PubMed Health⌕ Search

Biomedical subjects

J V Browne

Publications and source records attributed to J V Browne.

5 recordsLinked to original sources
PubMed1997

Developmental care in advanced practice neonatal nursing education.

Neonatal nursing education for the future is being influenced by two forces: expanding knowledge of infant development and health care reform. In response to the former and in anticipation of the latter, the University of Colorado School of Nursing incorporated developmentally based, family-centered care concepts in its recent revision of the master's program in neonatal nursing.

Child Development↗
PubMedDate not supplied

The impact of two transfer techniques used during skin-to-skin care on the physiologic and behavioral responses of preterm infants.

BACKGROUND: Conservation of energy assumes an important role in the care of infants requiring assisted ventilation, yet little research has been conducted on this group of infants in terms of thermoregulation, oxygenation, heart rate, or sleep states during skin-to-skin care. OBJECTIVES: To compare the impact of two different transfer techniques used in skin-to-skin care (nurse transfer and parent transfer) on physiologic stability and other descriptive measures of physiologic stability related to energy conservation in ventilated preterm infants during and after skin-to-skin care. METHOD: Fifteen ventilated preterm infants weighing a mean of 1,094 g were randomly assigned to receive either parent or nurse-to-parent transfer on the first of 2 consecutive days and the alternate method the following day. Temperature was taken before and after skin-to-skin care. Oxygen saturation and heart rate were recorded minute by minute, and the Assessment of Behavioral Systems Observation (ABSO) scale scores was used to measure physiologic organization, motor organization, self-regulation, and need for caregiver facilitation during transfer to and from the parent and during pre, post, and skin-to-skin periods. RESULTS: Temperature remained stable. Oxygen saturation decreased and heart rate increased when the infant was transferred to and from the parent, but returned to baseline levels during and after skin-to-skin care regardless of the transfer method. Infants showed more physiologic and motor disorganization, less self-regulation, and more need for caregiver facilitation during transfers to and from the parent than during the pre, post, and skin-to-skin care periods. CONCLUSIONS: Both transfer methods resulted in physiologic disorganization. However, during and after skin-to-skin care, infants exhibited no signs of energy depletion.

Adult↗
PubMedDate not supplied

Infant physiologic and behavioral organization during swaddled versus unswaddled weighing.

OBJECTIVE: The objective of this study was to evaluate the use of blanket swaddling during weighing on the physiologic and behavioral responses of preterm infants. STUDY DESIGN: A repeated-measures crossover design was used in a children's hospital intensive care nursery setting. Fourteen preterm infants with a mean gestational age of 32 weeks and mean weight of 1427 gm were weighed on two consecutive nights. A random start approach was used to determine initial order of swaddled or unswaddled weights. Effects of swaddled and unswaddled weighing were examined with use of the Assessment of Behavioral Systems Organization scales. Repeated-measures analysis of variance was used for analysis. RESULTS: Contrasts done on significant treatment-period interactions indicated that when swaddled, infants showed less physiologic distress (p < 0.002), better motor organization (p < 0.001), and more effective self-regulatory ability (p < 0.037) than when unswaddled during weighing. CONCLUSIONS: Swaddled weighing may decrease physiologic and behavioral distress in preterm infants.

Body Weight↗