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      Iluminación en unidades de cuidados intensivos neonatales: actualización y recomendaciones Translated title: Neonatal intensive care unit lighting: update and recommendations

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          Abstract

          Lograr una iluminación adecuada en las unidades de cuidados intensivos neonatales es un gran desafío: además de las consideraciones habituales de rendimiento visual, costo, energía y estética, aparecen las diferentes necesidades biológicas de los pacientes, profesionales y familiares. Con el objetivo de revisar los efectos de la luz (natural y artificial) en el marco del cuidado neonatal centrado en el desarrollo, se abordaron los aspectos comunicacionales de la luz, su rol como facilitador de la función visual de los profesionales y sus efectos sobre la fisiología y el desarrollo del neonato. También se revisó el papel de la luz en la regulación del ciclo circadiano del neonato en particular y el uso terapéutico de la luz en general. Para cada aspecto, se especificaron recomendaciones prácticas para lograr un ambiente luminoso adecuado en las unidades de cuidados intensivos neonatales.

          Translated abstract

          Achieving adequate lighting in neonatal intensive care units is a major challenge: in addition to the usual considerations of visual performance, cost, energy and aesthetics, there appear different biological needs of patients, health care providers and family members. Communicational aspects of light, its role as a facilitator of the visual function of doctors and nurses, and its effects on the newborn infant physiology and development were addressed in order to review the effects of light (natural and artificial) within neonatal care with a focus on development. The role of light in regulating the newborn infant circadian cycle in particular and the therapeutic use of light in general were also reviewed. For each aspect, practical recommendations were specified for a proper well-lit environment in neonatal intensive care units.

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          Most cited references 69

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          Retinal sensitivity to damage from short wavelength light.

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            Intensive oxygen therapy as a possible cause of retrolental fibroplasia; a clinical approach.

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              Impact of a family-centered care initiative on NICU care, staff and families.

              Family-centered care is becoming a standard of care in neonatal intensive care units (NICUs). The purpose of this study was to evaluate the impact of a national program designed to promote family-centered care in NICUs and to provide information and comfort to families during the NICU hospitalization of their newborn. A quasi-experimental, post-only design was utilized, examining eight March of Dimes NICU Family Support((R)) (NFS) sites. Data were gathered via telephone interviews with NICU administrators and surveys of both NICU staff and NICU families. NICU administrators interviewed identified benefits of NFS, including culture change and additional support to families. Surveys of NICU staff showed that NFS enhances the overall quality of NICU care resulting in less stressed, more informed and confident parents. Surveys of NICU families showed that NFS both reduced their stress and made them feel more confident as their baby's parent. March of Dimes NFS has had a positive impact on the stress level, comfort level and parenting confidence of NICU families. In addition, it has enhanced the receptivity of staff to the presence and benefits of family-centered care.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                aap
                Archivos argentinos de pediatría
                Arch. argent. pediatr.
                Sociedad Argentina de Pediatría (Buenos Aires, , Argentina )
                0325-0075
                1668-3501
                August 2016
                : 114
                : 4
                : 361-367
                Affiliations
                orgnameCONICET orgdiv1Instituto de Ambiente, Hábitat y Energía
                S0325-00752016000400015
                10.5546/aap.2016.361

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 69, Pages: 7
                Product
                Product Information: SciELO Argentina

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