Validation of telesimulation in the care of late preterm newborns with hypoglycemia for nursing students.

Objective: To develop and validate a telesimulation scenario for nursing students in the care of late preterm infants with hypoglycemia.

Methods: A methodological study conducted between August 2021 and May 2022 in a virtual environment involved constructing and validating the scenario with 10 experts, and testing it with 10 students. The content validity index assessed validity, with a threshold of 80% or higher, and suggestions were analyzed using semantic approximation.

Maternal and neonatal factors associated with hospital readmission of newborns of adolescent mothers.

Objective: To analyze the maternal and neonatal factors in newborns of adolescent mothers associated with hospital readmission in the neonatal period.

Method: Quantitative cross-sectional, retrospective and analytical study, with 489 newborns of adolescent mothers, born in 2019 and 2020 in a high-complexity public hospital in southern Brazil. Data were collected through a query and analyzed in the SPSS software using the chi-square or Fisher's exact tests.

Breastfeeding of preterm newborns in a neonate hospitalization unit.

Objective: To analyze the factors associated with breastfeeding of preterm infants at discharge.

Method: Cross-sectional study with newborns with gestational age <37 weeks, admitted to a university hospital. Data obtained from the medical records of 180 participants, from August/2019 to August/2020.

Maternal nutritional status in diabetes mellitus and neonatal characteristics at birth.

Objectives: to analyze the nutritional status of women with diagnosis of Diabetes mellitus in pregnancy and the newborns' characteristics in relation to health conditions at birth.

Methods: transversal study with data from 394 electronic medical charts (197 newborn and 197 mothers), between 2017 and 2018. Descriptive and analytical statistics.

Stress experienced by mothers of preterm newborns in a neonatal intensive care unit.

Objective: To evaluate the stress level of mothers of preterm infants with gestational age ≤34 weeks, hospitalized in neonatal intensive care.

Method: A cross-sectional study with 74 mothers of premature infants in neonatal intensive care, who answered the "Parental Stress Scale: Neonatal Intensive Care Unit" instrument, validated in Brazil.

Results: The mean stress level was 4.

Prevalence of hypothermia in the first hour of life of premature infants weighing ≤ 1500g.

Objective: To analyze the prevalence of hypothermia in the first hour of life of preterm infants with birth weight 1,500 g or less.

Method: A cross-sectional study performed in a Neonatal Intensive Care Unit. Data obtained from 359 computerized records of premature infants admitted between 2012 and 2016.

Hypothermia and the newborn's bath in the first hours of life.

Objective: to analyze the occurrence of hypothermia in neonates before and after bathing in the first hours of life.

Method: a cross-sectional study in which the axillary temperature of newborns before bathing, after bathing, 30 and 60 minutes after bathing was verified at an Obstetric Center. In the statistical analysis, the Chi-Square, Student's t and Mann-Whitney tests were used, with α = 0.

Manchester Triage System: main flowcharts, discriminators and outcomes of a pediatric emergency care.

Objetive: to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender), main flowcharts, discriminators and outcomes in pediatric emergency.

Method: cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year.

[Late-onset neonatal sepsis in preterm infants with birth weight under 1.500 g].

Objective: The research objective was to characterize preterm infants with birth weight under 1500 g, and to identify the incidence of late-onset neonatal sepsis among this population.

Methods: A prospective cohort study with a sample of 30 preterm newborns that weighed under 1500 g and were hospitalized in the NICU of the university hospital. Data were collected from January to December 2013 using a structured instrument.

Neonatal Infant Pain Scale: Cross-Cultural Adaptation and Validation in Brazil.

Context: The Neonatal Infant Pain Scale (NIPS), initially developed in Canada, has been previously used but not adequately adapted and validated for use in Brazil.

Objectives: The goal of the present study was to perform a cross-cultural adaptation and clinical validation of the NIPS for use in the Brazilian population.

Methods: The instrument was adapted based on the method outlined by Beaton et al.

Prevention and non-pharmacological management of pain in newborns.

Objective: To describe the main non-pharmacological interventions for pain relief in newborns available in Neonatal Intensive Care Unit.

Method: An exploratory search of the MedLine, Lilacs and Scielo online databases was conducted to retrieve references of studies published from 2004 to 2013.

Results: Several non-pharmacological interventions were shown to be effective, to represent low risk for neonates and to have a low operational cost.

Cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score to Brazilian Portuguese.

Objective: To describe the process of cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score.

Methods: This methodological cross-cultural adaptation study included five steps: initial translation, synthesis of the initial translation, back translation, review by an Committee of Specialists and testing of the pre-final version, and an observational cross-sectional study with analysis of the psychometric properties using the Adjusted Kappa, Intraclass Correlation Coefficient, and Bland-Altman Method statistical tests. A total of 38 professionals were randomly recruited to review the clarity of the adapted instrument, and 47 newborns hospitalized in the Neonatology Unit of the Clinical Hospital of Porto Alegre were selected by convenience for the clinical validation of the instrument.

Adverse events related to the use of central venous catheters in hospitalized newborns.

This study identifies the adverse events related to the use of central venous catheters (CVC) in newborns admitted to a neonatal care unit. This is a quantitative, descriptive and retrospective study. The population consisted of 167 newborns admitted in the neonatal unit of the Hospital de Clínicas at Porto Alegre, RS, Brazil which used CVCs inserted through percutaneous puncture (PICC) and surgical insertion, totaling 241 catheters.

[Association between newborn vitality and type of delivery].

The objective of this study was to associate the Apgar score at the first and the fifth minutes of life among neonates born by normal vaginal delivery and by Cesarean section. The population of the study comprised 150 term neonates, 75 of whom were born by normal vaginal delivery and 75 by C-section. The results presented a significant difference (P = 0.

[Bathing and the colonization of the preterm newborn skin].

This article aims at determining the bathing role in skin colonization of preterm newborn by reviewing the literature from MEDLINE database. Clinical researches have demonstrated that bathing with soap triggers pH increase interfering with the skin physiological protection and provoking changes in the cutaneous microflora composition. Preterm neonates in NICU tend to acquire nosocomial skin flora from the action of bathing with cleansing products on the epidermal barrier function with direct consequences on the skin colonization.

Effect of bathing on skin flora of preterm newborns.

Objective: To assess the effect of bathing with water only or with mild pH neutral soap and water on skin flora of preterm newborns.

Method: Randomized blinded clinical trial that enrolled 73 preterm newborns whose gestational age was between 28 and 35 weeks and birth weight between 800 and 1800 g. At the age of 3 days the infants were randomly assigned to a group that was given daily baths either with water only, or with soap and water for 7 or more days.

[Skin care in newborns].

This article is based on brief recent revision of the scientific literature about the care with the skin of the newborn. The text deals with the anatomo-physiology aspects of the skin culminating with the specific care of the skin of newborn in Neonatal Intensive Care Unit. Considering the highest risk of the pre-term newborn to acquire infections, a special nursing care is proposed regarding the skin function as a protective barrier of the organism.