By Glenys Boxwell
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Extra info for Neonatal Intensive Care Nursing, Second Edition
Sample text
Flemming, K. ’ Advances in Nursing Science 30(1): 41–51. 13 FIONA HUTCHINSON Geanellos, R. (2004) ‘Nursing based evidence: moving beyond evidence-based practice in mental health nursing’, Journal of Evaluation in Clinical Practice 10(2): 177–86. Gerrish, K. and Lacey, A. (eds) (2006) The Research Process in Nursing, 5th edn, Oxford: Blackwell. Girard, N. (2008) ‘Practice-based evidence’, AORN 87(1): 15–16. Greenhalgh, T. (2001) How to Read a Paper: The Basics of Evidence-based Medicine, London: BMJ Publishing.
Nevertheless, both approaches are important; there are many initiatives of a general nature which will facilitate developmental stability, but individualised assessment will highlight the emerging agenda for the infant and enable care to be delivered according to infant cues. Advocacy is a fundamental principle of nursing care, and the ability to communicate effectively with parents, the extended family and friends is an essential component. Behaviour The following themes identified from the literature and various practical initiatives are likely to support the goal of improved medical and developmental outcomes for infants undergoing intensive care, or enhance parent–infant interaction and subsequent psychosocial relationships: ■ ■ ■ ■ ■ ■ behavioural assessment; recognition and appropriate management of distress and pain; the reduction of environmental hazard; the promotion of contingent handling; postural support; family-centred, developmentally focused models of care.
G. research); knowledge gained through practice experience (incorporating intuitive practice and reflecting on practice); knowledge from parents and carers (individual narratives or a composition of differing experiences). Websites and books may also be used as sources of evidence; it is important, however, that the reader checks the writer’s source of evidence and acknowledges their strengths and weaknesses. Guidelines and protocols are also to be found in most neonatal units – these too should be underpinned by appropriate evidence and regularly updated.
