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5. Early-Life Outcomes in Relation to Social Determinants of Health for Children Born Extremely Preterm

Author

Jobe, Alan H., Caplan, Michael S., Polin, Richard A., Laptook, Abbot R., Keszler, Martin, Hensman, Angelita M., Alksninis, Barbara, Bishop, Carmena, Burke, Robert T., Caskey, Melinda, Hoffman, Laurie, Johnson, Katharine, Keszler, Mary Lenore, Knoll, Andrea M., Lamberson, Vita, Leach, Teresa M., Little, Emilee, McGowan, Elisabeth C., Stephens, Bonnie E., Vieira, Elisa, St. Pierre, Lucille, Ventura, Suzy, Watson, Victoria E., Hibbs, Anna Maria, Walsh, Michele C., Wilson-Costello, Deanne E., Newman, Nancy S., Bhola, Monika, Payne, Allison H., Siner, Bonnie S., Yalcinkaya, Gulgun, Truog, William E., Pallotto, Eugenia K., Kilbride, Howard W., Gauldin, Cheri, Holmes, Anne, Johnson, Kathy, Scott, Allison, Parimi, Prabhu S., Gaetano, Lisa, Poindexter, Brenda B., Schibler, Kurt, Kallapur, Suhas G., Donovan, Edward F., Merhar, Stephanie, Grisby, Cathy, Yolton, Kimberly, Alexander, Barbara, Beiersdorfer, Traci, Bridges, Kate, Cahill, Tanya E., Dudley, Juanita, Fischer, Estelle E., Gratton, Teresa L., Hayes, Devan, Hessling, Jody, Jackson, Lenora D., Kirker, Kristin, Mincey, Holly L., Muthig, Greg, Stacey, Sara, Steichen, Jean J., Tepe, Stacey, Thompson, Julia, Wuertz, Sandra, Cotten, C. Michael, Goldberg, Ronald N., Goldstein, Ricki F., Malcolm, William F., Mago-Shah, Deesha, Ashley, Patricia L., Finkle, Joanne, Auten, Kathy J., Fisher, Kimberley A., Grimes, Sandra, Gustafson, Kathryn E., Lohmeyer, Melody B., Laughon, Matthew M., Bose, Carl L., Bernhardt, Janice, Bose, Gennie, Clark, Cindy, Talbert, Jennifer, Warner, Diane, Trembath, Andrea, O'Shea, T. Michael, Wereszczak, Janice, Kicklighter, Stephen D., Rhodes-Ryan, Ginger, White, Donna, Patel, Ravi M., Carlton, David P., Stoll, Barbara J., Hale, Ellen C., Loggins, Yvonne C., Adams-Chapman, Ira, Blackwelder, Ann, Bottcher, Diane I., Carter, Sheena L., Kendrick-Allwood, Salathiel, Laursen, Judith, LaRossa, Maureen Mulligan, Mackie, Colleen, Sanders, Amy, Seabrook, Irma, Smikle, Gloria, Wineski, Lynn C., Higgins, Rosemary D., Bremer, Andrew A., Archer, Stephanie Wilson, Sokol, Gregory M., Dusick, Anna M., Papile, Lu Ann, Gunn, Susan, Hamer, Faithe, Harmon, Heidi M., Herron, Dianne E., Hines, Abbey C., Lytle, Carolyn, Miller, Lucy C., Minnich, Heike M., Richard, Leslie, Smiley, Lucy, Wilson, Leslie Dawn, Tyson, Jon E., Kennedy, Kathleen A., Khan, Amir M., Duncan, Andrea, Mosquera, Ricardo, Stephens, Emily K., McDavid, Georgia E., Alaniz, Nora I., Allain, Elizabeth, Arldt-McAlister, Julie, Burson, Katrina, Dempsey, Allison G., Eason, Elizabeth, Evans, Patricia W., Garcia, Carmen, Green, Charles, Hall, Donna, Harris, Beverly Foley, Jiminez, Margarita, John, Janice, Jones, Patrick M., Lillie, M. Layne, Lis, Anna E., Martin, Karen, Martin, Sara C., Mason, Carrie M., McKee, Shannon, Morris, Brenda H., Rennie, Kimberly, Rodgers, Shawna, Siddiki, Saba Khan, Simmons, Maegan C., Sperry, Daniel, Pierce Tate, Patti L., Wright, Sharon L., Sánchez, Pablo J., Nelin, Leif D., Jadcherla, Sudarshan R., Slaughter, Jonathan L., Yeates, Keith O., Keim, Sarah, Maitre, Nathalie L., Timan, Christopher J., Luzader, Patricia, Clark, Erna, Fortney, Christine A., Gutentag, Julie, Park, Courtney, Shadd, Julie, Sullivan, Margaret, Stein, Melanie, Nelin, Mary Ann, Newton, Julia, Small, Kristi, Burkhardt, Stephanie, Purnell, Jessica, Pietruszewski, Lindsay, Levengood, Katelyn, Batterson, Nancy, Morehead, Pamela, Carey, Helen, Yoseff-Salameh, Lina, Sullivan, Rox Ann, Hague, Cole, Grothause, Jennifer, Fearns, Erin, Fowler, Aubrey, Notestine, Jennifer, Tonneman, Jill, Hay, Krystal, Chao, Michelle, Warnimont, Kyrstin, Marzec, Laura, Miller, Bethany, Beckford, Demi R., Baugher, Hallie, DeSantis, Brittany, Hanlon, Cory, McCool, Jacqueline, Das, Abhik, Gantz, Marie G., Bann, Carla M., Wallace, Dennis, Crawford, Margaret M., Gabrio, Jenna, Leblond, David, Newman, Jamie E., Petrie Huitema, Carolyn M., O'Donnell Auman, Jeanette, Poole, W. Kenneth, Zaterka-Baxter, Kristin M., Van Meurs, Krisa P., Chock, Valerie Y., Stevenson, David K., Adams, Marian M., Ball, M. Bethany, Bentley, Barbara, Bruno, Elizabeth, Davis, Alexis S., Elena DeAnda, Maria, DeBattista, Anne M., Huffman, Lynne C., Ismael, Magdy, Kohn, Jean G., Krueger, Casey, Lowe, Janice, Lucash, Ryan E., Palmquist, Andrew W., Patel, Jessica, Proud, Melinda S., Reichert, Elizabeth N., John, Nicholas H. St., Sivakumar, Dharshi, Taylor, Heather L., Wager, Natalie, Williams, R. Jordan, Weiss, Hali, Frantz, Ivan D., III, Fiascone, John M., MacKinnon, Brenda L., Furey, Anne, Nylen, Ellen, Church, Paige T., Sibley, Cecelia E., Brussa, Ana K., Carlo, Waldemar A., Ambalavanan, Namasivayam, Peralta-Carcelen, Myriam, Nelson, Kathleen G., Bailey, Kirstin J., Biasini, Fred J., Chopko, Stephanie A., Collins, Monica V., Cosby, Shirley S., Johnston, Kristen C., Moses, Mary Beth, Patterson, Cryshelle S., Phillips, Vivien A., Preskitt, Julie, Rector, Richard V., Whitley, Sally, Devaskar, Uday, Garg, Meena, Purdy, Isabell B., Chanlaw, Teresa, Geller, Rachel, Finer, Neil N., Vaucher, Yvonne E., Kaegi, David, Rasmussen, Maynard R., Arnell, Kathy, Demetrio, Clarence, Fuller, Martha G., Rich, Wade, Bell, Edward F., Colaizy, Tarah T., Widness, John A., Brumbaugh, Jane E., Acarregui, Michael J., Johnson, Karen J., Eastman, Diane L., Goeke, Claire A., Schmelzel, Mendi L., Walker, Jacky R., Baack, Michelle L., Hogden, Laurie A., Broadbent, Megan, Elenkiwich, Chelsey, Henning, Megan M., Van Muyden, Sarah, Ellsbury, Dan L., Campbell, Donia B., Tud, Tracy L., Duara, Shahnaz, Bauer, Charles R., Everett-Thomas, Ruth, Fajardo-Hiriart, Sylvia, Rigaud, Arielle, Calejo, Maria, Frade Eguaras, Silvia M., Berkowits, Michelle Harwood, Garcia, Andrea, Pierre, Helina, Stoerger, Alexandra, Watterberg, Kristi L., Fuller, Janell, Ohls, Robin K., Beauman, Sandra Sundquist, Lacy, Conra Backstrom, Duncan, Andrea F., Hanson, Mary, Hartenberger, Carol, Kuan, Elizabeth, Lowe, Jean R., Thomson, Rebecca A., DeMauro, Sara B., Eichenwald, Eric C., Schmidt, Barbara, Kirpalani, Haresh, Chaudhary, Aasma S., Abbasi, Soraya, Mancini, Toni, Catts, Christine, Cook, Noah, Cucinotta, Dara M., Bernbaum, Judy C., Gerdes, Marsha, Ghavam, Sarvin, Hurt, Hallam, Snyder, Jonathan, Vangala, Saritha, Ziolkowski, Kristina, D'Angio, Carl T., Phelps, Dale L., Guillet, Ronnie, Myers, Gary J., Andrews-Hartley, Michelle, Johnson, Julie Babish, Binion, Kyle, Bowman, Melissa, Boylin, Elizabeth, Burnell, Erica, Coleman, Kelly R., Fallone, Cait, Farooq, Osman, Hunn, Julianne, Hust, Diane, Jensen, Rosemary L., Jones, Rachel, Kachelmeyer, Jennifer, Kushner, Emily, Maffett, Deanna, McKee, Kimberly G., Merzbach, Joan, Orme, Constance, Prinzing, Diane, Reubens, Linda J., Rochez, Daisy, Rowan, Mary, Sabaratnam, Premini, Scorsone, Ann Marie, Wadkins, Holly I.M., Yost, Kelley, Zwetsch, Lauren, Lakshminrusimha, Satyan, Reynolds, Anne Marie, Sacilowski, Michael G., Guilford, Stephanie, Li, Emily, Williams, Ashley, Zorn, William A., Wyckoff, Myra H., Brion, Luc P., Salhab, Walid A., Rosenfeld, Charles R., Heyne, Roy J., Vasil, Diana M., Adams, Sally S., Chen, Lijun, De Leon, Maria M., Eubanks, Francis, Guzman, Alicia, Hensley, Gaynelle, Heyne, Elizabeth T., Lee, Lizette E., Leps, Melissa H., Madden, Linda A., McDougald, E. Rebecca, Miller, Nancy A., Morgan, Janet S., Pavageau, Lara, Sepulveda, Pollieanna, Tolentino-Plata, Kristine, Boatman, Cathy Twell, Vera, Azucena, Waterbury, Jillian, Yoder, Bradley A., Baserga, Mariana, Faix, Roger G., Winter, Sarah, Minton, Stephen D., Sheffield, Mark J., Rau, Carrie A., Baker, Shawna, Bird, Karie, Burnett, Jill, Christensen, Susan, Cole-Bledsoe, Laura, Davis, Brandy, Elmont, Jennifer O., Jensen, Jennifer J., Loertscher, Manndi C., Jordan, Jamie, Marchant, Trisha, Maxson, Earl, McGrath, Kandace M., Osborne, Karen A., Parry, D. Melody, Reich, Brixen A., Schaefer, Susan T., Spencer, Cynthia, Steffen, Michael, Tice, Katherine, Weaver-Lewis, Kimberlee, Woodbury, Kathryn D., Zanetti, Karen, Dillard, Robert G., Washburn, Lisa K., Jackson, Barbara G., Peters, Nancy, Chiu, Korinne, Allred, Deborah Evans, Goldstein, Donald J., Halfond, Raquel, Peterson, Carroll, Waldrep, Ellen L., Welch, Cherrie D., Morris, Melissa Whalen, Hounshell, Gail Wiley, Shankaran, Seetha, Sood, Beena G., Natarajan, Girija, Pappas, Athina, Abramczyk, Katherine, Agarwal, Prashant, Bajaj, Monika, Bara, Rebecca, Billian, Elizabeth, Chawla, Sanjay, Childs, Kirsten, De Jesus, Lilia C., Driscoll, Debra, February, Melissa, Goldston, Laura A., Johnson, Mary E., Muran, Geraldine, Panaitescu, Bogdan, Prentiss, Jeannette E., White, Diane, Woldt, Eunice, Barks, John, Wiggins, Stephanie A., Christensen, Mary K., Carlson, Martha D., Ehrenkranz, Richard A., Jacobs, Harris, Butler, Christine G., Cervone, Patricia, Greisman, Sheila, Konstantino, Monica, Poulsen, JoAnn, Taft, Janet, Williams, Joanne, Romano, Elaine, Vohr, Betty R., Travers, Colm P., and Hintz, Susan R.

Published
2023
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8. Parent Perspectives on Communication Quality in the Neonatal Intensive Care Unit.

Author

Guttmann, Katherine F., Raviv, Gabriella N., Fortney, Christine A., Ramirez, Mildred, and Smith, Cardinale B.

Subjects
PATIENTS' families, MEDICAL personnel, QUALITATIVE research, NEONATAL intensive care units, INTERVIEWING, NEONATAL intensive care, PARENT attitudes, JUDGMENT sampling, PSYCHOLOGICAL adaptation, UNCERTAINTY, HOSPITAL care of newborn infants, THEMATIC analysis, COMMUNICATION, RESEARCH methodology, PSYCHOLOGY of parents, NEEDS assessment
Abstract

Background: Though prior literature has demonstrated that communication in the Neonatal Intensive Care Unit (NICU) needs to be improved, in-depth descriptions of parents' views of NICU communication are lacking. Purpose: We sought (1) to explore parent perceptions of communication in the NICU and (2) to understand parents' communication needs and preferences. Methods: We conducted in-depth semi-structured cognitive interviews utilizing concurrent probes with parents of 10 patients in our urban level IV Neonatal Intensive Care Unit over a period of 4 months (July 2021-October 2021). Interview questions were derived from the Quality of Communication scale. We conducted thematic analysis of interview transcripts modeled after work by Braun and Clarke. Results: Four overarching themes were identified: Strengths, Challenges, People, and Coping Strategies. Parents reported a range of communication quality in the NICU. Results revealed that the first 48 hours of NICU hospitalization represent a period of vulnerability and uncertainty for parents. Parents value clear yet hopeful communication about a baby's clinical status and expected course. Implications for Practice and Research: We hope that the concrete findings from this study can both inform practice in the NICU now and influence practice guidelines to include such components as emphasis on the first 48 hours, desire for proactive information sharing, and the importance of including hope. [ABSTRACT FROM AUTHOR]

Published
2024
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9. Gut Microbiota and Symptom Expression and Severity in Neonatal Abstinence Syndrome.

Author

Sealschott, Stephanie, Pickler, Rita, Fortney, Christine, Bailey, Michael, and Loman, Brett

Subjects
CROSS-sectional method, REPEATED measures design, NEONATAL abstinence syndrome, RESEARCH funding, T-test (Statistics), GUT microbiome, SCIENTIFIC observation, STATISTICAL sampling, SEVERITY of illness index, DESCRIPTIVE statistics, LONGITUDINAL method, RESEARCH methodology, DATA analysis software, CONFIDENCE intervals, SYMPTOMS
Abstract

Problem: Neonatal abstinence syndrome (NAS) affecting neonates with fetal exposure to opioids, is defined by expression and severity of symptoms. The pathophysiology behind symptoms variability is lacking. The study aims were to examine (a) differences in gut microbiota of neonates with and without NAS, (b) the relationships between gut microbiota and symptom expression and NAS severity, and (c) the changes in the neonate gut microbiota diversity during the course of NAS treatment. Methods: A cross-sectional observational design was used to examine differences in microbiota and a longitudinal, repeated measures approach was used to determine relationships between gut microbiota and NAS symptoms. Symptom data were collected using the Finnegan Neonatal Abstinence Scoring Tool and the Neonatal Pain Agitation and Sedation Scale. Stool samples were collected for microbiome analyses with 16S rRNA microbiome sequencing. Results: Differences in alpha and beta diversity between neonates with and without NAS were seen. Relative abundance results revealed 18 taxa were different in neonates with NAS compared to neonates without NAS. No differences were found in alpha or beta diversity in neonates with NAS between enrollment and hospital discharge. There was increased abundance of Escherichia-Shigella and Bacteriodes genera related to higher symptom scores. Discussion: Differences in alpha and beta diversity between neonates with and without NAS may be due to differences in birth mode and type of feeding. The findings of specific increased bacteria related to increased symptoms in the neonates with NAS may also be influenced by birth mode and type of feeding. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Using the life course health development model to address pediatric mental health disparities

Author

Smith, Laureen H., primary, Nist, Marliese D., additional, Fortney, Christine A., additional, Warren, Barbara, additional, Harrison, Tondi, additional, Gillespie, Shannon, additional, Herbell, Kayla, additional, Militello, Lisa, additional, Anderson, Cindy M., additional, Tucker, Sharon, additional, Ford, Jodi, additional, Chang, Mei‐Wei, additional, Sayre, Christine, additional, and Pickler, Rita, additional

Published
2024
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13. NANN Membership Recommendations

Author

Vance, Ashlee J., primary, Farmer, Meredith L., additional, D'Agata, Amy, additional, Moore, Tiffany, additional, Esser, Media, additional, and Fortney, Christine A., additional

Published
2023
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19. Chinese Neonatal Nurses' Lived Experiences of Providing End-of-Life Care in the NICU: A Descriptive Phenomenological Study.

Author

Tong-Hui, Suo, Qi, Lu, Xiao-Li, Rui, Guo-Qin, Yang, Li-Ping, Wang, Lin, Wang, and Fortney, Christine A.

Subjects
NEONATAL intensive care, TERMINAL care, RESEARCH methodology, NEONATAL nursing, INTERVIEWING, CRITICAL care nurses, EXPERIENCE, PHENOMENOLOGY, QUALITATIVE research, QUESTIONNAIRES, THEMATIC analysis, JUDGMENT sampling
Abstract

Background: Although end-of-life care (EOLC) has been well-studied, the experience of neonatal intensive care unit (NICU) nurses in China, where little EOLC training is provided, requires further investigation. Purpose: To explore the lived experience of EOLC delivery among NICU nurses, to provide evidence to enhance nurses' EOLC skills and improve their overall quality. Methods: This qualitative study adopted a phenomenological approach. A total of 11 NICU nurses participated in semistructured in-depth interviews between June and July 2022 at the First Affiliated Hospital of University of Science and Technology of China (USTC). Colaizzi's 7-step method was used to analyze the data. Results: Five main themes were identified: (a) multiple emotions are experienced during EOLC delivery; (b) EOLC delivery is stressful from various sources for nurses; (c) expressing empathy and compassion is important; (d) ethical and clinical decision-making are key components of EOLC delivery; and (e) there are challenges in improving neonatal EOLC understanding and delivery. Implications for Practice and Research: The experience of EOLC among Chinese NICU nurses is multidimensional and intensive. Institutions or units must establish and implement related protocols and guidelines to address differences between clinical practice and ideal protocols for neonatal EOLC. Educational programs that consider nurses' personal and interpersonal factors, including local culture, must be developed. Neonatal nurses in Western countries encountering Chinese-born parents who have lost their infants can gain an understanding of parents' perceptions from this study. Future research should focus on developing and testing interventions to train and support NICU nurses working with end-of-life neonates. [ABSTRACT FROM AUTHOR]

Published
2023
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20. Color Does Matter: Nursing Assessment of Varying Skin Tones/Pigmentation.

Author

Carter, Brigit M., Newberry, Desi, Leonard, Christina, and Fortney, Christine A.

Subjects
MELANINS, BLACK people, CONTINUING education units, NURSING education, HUMAN skin color, NURSING assessment
Abstract

Background: The observation of color is an integral part of the nursing assessment. However, the current understanding of individual skin qualities and pigmentation has not yet been integrated thoroughly into foundational assessment courses, clinical education, simulation, and textbooks. Evidence Acquisition: Literature is scarce regarding racial groups, skin color, and physical assessment for patients across the lifespan, but even more so for the neonatal population. Historically, many nursing textbooks did not provide visual pictures or observational assessment strategies for the assessment of the Black, Indigenous, and people of color (BIPOC) population. This is improving in some nursing textbooks; however, the descriptors of and visual differences and anticipated assessment findings for the BIPOC population are not comprehensive. Results: Evidence-based assessment findings, which may occur in newborns with varying skin tones/pigmentations, are presented. Implications for Practice and Research: The most essential step to having an accurate assessment is acknowledging the importance of color awareness. Color blindness, while thought to support inclusivity, only contributes to exclusion of one of the most important components of a person's being—their color. [ABSTRACT FROM AUTHOR]

Published
2023
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21. Early-Life Outcomes in Relation to Social Determinants of Health for Children Born Extremely Preterm

Author

Brumbaugh, Jane E., primary, Vohr, Betty R., additional, Bell, Edward F., additional, Bann, Carla M., additional, Travers, Colm P., additional, McGowan, Elisabeth C., additional, Harmon, Heidi M., additional, Carlo, Waldemar A., additional, Duncan, Andrea F., additional, Hintz, Susan R., additional, Jobe, Alan H., additional, Caplan, Michael S., additional, Polin, Richard A., additional, Laptook, Abbot R., additional, Keszler, Martin, additional, Hensman, Angelita M., additional, Alksninis, Barbara, additional, Bishop, Carmena, additional, Burke, Robert T., additional, Caskey, Melinda, additional, Hoffman, Laurie, additional, Johnson, Katharine, additional, Keszler, Mary Lenore, additional, Knoll, Andrea M., additional, Lamberson, Vita, additional, Leach, Teresa M., additional, Little, Emilee, additional, Stephens, Bonnie E., additional, Vieira, Elisa, additional, St. Pierre, Lucille, additional, Ventura, Suzy, additional, Watson, Victoria E., additional, Hibbs, Anna Maria, additional, Walsh, Michele C., additional, Wilson-Costello, Deanne E., additional, Newman, Nancy S., additional, Bhola, Monika, additional, Payne, Allison H., additional, Siner, Bonnie S., additional, Yalcinkaya, Gulgun, additional, Truog, William E., additional, Pallotto, Eugenia K., additional, Kilbride, Howard W., additional, Gauldin, Cheri, additional, Holmes, Anne, additional, Johnson, Kathy, additional, Scott, Allison, additional, Parimi, Prabhu S., additional, Gaetano, Lisa, additional, Poindexter, Brenda B., additional, Schibler, Kurt, additional, Kallapur, Suhas G., additional, Donovan, Edward F., additional, Merhar, Stephanie, additional, Grisby, Cathy, additional, Yolton, Kimberly, additional, Alexander, Barbara, additional, Beiersdorfer, Traci, additional, Bridges, Kate, additional, Cahill, Tanya E., additional, Dudley, Juanita, additional, Fischer, Estelle E., additional, Gratton, Teresa L., additional, Hayes, Devan, additional, Hessling, Jody, additional, Jackson, Lenora D., additional, Kirker, Kristin, additional, Mincey, Holly L., additional, Muthig, Greg, additional, Stacey, Sara, additional, Steichen, Jean J., additional, Tepe, Stacey, additional, Thompson, Julia, additional, Wuertz, Sandra, additional, Cotten, C. Michael, additional, Goldberg, Ronald N., additional, Goldstein, Ricki F., additional, Malcolm, William F., additional, Mago-Shah, Deesha, additional, Ashley, Patricia L., additional, Finkle, Joanne, additional, Auten, Kathy J., additional, Fisher, Kimberley A., additional, Grimes, Sandra, additional, Gustafson, Kathryn E., additional, Lohmeyer, Melody B., additional, Laughon, Matthew M., additional, Bose, Carl L., additional, Bernhardt, Janice, additional, Bose, Gennie, additional, Clark, Cindy, additional, Talbert, Jennifer, additional, Warner, Diane, additional, Trembath, Andrea, additional, O'Shea, T. Michael, additional, Wereszczak, Janice, additional, Kicklighter, Stephen D., additional, Rhodes-Ryan, Ginger, additional, White, Donna, additional, Patel, Ravi M., additional, Carlton, David P., additional, Stoll, Barbara J., additional, Hale, Ellen C., additional, Loggins, Yvonne C., additional, Adams-Chapman, Ira, additional, Blackwelder, Ann, additional, Bottcher, Diane I., additional, Carter, Sheena L., additional, Kendrick-Allwood, Salathiel, additional, Laursen, Judith, additional, LaRossa, Maureen Mulligan, additional, Mackie, Colleen, additional, Sanders, Amy, additional, Seabrook, Irma, additional, Smikle, Gloria, additional, Wineski, Lynn C., additional, Higgins, Rosemary D., additional, Bremer, Andrew A., additional, Archer, Stephanie Wilson, additional, Sokol, Gregory M., additional, Dusick, Anna M., additional, Papile, Lu Ann, additional, Gunn, Susan, additional, Hamer, Faithe, additional, Herron, Dianne E., additional, Hines, Abbey C., additional, Lytle, Carolyn, additional, Miller, Lucy C., additional, Minnich, Heike M., additional, Richard, Leslie, additional, Smiley, Lucy, additional, Wilson, Leslie Dawn, additional, Tyson, Jon E., additional, Kennedy, Kathleen A., additional, Khan, Amir M., additional, Duncan, Andrea, additional, Mosquera, Ricardo, additional, Stephens, Emily K., additional, McDavid, Georgia E., additional, Alaniz, Nora I., additional, Allain, Elizabeth, additional, Arldt-McAlister, Julie, additional, Burson, Katrina, additional, Dempsey, Allison G., additional, Eason, Elizabeth, additional, Evans, Patricia W., additional, Garcia, Carmen, additional, Green, Charles, additional, Hall, Donna, additional, Harris, Beverly Foley, additional, Jiminez, Margarita, additional, John, Janice, additional, Jones, Patrick M., additional, Lillie, M. Layne, additional, Lis, Anna E., additional, Martin, Karen, additional, Martin, Sara C., additional, Mason, Carrie M., additional, McKee, Shannon, additional, Morris, Brenda H., additional, Rennie, Kimberly, additional, Rodgers, Shawna, additional, Siddiki, Saba Khan, additional, Simmons, Maegan C., additional, Sperry, Daniel, additional, Pierce Tate, Patti L., additional, Wright, Sharon L., additional, Sánchez, Pablo J., additional, Nelin, Leif D., additional, Jadcherla, Sudarshan R., additional, Slaughter, Jonathan L., additional, Yeates, Keith O., additional, Keim, Sarah, additional, Maitre, Nathalie L., additional, Timan, Christopher J., additional, Luzader, Patricia, additional, Clark, Erna, additional, Fortney, Christine A., additional, Gutentag, Julie, additional, Park, Courtney, additional, Shadd, Julie, additional, Sullivan, Margaret, additional, Stein, Melanie, additional, Nelin, Mary Ann, additional, Newton, Julia, additional, Small, Kristi, additional, Burkhardt, Stephanie, additional, Purnell, Jessica, additional, Pietruszewski, Lindsay, additional, Levengood, Katelyn, additional, Batterson, Nancy, additional, Morehead, Pamela, additional, Carey, Helen, additional, Yoseff-Salameh, Lina, additional, Sullivan, Rox Ann, additional, Hague, Cole, additional, Grothause, Jennifer, additional, Fearns, Erin, additional, Fowler, Aubrey, additional, Notestine, Jennifer, additional, Tonneman, Jill, additional, Hay, Krystal, additional, Chao, Michelle, additional, Warnimont, Kyrstin, additional, Marzec, Laura, additional, Miller, Bethany, additional, Beckford, Demi R., additional, Baugher, Hallie, additional, DeSantis, Brittany, additional, Hanlon, Cory, additional, McCool, Jacqueline, additional, Das, Abhik, additional, Gantz, Marie G., additional, Wallace, Dennis, additional, Crawford, Margaret M., additional, Gabrio, Jenna, additional, Leblond, David, additional, Newman, Jamie E., additional, Petrie Huitema, Carolyn M., additional, O'Donnell Auman, Jeanette, additional, Poole, W. Kenneth, additional, Zaterka-Baxter, Kristin M., additional, Van Meurs, Krisa P., additional, Chock, Valerie Y., additional, Stevenson, David K., additional, Adams, Marian M., additional, Ball, M. Bethany, additional, Bentley, Barbara, additional, Bruno, Elizabeth, additional, Davis, Alexis S., additional, Elena DeAnda, Maria, additional, DeBattista, Anne M., additional, Huffman, Lynne C., additional, Ismael, Magdy, additional, Kohn, Jean G., additional, Krueger, Casey, additional, Lowe, Janice, additional, Lucash, Ryan E., additional, Palmquist, Andrew W., additional, Patel, Jessica, additional, Proud, Melinda S., additional, Reichert, Elizabeth N., additional, John, Nicholas H. St., additional, Sivakumar, Dharshi, additional, Taylor, Heather L., additional, Wager, Natalie, additional, Williams, R. Jordan, additional, Weiss, Hali, additional, Frantz, Ivan D., additional, Fiascone, John M., additional, MacKinnon, Brenda L., additional, Furey, Anne, additional, Nylen, Ellen, additional, Church, Paige T., additional, Sibley, Cecelia E., additional, Brussa, Ana K., additional, Ambalavanan, Namasivayam, additional, Peralta-Carcelen, Myriam, additional, Nelson, Kathleen G., additional, Bailey, Kirstin J., additional, Biasini, Fred J., additional, Chopko, Stephanie A., additional, Collins, Monica V., additional, Cosby, Shirley S., additional, Johnston, Kristen C., additional, Moses, Mary Beth, additional, Patterson, Cryshelle S., additional, Phillips, Vivien A., additional, Preskitt, Julie, additional, Rector, Richard V., additional, Whitley, Sally, additional, Devaskar, Uday, additional, Garg, Meena, additional, Purdy, Isabell B., additional, Chanlaw, Teresa, additional, Geller, Rachel, additional, Finer, Neil N., additional, Vaucher, Yvonne E., additional, Kaegi, David, additional, Rasmussen, Maynard R., additional, Arnell, Kathy, additional, Demetrio, Clarence, additional, Fuller, Martha G., additional, Rich, Wade, additional, Colaizy, Tarah T., additional, Widness, John A., additional, Brumbaugh, Jane E., additional, Acarregui, Michael J., additional, Johnson, Karen J., additional, Eastman, Diane L., additional, Goeke, Claire A., additional, Schmelzel, Mendi L., additional, Walker, Jacky R., additional, Baack, Michelle L., additional, Hogden, Laurie A., additional, Broadbent, Megan, additional, Elenkiwich, Chelsey, additional, Henning, Megan M., additional, Van Muyden, Sarah, additional, Ellsbury, Dan L., additional, Campbell, Donia B., additional, Tud, Tracy L., additional, Duara, Shahnaz, additional, Bauer, Charles R., additional, Everett-Thomas, Ruth, additional, Fajardo-Hiriart, Sylvia, additional, Rigaud, Arielle, additional, Calejo, Maria, additional, Frade Eguaras, Silvia M., additional, Berkowits, Michelle Harwood, additional, Garcia, Andrea, additional, Pierre, Helina, additional, Stoerger, Alexandra, additional, Watterberg, Kristi L., additional, Fuller, Janell, additional, Ohls, Robin K., additional, Beauman, Sandra Sundquist, additional, Lacy, Conra Backstrom, additional, Hanson, Mary, additional, Hartenberger, Carol, additional, Kuan, Elizabeth, additional, Lowe, Jean R., additional, Thomson, Rebecca A., additional, DeMauro, Sara B., additional, Eichenwald, Eric C., additional, Schmidt, Barbara, additional, Kirpalani, Haresh, additional, Chaudhary, Aasma S., additional, Abbasi, Soraya, additional, Mancini, Toni, additional, Catts, Christine, additional, Cook, Noah, additional, Cucinotta, Dara M., additional, Bernbaum, Judy C., additional, Gerdes, Marsha, additional, Ghavam, Sarvin, additional, Hurt, Hallam, additional, Snyder, Jonathan, additional, Vangala, Saritha, additional, Ziolkowski, Kristina, additional, D'Angio, Carl T., additional, Phelps, Dale L., additional, Guillet, Ronnie, additional, Myers, Gary J., additional, Andrews-Hartley, Michelle, additional, Johnson, Julie Babish, additional, Binion, Kyle, additional, Bowman, Melissa, additional, Boylin, Elizabeth, additional, Burnell, Erica, additional, Coleman, Kelly R., additional, Fallone, Cait, additional, Farooq, Osman, additional, Hunn, Julianne, additional, Hust, Diane, additional, Jensen, Rosemary L., additional, Jones, Rachel, additional, Kachelmeyer, Jennifer, additional, Kushner, Emily, additional, Maffett, Deanna, additional, McKee, Kimberly G., additional, Merzbach, Joan, additional, Orme, Constance, additional, Prinzing, Diane, additional, Reubens, Linda J., additional, Rochez, Daisy, additional, Rowan, Mary, additional, Sabaratnam, Premini, additional, Scorsone, Ann Marie, additional, Wadkins, Holly I.M., additional, Yost, Kelley, additional, Zwetsch, Lauren, additional, Lakshminrusimha, Satyan, additional, Reynolds, Anne Marie, additional, Sacilowski, Michael G., additional, Guilford, Stephanie, additional, Li, Emily, additional, Williams, Ashley, additional, Zorn, William A., additional, Wyckoff, Myra H., additional, Brion, Luc P., additional, Salhab, Walid A., additional, Rosenfeld, Charles R., additional, Heyne, Roy J., additional, Vasil, Diana M., additional, Adams, Sally S., additional, Chen, Lijun, additional, De Leon, Maria M., additional, Eubanks, Francis, additional, Guzman, Alicia, additional, Hensley, Gaynelle, additional, Heyne, Elizabeth T., additional, Lee, Lizette E., additional, Leps, Melissa H., additional, Madden, Linda A., additional, McDougald, E. Rebecca, additional, Miller, Nancy A., additional, Morgan, Janet S., additional, Pavageau, Lara, additional, Sepulveda, Pollieanna, additional, Tolentino-Plata, Kristine, additional, Boatman, Cathy Twell, additional, Vera, Azucena, additional, Waterbury, Jillian, additional, Yoder, Bradley A., additional, Baserga, Mariana, additional, Faix, Roger G., additional, Winter, Sarah, additional, Minton, Stephen D., additional, Sheffield, Mark J., additional, Rau, Carrie A., additional, Baker, Shawna, additional, Bird, Karie, additional, Burnett, Jill, additional, Christensen, Susan, additional, Cole-Bledsoe, Laura, additional, Davis, Brandy, additional, Elmont, Jennifer O., additional, Jensen, Jennifer J., additional, Loertscher, Manndi C., additional, Jordan, Jamie, additional, Marchant, Trisha, additional, Maxson, Earl, additional, McGrath, Kandace M., additional, Osborne, Karen A., additional, Parry, D. Melody, additional, Reich, Brixen A., additional, Schaefer, Susan T., additional, Spencer, Cynthia, additional, Steffen, Michael, additional, Tice, Katherine, additional, Weaver-Lewis, Kimberlee, additional, Woodbury, Kathryn D., additional, Zanetti, Karen, additional, Dillard, Robert G., additional, Washburn, Lisa K., additional, Jackson, Barbara G., additional, Peters, Nancy, additional, Chiu, Korinne, additional, Allred, Deborah Evans, additional, Goldstein, Donald J., additional, Halfond, Raquel, additional, Peterson, Carroll, additional, Waldrep, Ellen L., additional, Welch, Cherrie D., additional, Morris, Melissa Whalen, additional, Hounshell, Gail Wiley, additional, Shankaran, Seetha, additional, Sood, Beena G., additional, Natarajan, Girija, additional, Pappas, Athina, additional, Abramczyk, Katherine, additional, Agarwal, Prashant, additional, Bajaj, Monika, additional, Bara, Rebecca, additional, Billian, Elizabeth, additional, Chawla, Sanjay, additional, Childs, Kirsten, additional, De Jesus, Lilia C., additional, Driscoll, Debra, additional, February, Melissa, additional, Goldston, Laura A., additional, Johnson, Mary E., additional, Muran, Geraldine, additional, Panaitescu, Bogdan, additional, Prentiss, Jeannette E., additional, White, Diane, additional, Woldt, Eunice, additional, Barks, John, additional, Wiggins, Stephanie A., additional, Christensen, Mary K., additional, Carlson, Martha D., additional, Ehrenkranz, Richard A., additional, Jacobs, Harris, additional, Butler, Christine G., additional, Cervone, Patricia, additional, Greisman, Sheila, additional, Konstantino, Monica, additional, Poulsen, JoAnn, additional, Taft, Janet, additional, Williams, Joanne, additional, and Romano, Elaine, additional

Published
2023
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24. Preliminary Validation of the Psychosocial Assessment Tool in the Neonatal Intensive Care Unit.

Author

Baughcum, Amy E, Clark, Olivia E, Lassen, Stephen, Fortney, Christine A, Rausch, Joseph A, Dunnells, Zackery D O, Geller, Pamela A, Olsavsky, Anna, Patterson, Chavis A, and Gerhardt, Cynthia A

Subjects
NEONATAL intensive care units, MOTHER-infant relationship, PREMATURE infants, INTENSIVE care units, CHILDREN'S hospitals, STATISTICAL reliability
Abstract

Objective Research suggests families whose infants are admitted to the Neonatal Intensive Care Unit (NICU) experience elevated distress and may have pre-existing risk factors for maladjustment. This study sought to validate the newly developed Psychosocial Assessment Tool (PAT-NICU/Cardiac Intensive Care Unit [CICU]), a comprehensive screening measure for family psychosocial risk in the NICU. Methods The sample included 171 mothers, who completed the PAT-NICU/CICU and other related measures within 2 weeks of their infant's NICU admission at a level 4 unit within a large pediatric hospital. PAT-NICU/CICU scores were compared to a companion risk survey completed by NICU social workers. Test–retest reliability was assessed through repeated measures at 2-month follow-up. Results Analyses suggest the PAT-NICU/CICU is effective in classifying psychosocial risk. This is supported by statistically significant correlations between the PAT-NICU/CICU and validated measures, in addition to elevated scores on concurrent measures by risk classification. Internal consistency, test–retest reliability, and acceptability for the PAT-NICU/CICU were satisfactory. Conclusions This preliminary study demonstrates the validity, reliability, and acceptability of the PAT-NICU/CICU as a psychosocial screening tool to aid identification of families who may benefit from supportive services during NICU admission. This new measure is a more comprehensive tool that assesses a wide variety of risk factors and stress responses. However, future studies of this measure are needed with more diverse samples. Prompt screening of NICU parents may facilitate earlier linkage with appropriate levels of resources or intervention. This research is crucial in improving risk assessment and psychosocial care for families in the NICU. [ABSTRACT FROM AUTHOR]

Published
2023
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28. Early Career Breakout Session: "Balancing Our Many Roles: Clinician, Educator, Researcher, Caregiver, and More" (CAR401).

Author

Kavalierator, Dio, Fortney, Christine, and Rolbiecki, Abigail

Subjects
*CAREGIVERS, *RESEARCH personnel, *VOCATIONAL guidance, *EDUCATORS, *FAMILY roles
Abstract

1. Identify strategies to balance research responsibilities alongside other clinical, administrative, education and family roles. 2. Highlight practical insights on time management, goal-setting, and boundary-setting to prevent burnout while managing multiple responsibilities. In this early career breakout session, three investigators will share their multi-disciplinary perspectives about building and sustaining a program of research in the context of other roles as clinician, educator, caregiver and many others. During this moderated session, the panelists will highlight potential strategies and considerations for finding balance and success while navigating these different roles, including cultivating a supportive network, honing time-management skills, the art of saying "no" (or a stipulated "yes"), and identifying and prioritizing what matters. The panelists will share personal anecdotes and lessons learned from their own experiences, offering invaluable insights into how to navigate the challenges of juggling multiple responsibilities. From carving out dedicated research time amidst clinical duties to leveraging teaching opportunities to enhance research skills, attendees can expect a brief exploration of how to integrate different roles synergistically and a candid exploration of the challenges and opportunities in forging a career in research. [ABSTRACT FROM AUTHOR]

Published
2024
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30. Systematic review of family engagement interventions in neonatal, paediatric, and adult ICUs.

Author

McAndrew, Natalie S., Jerofke‐Owen, Teresa, Fortney, Christine A., Costa, Deena K., Hetland, Breanna, Guttormson, Jill, and Harding, Eric

Subjects
FAMILIES & psychology, FAMILY psychotherapy, INTENSIVE care units, PSYCHOLOGY information storage & retrieval systems, CINAHL database, WELL-being, PARENT attitudes, PATIENT participation, NEONATAL intensive care, CONFIDENCE, SYSTEMATIC reviews, PEDIATRICS, NEONATAL intensive care units, FAMILY-centered care, FAMILY roles, CRITICAL care medicine, MENTAL depression, MEDLINE, ANXIETY, PSYCHOLOGICAL stress
Abstract

Aims and objectives: The purpose of this systematic review was to evaluate interventions that have been used to engage families in direct care activities (active family engagement) in adult, paediatric, and neonatal intensive care unit (ICU) settings. Background: Family engagement is universally advocated across ICU populations and practice settings; however, appraisal of the active family engagement intervention literature remains limited. Search strategy: Ovid Medline, PsycArticles & PsycInfo, Scopus, and CINAHL were searched for family interventions that involved direct care of the patient to enhance the psychological, physical, or emotional well‐being of the patient or family in neonatal, paediatric, or adult ICUs. Inclusion/exclusion criteria: Studies were included if an active family engagement intervention was evaluated. Studies were excluded if they were not published in English or reported non‐interventional research. Results: A total of 6210 abstracts were screened and 19 studies were included. Most studies were of low to moderate quality and were conducted in neonatal ICUs within the United States. Intervention dosage and frequency varied widely across studies. The interventions focused on developmental care (neonatal ICU) and involved families in basic patient care. Family member outcomes measured included satisfaction, stress, family‐centred care, confidence, anxiety, and depression. Most studies found improvements in one or more outcomes. Conclusions: There is a paucity of literature about active family engagement interventions, especially in adult and paediatric populations. The optimal dosage and frequency of family engagement interventions remains unknown. Our systematic review found that data are limited on the relationship between family engagement and patient outcomes, and provides a timely appraisal to guide future research. Relevance to Clinical Practice: Further research on the efficacy of family engagement interventions is warranted. The translation of active family engagement interventions into clinical practice should also be supported. [ABSTRACT FROM AUTHOR]

Published
2022
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31. Predictive Ability of an Illness Severity Measure: Implications for Nursing Research.

Author

Lindley, Lisa C., Fortney, Christine A., and Cozad, Melanie J.

Subjects
RESEARCH methodology evaluation, RESEARCH methodology, SEVERITY of illness index, NURSING research
Abstract

Background and Purpose: Illness severity among children with life-limiting illnesses is measured with the pediatric complex chronic conditions (CCC) measure. Developed in 2000/2001, it was revised in 2014 to include infant-specific categories. Methods: Discrimination, calibration, accuracy, and validation tests were used to examine the predictive performance of the measures. Results: Among the 10,175 infants in the analysis, both measures poorly discriminated—palliative care consultation (C-statistics 0.6396 vs. C-statistics 0.5905) and any inpatient procedure (C-statistics 0.6101 vs. C-statistics 0.5160). The Hosmer–Lemeshow goodness-of-fit tests revealed good calibration for both measures. The original measure was more accurate in predicting end-of-life outcomes—palliative care consultation (Brier Score 0.3892 vs. 0.7787) and any inpatient procedures (Brier Score 0.3115 vs. 0.4738). Conclusions: The revised measure did not perform any better than the original in predicting end-of-life outcomes among infants. [ABSTRACT FROM AUTHOR]

Published
2021
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32. Effect of Routine Nurse Caregiving on the Stress Responses and Behavior State in Preterm Infants: A Systematic Review.

Author

Cistone N, Pickler RH, Fortney CA, and Nist MD

Abstract

Background: Although routine nurse caregiving is vital for the overall health of preterm infants, variations in approaches may exert distinct effects on preterm infants' stress responses and behavior state., Purpose: The purpose of this systematic review was to examine routine nurse caregiving in the neonatal intensive care unit and its effect on stress responses and behavior state in preterm infants., Data Sources: A systematic search was conducted using PubMed, Embase, and CINAHL for studies published between 2013 and 2023., Study Selection: Included studies enrolled preterm infants born <37 weeks gestational age and investigated nurse caregiving practices and effects on stress responses and/or behavior state., Data Extraction: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, data about study design, methods, findings, and limitations were extracted and summarized. Included studies were evaluated for bias using the National Health, Lung, and Blood Institute quality assessment tools., Results: All 13 studies included in the review received a fair quality rating. Nurse caregiving activities, including suctioning, diaper changes, bathing, and weighing, were associated with increases in heart and respiratory rates, blood pressure, energy expenditure, and motor responses, lower oxygen saturations, and fewer sleep states., Implications for Practice and Research: Adapting nurse caregiving frequency and duration, aligning caregiving with infant state, and integrating developmental care strategies may reduce infant stress responses and support behavioral rest. Further research is needed to understand how caregiving activities affect stress responses and behavior state in preterm infants, aiding in identifying modifiable caregiving stressors to promote optimal development., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 by The National Association of Neonatal Nurses.)

Published
2024
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33. Improving Self-Reported Person-centered Care Competency in Nursing Students: A Pilot Study Using Interactive Case Studies.

Author

Zadvinskis IM, Hoying J, Martini K, Taylor T, Czaja R, Terry AE, and Fortney CA

Abstract

Background: To prepare nursing students to deliver high-quality care, educators need strategies to foster person-centered care (PCC)., Purpose: This pilot study evaluated an intervention with interactive case studies on undergraduate nursing students' PCC competency., Methods: We conducted a pilot study with sophomore undergraduate nursing students (n = 39) from a Midwestern US university. We developed a 90-minute class seminar with interactive case studies highlighting how patient preferences, values, and circumstances could influence fall risk. We assessed PCC using the Patient-Centered Care Competency Scale., Results: Although there was no statistically significant change in overall PCC competency before and after the intervention, we noted a small to medium effect size on PCC competency per Cohen's d standards (d = 0.35). Content analysis of students' open-ended responses reflected PCC and clustered into 5 themes., Conclusions: Findings suggest that educators may use interactive case studies to foster nursing student PCC competency., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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