Newborn and Infant Nursing Reviews RSS feed: Current Issue. Newborn and Infant Nursing Reviews provides clinically relevant information that you can use daily. Its coverage goes beyond the scope of traditional NICU nursing, exploring concerns relevant to care outside of the neonatal period and the confines of the hospital. Each quarterly issue addresses a single topic, providing in-depth discussions of diagnosis, treatment, nursing implications/applications, new developments, clinical/evidence-based research, and controversies in the field. You'll also find case studies related to the issue topic. New! Newborn and Infant Nursing Reviews now includes regular columns that you can count on in every issue. Each column will relate to the issue's subject matter. Look forward to these columns: International Issues, Research Corner, Family, and Pharmacology. Plus, you will now find a crossword puzzle or related activity in every issue. 2010 Topics , Volume 10, Issues 1-4 March Quantitative Research Methodology Leigh Wang, PhD June NICU Design Sharon Cone, PhD (c), RNC, NNP September Legal Issues Roslynn Mertens, MSN, RN, IBCLC December Infection Lori Baas Rubarth, PhD, APRN-NP, NNP-BChttp://www.nainr.com/?rss=yesElsevier Inc.en © 2010 Elsevier Inc. All rights reserved. Newborn and Infant Nursing Reviews1527-3369102June 2010 © 2010 Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.nainr.com/article/PIIS1527336910000371/abstract?rss=yes I am pleased to announce Sharon Cone, PhD(c), NNP-BC, who is the nurse manager of the Newborn Intensive Care Unit at the Virginia Commonwealth University Medical Center (Richmond, VA). Sharon has numerous years of experience both in clinical and administrative roles in neonatal intensive care. She is a well versed speaker and published author and is the guest editor of this issue, which focuses on developmental care strategies and design issues in the newborn intensive care unit. Sharon's unit recently underwent transition from a large open room design to a single family room unit. Her unit was the recipient of the 2009 GE “Imagination at Work” award.Leslie Altimier10.1053/j.nainr.2010.03.012Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Editorial6767http://www.nainr.com/article/PIIS1527336910000292/abstract?rss=yesUlrich and Zimring performed an extensive review of the literature as it pertains to the physical environment of care and patient and staff outcomes. They presented solid evidence for reduced staff stress and fatigue in optimal physical environments, while increasing the effectiveness of delivering care, improving patient satisfaction, reducing patient stress, and improving the overall quality of health care.NICU Design: An Opportunity for ChangeSharon Cone10.1053/j.nainr.2010.03.004Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Guest Editorial6869http://www.nainr.com/article/PIIS1527336910000310/abstract?rss=yesDrennan Nahlen10.1053/j.nainr.2010.03.006Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4News Flashe5e8http://www.nainr.com/article/PIIS1527336910000383/abstract?rss=yesUnit Design Word MatchRoxann Correll10.1053/j.nainr.2010.03.013Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Word Match7070http://www.nainr.com/article/PIIS1527336910000267/abstract?rss=yesNeonatal intensive care units (NICUs) can trace their traditional large ward style to the 1940s when the focus of design was use of basic monitoring technology and increasing the ease for caregivers to continuously observe and respond to multiple premature infants. The growing awareness of infection control, safety, developmentally appropriate care, privacy, and importance of the developing relationship between infant and family has shifted the priorities in NICU design. Today, NICU design addresses the divergent needs of caregivers and families. Caregivers emphasize efficiency, visibility, safety, and access. Families desire privacy, access, and individualized care. Establishing an environment where caregivers feel safe providing care and families feel welcome will create an environment where premature and sick newborns can mature, recover, and ultimately develop a relationship with their caregiver thereby promoting long-term growth and development.Promoting Parenting Through Single Family Room Care in the Neonatal Intensive Care UnitBrenda Baker, Jacqueline M. McGrath10.1053/j.nainr.2010.03.001Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Family Dynamics7172http://www.nainr.com/article/PIIS1527336910000309/abstract?rss=yesAbstract: Our world is shrinking due to computerized linkages and the mobility of society. Information is shared rapidly around the world. Issues surrounding newborn and infant nursing are global. In efforts to acknowledge the international community, each Newborn and Infant Nursing Review (NAINR) issue will feature a column that highlights care and educational-related issues from a featured country or region of the world. This article focuses on one example of a redesign of a neonatal intensive care unit (NICU). Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses NAINR's theme-oriented topic. This month, South Africa will be featured. Our guest author is Ann Leslie, RN, registered midwife, postgraduate certificate cardiovascular surgery, and intensive care nursing (Glasgow Royal Infirmary), treasurer of Neonatal Nursing Association of Southern Africa (NNASA). This month's article focuses on NICU design.Upgrading and Extending Existing Neonatal Intensive Care Facilities at Life Westville Hospital, Kwazulu-Natal, South AfricaAnn Leslie, Carole Kenner10.1053/j.nainr.2010.03.005Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4International Connections7377http://www.nainr.com/article/PIIS1527336910000358/abstract?rss=yesAbstract: A neonatal intensive care unit (NICU) provides a series of impressions that impact behavior and attitudes of staff, families, visitors, and donors. The value of incorporating nature, artistic features, daylight, creative themes, and special furnishings should not be diminished. These efforts have the potential to support families' ability to cope, increase job satisfaction, increase donor appeal, and enhance recruitment. Clear guiding principles, research, and a collaborative process are essential to creating and maintaining a visually appealing NICU that makes these types of differences.Making Neonatal Intensive Care Units More Visually AppealingJudith A. Smith, Judy Hager, Kathleen Bajo10.1053/j.nainr.2010.03.010Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles7882http://www.nainr.com/article/PIIS152733691000036X/abstract?rss=yesThe trend toward single-family room (SFR) design in the neonatal intensive care unit (NICU) has been driven by a growing understanding of the developmental needs of preterm infants, a desire to provide environments that support and encourage family participation, and infection control considerations. SFR design offers many potential benefits, but also requires substantial change in the NICU culture, as well as additional space and technology when compared to an open ward. The advantages and drawbacks of the SFR design are reviewed, and strategies are offered to assist those who are considering construction or renovation of an NICU.Single-Family Room Design in the Neonatal Intensive Care Unit—Challenges and OpportunitiesRobert D. White10.1053/j.nainr.2010.03.011Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles8386http://www.nainr.com/article/PIIS1527336910000346/abstract?rss=yesAbstract: For the past decade, a significant practice change has occurred in the provision of neonatal care. Newborn intensive care units (NICUs) are with increasing regularity moving toward incorporating the single family room (SFR) concept into neonatal unit design. The amount of change that a staff may experience when moving from a “baby barn” to a SFR NICU can be overwhelming. The intent of this article is to discuss the concept of planned change as it pertains to transitioning to the SFR model of care, to illuminate why staff may resist change, and to strategize methods deemed useful to leaders assisting staff not just “surviving change” but “thriving with change.” This article will conclude with strategies from the perspective of an educator that may prove beneficial when designing an orientation for staff as they transition to a SFR NICU.Designing an Orientation for Staff Moving to a Single Family Room Newborn Intensive Care UnitLisa F. Shaver, Sharon K. Cone10.1053/j.nainr.2010.03.009Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles8791http://www.nainr.com/article/PIIS1527336910000334/abstract?rss=yesMuch has been written about standardization in healthcare design. When designing a private neonatal intensive care unit room, much attention is spent on creating an ideal patient room. When this “ideal” room is populated around the unit, some of the features of the room may be compromised, and it may become challenging to incorporate completely standardized rooms across the unit. Many factors influence the design of the space, and members of the design team—caregivers, family members, architects, hospital administrators, etc—must work closely together to prioritize the goals of the patient room environment so that these goals can be maintained and standardized from room-to-room.Design Standardization in the Private Neonatal Intensive Care Unit RoomRachel Saucier10.1053/j.nainr.2010.03.008Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles9296http://www.nainr.com/article/PIIS1527336910000279/abstract?rss=yesThe incorporation of the single-family room (SFR) into the design of neonatal intensive care units has been a recent paradigm shift and focuses first and foremost on the developmental needs of critically ill or extremely premature infants. This article reports the perceptions of an interdisciplinary staff one year after the move from a large open room design into an SFR neonatal intensive care unit. Staff completed a questionnaire as part of a quality improvement initiative to gain opinions about the SFR design; new unit technologies; and to find ways to make the unit a better place for patients, families, and staff, and to assist others considering building the SFR model. The results suggest that when compared to the open unit “Baby Barn” design, the SFR model was deemed to be better for patient care, less stressful for staff, and provided an improved physical environment for patients, families, and staff.From “Baby Barn” to the “Single Family Room Designed NICU”: A Report of Staff Perceptions One Year Post OccupancySharon K. Cone, Suzanne Short, Gary Gutcher10.1053/j.nainr.2010.03.002Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles97103http://www.nainr.com/article/PIIS1527336910000280/abstract?rss=yesAlthough developmentally supportive positioning is acknowledged as a key element of care in the neonatal intensive care unit, the definition and standardization of what constitutes evidence-based positioning practices is nonexistent in a formalized format. As postural stability is a foundational milestone for motor development and premature infants are unable to exhibit postural stability without support, standardizing the definition of optimal positioning will lead to consistency in practice. This article introduces a positioning tool to be used as a resource for standardization and education on developmentally supportive positioning practice goals.Reliability and Effectiveness of an Infant Positioning Assessment Tool to Standardize Developmentally Supportive Positioning Practices in the Neonatal Intensive Care UnitMary Coughlin, Mary Beth Lohman, Sharyn Gibbins10.1053/j.nainr.2010.03.003Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles104106http://www.nainr.com/article/PIIS1527336910000322/abstract?rss=yesLighting plays a pivotal role in neonatal intensive care units (NICUs). Lighting must accommodate 3 distinctly different groups: newborns, health care professionals, and families. Although wards housing several infants still exist, many NICUs are being designed as a series of single-family rooms. All individuals interacting in these environments have a right to expect a supportive lighting system. Lighting should be quiet, reliable, efficient, and maintenance-free. Lighting should be as simple to change as the moment-to-moment needs of the different populations change. The intent of this article is to provide relevant direction as it pertains to lighting design in today's NICUs. After reviewing the lighting accommodations required for 3 distinctly different groups of people—infants, families, and staff—basic concepts deemed important for design considerations in the NICU are outlined. This article puts forth a goal-oriented approach to ensuring a successful lighting result, and refers to useful lighting resources.Lighting for Today's Neonatal Intensive Care UnitPatricia Rizzo, Mark Rea, Robert White10.1053/j.nainr.2010.03.007Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4Articles107113http://www.nainr.com/article/PIIS1527336910000425/abstract?rss=yesEditorial Board10.1053/S1527-3369(10)00042-5Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4FrontmatterA1A1http://www.nainr.com/article/PIIS1527336910000437/abstract?rss=yesTable of Contents10.1053/S1527-3369(10)00043-7Newborn and Infant Nursing Reviews 10, 2 (2010)2010-06-01Newborn and Infant Nursing Reviews2010-06-01102S1527-3369(10)X0003-4FrontmatterA2A3