Gloving and Touch Practices of Neonatal Nurses

Nist, Marliese Dion; Pickler, Rita H.; Harrison, Tondi M.

doi:10.1097/jpn.0000000000000626

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…For example, institutions vary regarding practices such as surveillance, decolonization, and universal gloving. 15,16,34 This inconsistency underscores the need for future studies that incorporate the realities of these complex settings to ultimately devise effective, yet minimally burdensome, IP measures.…”

Section: Discussionmentioning

confidence: 99%

Healthcare worker perceptions surrounding Staphylococcus aureus transmission and prevention practices in the neonatal intensive care unit

Partha,

Malone,

Bizzle

et al. 2023

Infect. Control Hosp. Epidemiol.

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Objective: To understand healthcare worker (HCW) perceptions surrounding Staphylococcus aureus transmission and prevention in the neonatal intensive care unit (NICU). Design: Qualitative case study with focus groups. Setting: A level IV, 150-bed NICU at a Midwestern academic medical center that conducts active surveillance and decolonization of S. aureus–positive patients. Participants: NICU HCWs, including bedside nurses, nurse managers, therapy services personnel, pediatric nurse practitioners, clinical fellows, and attending neonatologists. Methods: Semistructured focus group interviews, assembled by occupation, were conducted by 2 study team members. Interviews were video recorded and transcribed. Deductive coding and thematic analyses were performed using NVivo software. Results: In total, 38 HCWs participated in 10 focus groups (1–12 participants each), lasting 40–90 minutes. Four main themes emerged: (1) Methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) are inconsistently described as high risk. (2) Infection prevention interventions are burdensome. (3) Multiple sources of transmission are recognized. (4) opportunities exist to advance infection prevention. HCWs perceived MSSA to be less clinically relevant than MRSA. Participants expressed a desire to see published data supporting infection prevention interventions, including contact precautions, environmental cleaning, and patient decolonization. These practices were identified to be considerable burdens. HCWs perceived families to be the main source of S. aureus in the NICU, and they suggested opportunities for families to play a larger role in infection prevention. Conclusions: These data highlight opportunities for HCW and parental education, research, and reevaluating interventions aimed at improving infection prevention efforts to reduce the burden of S. aureus in NICU settings.

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Section: Discussionmentioning

confidence: 99%

Healthcare worker perceptions surrounding Staphylococcus aureus transmission and prevention practices in the neonatal intensive care unit

Partha,

Malone,

Bizzle

et al. 2023

Infect. Control Hosp. Epidemiol.

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Touch Experiences of Preterm Infants During Essential Nursing Care

Nist¹,

Harrison²,

Pickler³

2023

Neonatal Network

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Purpose:To characterize and quantify touch experienced by preterm infants in the NICU during essential nursing care, identify instances of skin-to-skin touch between infants and caregivers, and identify clinical/demographic variables associated with touch experiences.Design:Cross-sectional study.Sample:Preterm infants (N= 20) born 27–32 weeks post-menstrual age.Main Outcome Variable:Categories of touch during observations.Results:Touch experienced by infants during day and night shifts was primarily direct touch that was further categorized as general handling. During day shifts, 30 percent of direct touch was provided for comfort, but only 9.7 percent of touch was provided exclusively for comfort (i.e., without more intrusive touch). During night shifts, 10.6 percent of direct touch was provided for comfort, and 3 percent was categorized as exclusive comforting touch. Caregivers wore gloves for >89 percent of infant touch. Only the level of respiratory support was associated with touch categories during both shifts.

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Gloving and Touch Practices of Neonatal Nurses

Cited by 2 publications

References 16 publications

Healthcare worker perceptions surrounding Staphylococcus aureus transmission and prevention practices in the neonatal intensive care unit

Healthcare worker perceptions surrounding Staphylococcus aureus transmission and prevention practices in the neonatal intensive care unit

Touch Experiences of Preterm Infants During Essential Nursing Care

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