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http://dx.doi.org/10.4094/chnr.2017.23.4.494

Analysis of Nurses' Soothing Behaviors in Neonatal Intensive Care Unit: Focused on Babies with Bronchopulmonary Dysplasia  

Lee, Yu-Nah (College of Nursing, Chodang University)
Shin, Hyunsook (College of Nursing Science, Kyung Hee University)
Publication Information
Child Health Nursing Research / v.23, no.4, 2017 , pp. 494-504 More about this Journal
Abstract
Purpose: The aim of this study was to analyze Neonatal Intensive Care Unit nurses' behaviors while soothing newborns with bronchopulmonary dysplasia. Methods: An observational study was used to assess nurses' soothing behaviors. Data were collected from September, 2012 to March, 2013 using an audio-video recording system. Participants were eight babies and 12 nurses caring for those babies. After obtaining parental permission, the overall process of each episode from nurses' engagement in soothing to the end of soothing was recorded. Then a researcher interviewed each participating nurse. Data from 18 episodes were transcribed as verbal and nonverbal nursing behaviors and then categorized by two researchers. Results: There were 177 observed soothing behaviors which were classified with the five sensory-based categories (tactile, oral, visual, auditory, vestibular). Most frequently observed soothing behavior was 'Gently talking' followed by 'Removing irritant', and 'Providing non-nutritive sucking'. Nurses' perceived soothing behaviors were similar to the observed soothing behaviors except for 'Gently talking'. Conclusion: Nurses used diverse and mixed soothing behaviors as well as recognizing those behaviors as essential nursing skills. Nurses' soothing behaviors identified in this study can be used to comfort babies and to enhance their developmental potential in accordance with individual characterstics or cues.
Keywords
Nursing care; Newborns; Neonatal intensive care; Bronchopulmonary dysplasia; Infant care;
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1 Altimier L, Phillips R. The neonatal integrative developmental care model: Advanced clinical applications of the seven core measures for neuroprotective family-centered developmental care. Newborn and Infant Nursing Reviews. 2016;16(4):230-244. https://doi.org/10.1053/j.nainr.2016.09.030   DOI
2 Yoon HS, Kim J. Activity-based costing analysis of nursing activities in general hospital wards. Journal of Korean Academy of Nursing Administration. 2013;19(4):449-461. https://doi.org/10.11111/jkana.2013.19.4.449   DOI
3 Shin H, White-Traut R. Nurse-child interaction on an inpatient pediatric unit. Journal of Advanced Nursing. 2005;52(1):56-62. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2005.03564.x/full   DOI
4 Diesel HJ, Ercole PM. Soothability and growth in preterm infants. Journal of Holistic Nursing. 2011;30(1): 38-47. https://doi.org/10.1177/0898010111417875   DOI
5 Barlow SM, Lee J, Wang J, Oder A, Oh H, Hall S, et al. Effects of oral stimulus frequency spectra on the development of non-nutritive suck in preterm infants with respiratory distress syndrome or chronic lung disease, and preterm infants of diabetic mothers. Journal of Neonatal Nursing. 2014;20(4):178-188. https://doi.org/10.1016/j.jnn.2013.10.005   DOI
6 Moody C, Callahan TJ, Aldrich H, Gance-Cleveland B, Sables-Baus S. Early initiation of newborn individualized developmental care and assessment program (NIDCAP) reduces length of stay: A quality improvement project. Journal of Pediatric Nursing. 2017;32:59-63. https://doi.org/10.1016/j.pedn.2016.11.001   DOI
7 Byrne E, Garber J. Physical therapy intervention in the neonatal intensive care unit. Physical & Occupational Therapy in Pediatrics. 2013;33(1):75-110. https://doi.org/10.3109/01942638.2012.750870   DOI
8 Westrup B. Family-centered developmentally supportive care: The Swedish example. Archives de Pediatrie. 2015; 22(10):1086-1091. https://doi.org/10.1016/j.arcped.2015.07.005   DOI
9 Golianu B, Krane E, Seybold J, Almgren C, Anand K. Non-pharmacological techniques for pain management in neonates. Seminars in Perinatology. 2007;31(5): 318-322. https://doi.org/10.1053/j.semperi.2007.07.007   DOI
10 Atkinson NH, Gennis H, Racine NM, Pillai Riddell R. Caregiver emotional availability, caregiver soothing behaviors, and infant pain during immunization. J Pediatr Psychol. 2015;40(10):1105-1114. https://doi.org/10.1093/jpepsy/jsv067   DOI
11 Braarud HC, Stormark KM. Maternal soothing and infant stress responses: soothing, crying and adrenocortical activity during inoculation. Infant Behavior and Development. 2006;29(1):70-79. https://doi.org/10.1016/j.ineh.2005.08.008   DOI
12 Jeong MS, Yoon SH, Lee YK, Ko SY, Shin SM. A 12-Year retrospective study of survival rates and outcomes of very low birth weight infants in a single center. Neonatal Medicine. 2016;23(1):1-7. https://doi.org/10.5385/nm.2016.23.1.1   DOI
13 Vinall J, Pillai Riddell R, Greenberg S. The influence of culture on maternal soothing behaviours and infant pain expression in the immunization context. Pain Research and Management. 2011;16(4):234-238. https://doi.org/10.1155/2011/707615   DOI
14 Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-112. https://doi.org/10.1016/j.nedt.2003.10.001   DOI
15 Pineda R, Guth R, Herring A, Reynolds L, Oberle S, Smith J. Enhancing sensory experiences for very preterm infants in the NICU: An integrative review. Journal of Perinatology. 2016;37(4):323-332. https://doi.org/10.1038/jp.2016.179   DOI
16 Elliott MR, Reilly SM, Drummond J, Letourneau N. The effect of different soothing interventions on infant crying and on parent-infant interaction. Infant Mental Health Journal. 2002;23(3): 310-328. https://doi.org/10.1002/imhj.10018   DOI
17 Korean Statistical Information System. Population trend survey [Internet]. Seoul: Statistics Korea; 2016 [cited 2017 Jan 10]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B8000 F&vw_cd=MT_ZTITLE&list_id=A2_6&seqNo=&lang_mode= ko&language=kor&obj_var_id=&itm_id=&conn_path=E1
18 Arnolds M, Myers PJ, Andrews B. Care of the high-risk newborn in the emergency department. Clinical Pediatric Emergency Medicine. 2016;17(2): 106-112. https://doi.org/10.1016/j.cpem.2016.04.004   DOI
19 Hockenberry MJ, Wilson D. WONG's nursing care of infants and children. 9th ed. St. Louis: Elsevier Mosby; 2009. p. 276.
20 Foster JP, Psaila K, Patterson T. Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants: A Cochrane review update. Journal of Paediatrics and Child Health. 2017;53(52):33. https://doi.org/10.1111/jpc.13494_91
21 Ballweg D, Derleth D. Changing the inpatient care experience to support high-risk newborn development. Paediatrics and Child Health. 2009;19(S1): S74-S77. https://doi.org/10.1016/j.paed.2009.05.022   DOI
22 Mitchell SH. Infants with bronchopulmonary dysplasia: A developmental perspective. Jounal of Pediatric Nursing. 1996;11(3):145-151. https://doi.org/10.1016/S0882-5963(96)80047-9   DOI
23 Altimier L, Kenner C, Damus K. The wee care neuroprotective NICU program (wee care): The effect of a comprehensive developmental care training program on seven neuroprotective core measures for family-centered developmental care of premature neonates. Newborn and Infant Nursing Reviews. 2015;15(1):6-16. https://doi.org/10.1053/j.nainr.2015.01.006   DOI