Article Abstract:
The role of specialized nurses with advanced degrees called clinical nurse specialists (CNSs) and nurse practitioners (NPs) seems to be expanding and changing, particularly in managing high-risk infants. NPs and CNSs can provide in-hospital care for these special needs infants and aid in the transition from hospital to home care. They also can help develop educational and evaluation programs in these settings. Guidelines for these specialists' services and payment arrangements need further development.
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Article Abstract:
Advanced practice nurses (APNs) may successfully shape changes in nursing practices based on their own research. APNs in a neonatal intensive care unit (NICU) researched how to reduce stress in very low birth weight (VLBW) infants and developed a videotape presentation for NICU staff that modeled appropriate handling of these infants. APNs then directed the educational follow-up in changing the handling and positioning practices of VLBW infants in the NICU.
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Article Abstract:
The Roy Adaptation Model can be used as a conceptual framework to assess nursing care for premature infants. The STRESS clinical tool could provide measurement for signs of physical or behavioral stress, the effectiveness of touch interventions, methods to reduce pain, environmental considerations, balance between sleep and wake states, and stability. Medically fragile infants need accurate monitoring and timely intervention.
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