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      Psychosocial program standards for NICU parents

      introduction
      Author(s): 1 , 2 , *
      Publication date (Electronic):
      Journal: Journal of Perinatology
      Publisher: Nature Publishing Group

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          Abstract

          This article provides a rationale for and brief description of the process of developing recommendations for program standards for psychosocial support of parents with babies in the neonatal intensive care unit (NICU). A multidisciplinary workgroup of professional organizations and NICU parents was convened by the National Perinatal Association. Six interdisciplinary committees (family-centered developmental care, peer-to-peer support, mental health professionals in the NICU, palliative and bereavement care, follow-up support and staff education and support) worked to produce the recommendations found in this supplemental issue. NICU parents contributed to the work of each committee.

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          Resilience to loss and potential trauma.

          George Bonanno, Maren Westphal, Anthony Mancini (2011)
          Initial research on loss and potentially traumatic events (PTEs) has been dominated by either a psychopathological approach emphasizing individual dysfunction or an event approach emphasizing average differences between exposed and nonexposed groups. We consider the limitations of these approaches and review more recent research that has focused on the heterogeneity of outcomes following aversive events. Using both traditional analytic tools and sophisticated latent trajectory modeling, this research has identified a set of prototypical outcome patterns. Typically, the most common outcome following PTEs is a stable trajectory of healthy functioning or resilience. We review research showing that resilience is not the result of a few dominant factors, but rather that there are multiple independent predictors of resilient outcomes. Finally, we critically evaluate the question of whether resilience-building interventions can actually make people more resilient, and we close with suggestions for future research on resilience. © 2011 by Annual Reviews. All rights reserved
          Article 0 comments Cited 271 times – based on 0 reviews     Review now
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            Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments.

            Roberta G. Pineda, Jeff J Neil, Donna Dierker … (2014)
            To evaluate associations between neonatal intensive care unit (NICU) room type (open ward and private room) and medical outcomes; neurobehavior, electrophysiology, and brain structure at hospital discharge; and developmental outcomes at 2 years of age. In this prospective longitudinal cohort study, we enrolled 136 preterm infants born <30 weeks gestation from an urban, 75-bed level III NICU from 2007-2010. Upon admission, each participant was assigned to a bedspace in an open ward or private room within the same hospital, based on space and staffing availability, where they remained for the duration of hospitalization. The primary outcome was developmental performance at 2 years of age (n = 86 infants returned for testing, which was 83% of survivors) measured using the Bayley Scales of Infant and Toddler Development, 3rd Edition. Secondary outcomes were: (1) medical factors throughout the hospitalization; (2) neurobehavior; and (3) cerebral injury and maturation (determined by magnetic resonance imaging and electroencephalography). At term equivalent age, infants in private rooms were characterized by a diminution of normal hemispheric asymmetry and a trend toward having lower amplitude integrated electroencephalography cerebral maturation scores (P = .02; β = -0.52 [CI -0.95, -0.10]). At age 2 years, infants from private rooms had lower language scores (P = .006; β = -8.3 [CI -14.2, -2.4]) and a trend toward lower motor scores (P = .02; β = -6.3 [CI -11.7, -0.99]), which persisted after adjustment for potential confounders. These findings raise concerns that highlight the need for further research into the potential adverse effects of different amounts of sensory exposure in the NICU environment. Copyright © 2014 Mosby, Inc. All rights reserved.
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              Symptoms of posttraumatic stress disorder among pediatric acute care nurses.

              Angela S Czaja, Marc Moss, Meredith Mealer (2012)
              In their work, pediatric acute care nurses may encounter traumatic events and be at risk for posttraumatic stress disorder (PTSD). This survey-based study examines the potential diagnosis of PTSD among nurses at a tertiary children's hospital with a Level 1 trauma center. Twenty-one percent of respondents had strong PTSD symptoms without significant difference between units. Nurses with potential PTSD had more comorbid symptoms of anxiety, depression, and burnout and were more often considering a career change. Furthermore, symptoms affected not only their work but also their personal lives. Future research should focus upon identifying pediatric nurses with PTSD to provide therapeutic interventions and reducing high-risk events and their potential impact.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Perinatol
                Journal ID (iso-abbrev): J Perinatol
                Title: Journal of Perinatology
                Publisher: Nature Publishing Group
                ISSN (Print): 0743-8346
                ISSN (Electronic): 1476-5543
                Publication date (Print): December 2015
                Publication date (Electronic): 24 November 2015
                Volume: 35
                Issue: Suppl 1
                Pages: S1-S4
                Affiliations
                [1 ]Department of Psychology, University of Wisconsin-Milwaukee , Milwaukee, WI, USA
                [2 ]Department of Neonatology, St John's Regional Medical Center , Oxnard, CA, USA
                Author notes
                [* ]Department of Neonatology, St John's Regional Medical Center , 1600 N. Rose Avenue, Oxnard, CA 93030, USA. E-mail: suehallmd@ 123456gmail.com
                Article
                Publisher Item ID: jp2015141
                DOI: 10.1038/jp.2015.141
                PMC ID: 4694191
                PubMed ID: 26597799
                SO-VID: 6124fabf-02cf-4d83-8a79-0b5a86e4f391
                Copyright © Copyright © 2015 Nature America, Inc.
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/

                History
                Date received : 30 August 2015
                Date revision received : 27 September 2015
                Date accepted : 29 September 2015
                Categories
                Subject: Introduction

                ScienceOpen disciplines: Pediatrics
                Data availability:
                ScienceOpen disciplines: Pediatrics

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