Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit
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Kent State University / OhioLINK
2014
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=kent1405595920 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-kent14055959202021-08-03T06:26:00Z Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit Lewis, Lory A. Nursing Nursing Care Procedures Thermal Regulation Weight Gain Moderately Premature Neonate Neonatal Intensive Care Unit NURSING CARE PROCEDURES, THERMAL REGULATION AND GROWTH OF THE MODERATELY PREMATURE NEONATE IN THE NEONATAL INTENSIVE CARE UNIT Director of Dissertation: Ann JacobsonSatisfactory weight gain for the moderately premature neonate, defined as a return to birth weight within 10 days after birth, is associated with reduced length of stay, lower health care costs and improved neurological and health outcomes. Despite staggering advances in NICU technology and research over the past five decades recent large-scale studies reveal persistent weight gain failure rates (documented as high as 75 percent). Weight gain of premature neonates depends on the balance of energy intake and expenditure. Interventions should be aimed at promoting a NTE. Yet many routine nursing care activities disrupt the NTE provided by the incubator. The purpose of this study was to identify the effect of nursing care procedure disruptions (NCD) to the neutral thermal environment (NTE) on weight gain of moderately premature neonates in the first 10 days of life in a neonatal intensive care unit (NICU). Aim 2 was to determine the feasibility of using electronic health record (EHR) data. Levine’s Conservation Model provided a framework for conceptualizing NCD to the NTE as 26 nursing care procedures that threaten premature neonates’ optimal function and wholeness. In this retrospective exploratory descriptive study EHRs of healthy moderately premature neonates (e.g., 32 and 34 weeks gestation) were examined. The dependent variable, weight gain, was calculated from the difference in weight on day 10 from birth weight. The independent variable, NCD to the NTE, was computed by counting the number of entries in the daily care record that represent opening the incubator for care provision. Spearman’s rank order correlation coefficient revealed a statistically significant negative correlation rs (164) = -.162, p = .038 between NCD to the NTE and the weight gain of moderately premature neonates in the first 10 days of life in a NICU supporting the research hypothesis. The results of this analysis show that EHRs are a feasible source for research. 2014 English text Kent State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=kent1405595920 http://rave.ohiolink.edu/etdc/view?acc_num=kent1405595920 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Nursing Nursing Care Procedures Thermal Regulation Weight Gain Moderately Premature Neonate Neonatal Intensive Care Unit |
| spellingShingle |
Nursing Nursing Care Procedures Thermal Regulation Weight Gain Moderately Premature Neonate Neonatal Intensive Care Unit Lewis, Lory A. Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| author |
Lewis, Lory A. |
| author_facet |
Lewis, Lory A. |
| author_sort |
Lewis, Lory A. |
| title |
Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| title_short |
Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| title_full |
Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| title_fullStr |
Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| title_full_unstemmed |
Nursing Care Procedures, Thermal Regulation and Growth of the Moderately Premature Neonate in the Neonatal Intensive Care Unit |
| title_sort |
nursing care procedures, thermal regulation and growth of the moderately premature neonate in the neonatal intensive care unit |
| publisher |
Kent State University / OhioLINK |
| publishDate |
2014 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=kent1405595920 |
| work_keys_str_mv |
AT lewislorya nursingcareproceduresthermalregulationandgrowthofthemoderatelyprematureneonateintheneonatalintensivecareunit |
| _version_ |
1719436710984548352 |