Challenges and Dilemmas encountered by Nurses in the Neonatal Intensive Care Unit

References

[1] Alper, B; Rotolo, M; Tevington, P; Nortey, J; Kallo, A. 2023 Spirituality Among Americans,Pew Research Center, https://www.pewresearch.org/religion/2023/12/ 07/spirituality-among-americans/

[2] Braithwaite, Mercedes 2018 Nurse Burnout and Stress in the NICU, Advances in NeonatalCare,https://journals.lww.com/advance sinneonatalcare/Abstract/2008/12000/Nurse_Bu rnout_and_Stress_in_the_NICU.16.aspx

[3] Braun, D; Braun, E; Chiu, V; Burgos, A; Gupita, M; Volodarskiy; Getahun, D. Trends in Neonatal Intensive Care Unit Utilization in a Large Integrated Health Care System, JAMA https://www.ncbi.nlm.nih.gov/pmc/articles/PM C7303809/

[4] Buchan HA, Currie KC, Lourey EJ, Duggan GR.(2010): Australian clinical practice guidelines national study. Med J Australia 2010;192(9):490e4 Cantarino, S; Valdivieso, I; Aquado, M; Araque, B; Gallego, B; Martinez, E. 2021 Nursing Perspective of the Humanized Care of the Neonate and Family: A Systematic Review, Children (Basel) https://www.ncbi.nlm.nih.gov/pmc/articles/PM C7827204/

[5] Cantey JB. Healthcare-Associated Infections in the NICU: a brief review. Heal Infect Child. 2019 Chesshyre E, Bowen A, Carapetis J (2015): The Prevention, Diagnosis And Management Of Central Venous Line Infections In Children April 2015 The Journal of infection 71 10.1016/j.jinf.2015.04.029PubMed Cheung GY, Otto M. Understanding the significance of Staphylococcus epidermidis bacteremia in babies and children. Curr Opin Infect Dis. 2010;23:208–216. 10.1097/QCO.0b013e328337fecb. Decembrino L, Perrini S, Stronati M. Surveillance of infection events in neonatal intensive care. Minerva Pediatr. 2010;62:41–45. Gaine, Kathleen 2022 What’s Really Behind the Nursing Shortage? 1,500 Nurses Share Their Stories https://nurse.org/articles/nursing- shortage-study/

[6] Grunberg, V; Vranceanu, Lerou, P. 2022 Caring for our caretakers: building resiliency in NICU parents and staff, European Journal Pediatrics, https://www.ncbi.nlm.nih.gov/pmc/articles/PM C9395886/

[7] Herrity, Jennifer 2024 The Importance of Training employees: 11 Benefits https://www.indeed.com/career-advice/career- development/importance-of-training

[8] Huang, Z; Huang, F; Liang, Q; Liao, F; Tang, C; Luo, M; Lu, S; Lian, J; Li, S; Wei, S; 2023 Socioeconomic factors, perceived stress, and social support effect on neonatal nurse burnout in China: a cross-sectional study, BMC Nursing https://bmcnurs.biomedcentral.com/articles/10.1 186/s12912-023-01380-z

[9] Kredo T, Bernhardsson S, Machingaidze S, Young T, Louw Q, Ochodo E, et al. (2016): Guide to clinical practice guidelines: the current state of play. Int J Qual Health Care 2016;28(1):122e8 Kulali, F., Çalkavur, S., Oruç, Y., Demiray, N., Devrim, I., (2019): Impact of central line bundle for prevention of umbilical catheter-related bloodstream infections in a neonatal intensive care unit: a pre–post intervention study. Am. J. Infect. Contr. 47 (4), 387–390. https://

[10] Lindberg, Sara 2020 Maternal Instinct: Does It Really Exist?https://www.healthline.com/health/parenti ng/maternal-instinct

[11] McLeod, Saul 2024 Erik Erikson’s Stages Of Psychosocial Development, Child Psychology https://www.simplypsychology.org/erik- erikson.html

[12] Michie S, Johnston M, Abraham C, et al. (2005) Making psychological theory useful for implementing evidence-based practice: a consensus approach. Quality and Safety in Health Care 14(1): 26–33. Michie S, van Stralen MM, West R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation Science 6(1): 42. Michie S, Atkins L, West R (2014) The Behaviour Change Wheel: A Guide to Designing Interventions’. Great Britain: Silverback Publishing. Nasrollahi, Z; Eskandari, N; Adaryani, m; Hasan, M; Tasuii, H. 2020 Spirituality and effective factors in education: A qualitative study, J Educ Health Promotion, https://www.ncbi.nlm.nih.gov/pmc/articles/PM C7255563/

[13] Naylor, L; Sather, A; Weber, M 2020 Troubling care in the neonatal intensive care unit, Geoform, https://www.ncbi.nlm.nih.gov/pmc/articles/PM C7295500/

[14] Ojo SO, Bailey DP, Brierley ML, et al. (2019) Breaking barriers: using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time. BMC Public Health 19(1): 1–17. Philippines Child mortality rate, 1960-2022 - knoema.com https://knoema.com/atlas/Philippines/Child- mortality-rate

[15] Patrick SW, Kawai AT, Kleinman K, et al. Healthcare-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705–712. Payne V, Hall M, Prieto J, Johnson M. (2018): Care bundles to reduce central line- associated bloodstream infections in the neonatal unit: a systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 2017;103:F422-9. Pediatrics of Florence 2023 What to Do in a Newborn Emergency: A Comprehensive Guide https://pediatricsofflorence.com/what-to-do-in- a-newborn-emergency-a-comprehensive-guide/

[16] Rachel, R; Chiara, C; Robert, K; Francesco, S. 2019 Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses , Acta Biomed https://www.ncbi.nlm.nih.gov/pmc/articles/PM C6625560/

[17] Ramasethu J. (2017): Prevention and treatment of neonatal nosocomial infections. Matern Heal NeonatolPerinatol 2017;3:5. https://

[18] Simpson, K, Lyndon, A; Ruhl, C. 2016 Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue and Job Stress and Dissatisfaction https://www.jognn.org/article/S0884- 2175(16)30150-2/abstract

[19] Stanak, Michal 2019 Professional ethics: the case of neonatology, Med Healthcare Philos https://www.ncbi.nlm.nih.gov/pmc/articles/PM C6499733/

[20] Stoll BJ, Hansen N, Fanaroff AA, et al. Late- onset sepsis in very low birth weight neonates: the experience of the NICHD Neonatal Research Network. Pediatrics. 2002;110(2 Pt 1):285–291. Strandas, M; Fredrtksen, 2015 Ethical challenges in neonatal intensive care nursing, Nurse Ethics https://pubmed.ncbi.nlm.nih.gov/25366999/

[21] Suleyman G, Alangaden G, Bardossy AC. The role of environmental contamination in the transmission of nosocomial pathogens and healthcare-associated infections. Curr Infect Dis Rep. 2018;20(6):12. Taylor J E, McDonald S J, Earnest A, et al. (2017): A quality improvement initiative to reduce central line infection in neonates using checklists. Eur J Pediatr 2017;176: 639-46. Thomas, A; Bakas, T; miller, E; Johnson, K; Cooley, H. 2022 Burnout and Turnover among NICU Nurses, National Library of Medicine https://pubmed.ncbi.nlm.nih.gov/34860785/

[22] Williams, K; Patel, K; Stausmire,J; Bridges, C; Mathis, M; Barkin, J. 2018 The Neonatal Intensive Care Unit: Environmental Stressors and Supports, International Journa of Research and Public Health https://www.ncbi.nlm.nih.gov/pmc/articles/PM C5800159/

[23] Zaidi AK, Huskins WC, Thaver D, Bhutta ZA, Abbas Z, Goldmann DA. Hospital- acquired neonatal infections in developing countries. Lancet. 2005;365(9465):1175–1188.

@article{1705665,
      author = {Mary Rose R. Agmata, Zosima C. Garin, Ed.D},
      title = {Challenges and Dilemmas encountered by Nurses in the Neonatal Intensive Care Unit},
      journal = {Iconic Research And Engineering Journals},
      year = {2024},
      volume = {7},
      number = {10},
      pages = {133-144},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1705665.pdf},
      abstract = {This study determined the challenges and dilemmas encountered by NICU nurses. It tackled their age, sex, civil status, highest educational attainment, position, number of years in service, and number of relevant seminars on neonatal care. It tackled the challenges encountered along physical, emotional, socio-economic and spiritual aspect and the dilemmas of the nurses. The study utilized the descriptive research design and utilized a survey questionnaire as the main tool in gathering data. Several statistical tools were used like frequency and percentage, weighted mean, t-test, Scheffe test, and ANOVA (Analysis of Variance). The respondents were young adults, female dominated, Bachelors? degree holder, staff nurses, had been in the service for more than five years, and attended few seminars on neonatal care. Along the area of challenges, the nurses encountered most along socio-economic aspect, followed by physical, spiritual and lowest on emotional aspect. Along dilemmas, the nurses encountered most along on how quick is their actions when signs of complications are observed and they faced a lot of emotional stress during their shift. Significant differences were noted along sex along physical challenge; highest educational attainment along spiritual challenges, years in service along emotional challenge and relevant trainings along emotional and socio-economic. Significant relationships were noted along civil status on emotional aspect; highest educational attainment along socio-economic and spiritual challenges and along emotional, socio-economic challenges and dilemmas. The nurses who have served for more than 5 years have encountered more emotional challenges and dilemmas as compared to the nurses who are below 1 year in the service. Master?s degree holders encountered more spiritual challenges than bachelor?s degree holders and with MA units. Male and female nurses significantly differ in the physical challenges that they encounter in the NICU. The more training the nurses have attended, the more they encountered physical, emotional, socioeconomic challenges and dilemmas. The higher the educational attainment of the nurses, the more they encounter socio-economic, and spiritual challenges. Married nurses encountered more emotional challenges in the NICU.},
      keywords = {Challenges, Dilemmas, Nurses, Neonatal Intensive Care Unit},
      month = {April},
  }