Neonatal Nursing Care Disruptions to the Thermal Environment of Premature Neonates
Review TypeNone: Sigma Grant Recipient Report
Review StatusNot Applicable (See Review Type)
Repository Posting Date2019-06-04T18:18:35Z
Author DetailsLory Lewis, PhD, APRN, NNP-BC
Lead Author Sigma AffliationNon-member
Lead Author AffliationKent State University
Level of EvidenceCross-Sectional
Research ApproachPilot/Exploratory Study
CINAHL HeadingsNursing Care; Neonatal Nursing; Infant, Premature; Heat Loss -- Prevention and Control -- In Infancy and Childhood; Body Temperature Regulation -- In Infancy and Childhood; Heat Loss -- Prevention and Control; Body Temperature Regulation; Heat Loss
Subject Population: The study describes neonatal nurses’ perceptions of frequency, duration, and depth of their care for premature neonates (PN) housed in incubators. This study was the first step in a comprehensive study of care disruptions to the thermal environment (TE) of these vulnerable patients.
Research Design: A cross-sectional survey design was used to address these study aims: 1) describe the frequency, duration, and method of delivery of care and procedures by neonatal nurses that disrupt the TE of PNs; 2) explore differences in frequency, duration, and method of delivery of NICU nursing care procedures that disrupt the TE of PNs according to the nurses’ personal and professional characteristics; and 3) assess the psychometric properties (frequency, duration, etc.) of the instrument used to measure the concept of disruptions to the TE of PNs. Instrument: Nursing Care in the Thermal Environment of Premature Neonates Questionnaire consists of 51 items divided across 6 content domains identified in a previous study via comprehensive literature review and neonatal nurses.
Procedure: Prospective survey data was email for the recruitment procedure. A total of 14,000 National Association of Neonatal Nurses (NANN) and Academy of Neonatal Nurses (ANN) were invited to participate, yielding a sample size of 400 participants.
Results: There was a discrepancy in the respondents ability or accuracy of reporting their actions. These results varied quite significantly from disruption to disruption and question to question, with some appearing to provide quite drastic results. This indicates that additional means are required to provide consistent and accurate descriptions of nursing care provided in the incubator of preterm infants. In person observational studies and the use of more precise monitoring devices that measure these disruptions are needed.
Funder(s)Sigma Theta Tau International
DescriptionAs a new researcher it was an honor having been selected as a recipient of this Small Grant from Sigma Theta Tau International (STTI). Without the support that STTI offered I would not have had the opportunity to experience the role as a research investigator. Additionally, the grant dollars awarded permitted the testing of a new survey tool that may assist in identifying area of nursing care that disrupts the thermal environment of preterm infant. Thank you for all the support STTI gives to all of nursing.
NotesThe Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
Dr. Lewis is a 2016-2017 Sigma Small Grant recipient. The attached file is a report on the topic of that grant.
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