments. The chief neonatologist reported higher use of glucose than did nurses.

    Conclusions: Swedish national guidelines are not used consistently in some neonatal units. There is a considerably larger cohort of nurses who use behavioural treatments, rather than using drugs when painful procedures are performed. It was also evident that it was more common to document the use of drugs than behavioural treatments.

  • 4.
    van den Berg, Johannes
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Lindh, Viveca
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Back transport of infants to community hospitals: 12 years´ experience of an intervention to prepare parents for their infants´ transfer from neonatal intensive care to community hospital2011Ingår i: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 17, nr 3, s. 116-125Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Effective regionalized neonatal intensive care includes back transport of stable infants to community hospitals. This transition can be pleasant or frightening for the family, and psychological preparation is critical. The aim of this study was to evaluate an intervention performed in collaboration with the neonatal intensive care unit (NICU) and community hospitals (CH) in the northern health care region of Sweden. Questionnaires were sent to families who had an infant transported from NICU to CH and discharged to home over three periods from 1994 to 2007. Families rated information about the CH more accurate, reception at the CH better, and their preparation for the transition better when they were contacted by the CH during their stay at the NICU. Both NICU and CH staff have a responsibility to facilitate back transport by promoting communication between families and staff at the hospital to which they are to be transported.

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