Background: Parenteral nutrition is a lifesaving therapy for many infants who are unable to tolerate enteral feedings. It fulfils preterm neonates' needs for growth and development when their sizes or conditions preclude enteral feeding. Virtuous nursing care and close biochemical monitoring are absolutely essential for successful parenteral nutrition therapy. Since poor knowledge in parenteral nutrition can causes severe impairment to neonatal infants, the conduction of this study is essential.
One of the most important goals of the health system in this pandemic was to provide a home care for the high-risk neonates. The aim of this study was to audit a high-risk neonate home care program during the COVID-19 pandemic. This descriptive-analytical study was conducted with the participation of 158 high-risk neonates discharged from neonatal intensive care units of hospitals. Data collection was performed through questionnaire and a researcher-made checklist. The researcher observed and evaluated 7 areas of healthcare. The study was first performed in person, but after the COVID-19 pandemic, the researcher evaluated these cares in absentia. The results of the study showed that the mean score of in-person “conduction” was 56.7 and in-absentia conduction was 52.5 and the mean score of in-person “education” was 63.6 and in-absentia conduction was 65.6. The results showed that there was no significant difference between the in-person and in-absentia methods. Moreover, while 53.2% of caregivers performed well, 33.5% of them performed poorly. According to the results, the implementation of home care program for high-risk neonates is relatively desirable. However, some regular evaluation and review need to be conducted on instructions and implementations. Regular education of caregivers and, finally, regular in-person and in-absentia monitoring is essential. In-absentia home care during the COVID-19 pandemic was not an obstacle to the implementation of the program and it was implemented through telephone and follow-up.
Covid 19 has made a huge difference in all aspects of life, especially in care and treatment. Hospitalization is limited because of infected family members and fear of getting Covid 19 has limited. The purpose of this study is to analyze the existing conditions based on the SWOT analysis for the home care program for children in Coronavirus crisis. This study is a qualitative study with a conventional content analysis approach. Participants were 18 nurses, physicians, and faculty members, selected based on their willingness to participate in the study and through purposeful sampling. Two specialized panels and 10 presence and in-presence interview sessions were held to collect data. Then, the data were analyzed using SWOT analysis. Four main categories were emerged of the study including: (a) need for a legal protocol, (b) mutual fear of Covid-19, (c) self-responsibility in Corona, and (d) team working approach in the program development. In addition, solutions based on the SWOT analytical were suggested. The results of the study showed that it is necessary to develop a formal protocol, along with self-responsibility, and a program based on the needs of the community and the Covid crisis incorporating the team opinion.
Introduction: One of the important outcomes of hospitalization in infants with respiratory disease is sleep disturbance. This study was performed to investigate the role and participation of fathers in the sleep of hospitalized pediatrics with pneumonia during the COVID-19 pandemic. Material and Methods: In this clinical trial study, the parents of 40 children aged from 12 to 36 months hospitalized with a diagnosis of pneumonia were randomly assigned to the control and intervention groups. After implementing a supportive training program for the fathers in the intervention group, each father made an online video communication with the infant and the mother as the primary caregiver. Mothers completed the brief infant sleep questionnaire-revised at the beginning and a week later. Results: Data analysis showed that daytime sleep duration, setting time and total 24-hour sleep time in the intervention group improved compared to the control group. In addition, parents' behavior toward their child's sleep improved in the intervention group compared to the control group, but parents' perceptions of their child's sleep in the intervention group did not show a significant difference compared to the control group. The mean total score of the intervention group also improved compared to the control group. Conclusion: Planning to maintain family unity by educating and supporting fathers during the child's illness and their paternal support during the COVID-19 pandemic can improve the sleep of the hospitalized child due to pneumonia.
Higher education programs need quantitative and qualitative evaluation to improve quality and dynamism. The sensitivity and importance of the role of Ph.D. nursing graduates led the researcher to conduct the present review to examine and identify the problems to achieve the highest goals of nursing from theory to reality. In this review study, various internal and external databases, including Elsevier, pub med, Scopus, SID, magiran, medlib, were used to access internal resources. Published articles were searched in both Persian and English without considering the time and language limitations, and the data were analyzed using meta-analysis. In the initial search with the keywords of nursing doctorate, postgraduate nursing education, higher education in nursing, and their English equivalent, a total of 435 studies were found. The findings were discussed in terms of curriculum-related factors, faculty, students, and faculty policies. Nursing education in Iran needs to be reviewed and reformed based on the current needs of society. Prerequisite for achieving this goal is basic pathology of the course, the examination of gaps and needs in the health system, attention to clinical issues and problems of the health care system, quantitative and qualitative evaluation of different levels of nursing education, and in a higher position, a doctoral degree in nursing has a professional reputation as a nurse.
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