At St. Joseph's Regional Medical Center in Paterson, New Jersey, implementation of the Relationship-Based Care (RBC) model of care delivery and enculturation of the philosophy of care embodied in Jean Watson's Theory of Human Caring (Watson, 2007) improved patient outcomes and supported quality nursing care across the continuum of care in our organization. The ability of staff nurses to create ...

INTRODUCTION Transition of a Neonatal Intensive Care Unit (NICU) to a new physical plant incurs many challenges. These are amplified when the culture of care is changing from traditional cohort-based care to the single-family room model. Altered healthcare delivery systems can be tested in situ with TESTPILOT: Transportable Enhanced Simulation Technologies for Pre-Implementation Limited Operati...

A neonatal intensive care unit outbreak was caused by a strain of methicillin-resistant Staphylococcus aureus previously found in the community (ST45-MRSA-IV). Fifteen infected neonates were identified, 2 of whom died. This outbreak illustrates how a rare community pathogen can rapidly spread through nosocomial transmission.

OBJECTIVE To calculate and compare costs of neonatal intensive care by micro-costing and gross-costing methods. METHODS The costs of resources of a tertiary care neonatal intensive care unit were estimated by the two methods to arrive at specific costs per diagnosis related categories for 33 neonates followed-up prospectively. RESULTS Gross-costing as compared to micro-costing resulted in h...

Purpose. The purpose of this study was to investigate the individual characteristics and perinatal outcomes of women who initiate prenatal care late in their pregnancy in the Tokyo metropolitan area. Methods. Retrospective study. The study enrolled all women at our hospital who initiated prenatal care after 22 weeks of gestation (late attenders) and control women who initiated prenatal care pri...

A cohort of very low birthweight infants (less than 1500 g) born in 1979-81 from a geographically defined area was followed up, and a costing of the initial admission to the neonatal intensive care unit was made. A four point scale for the severity of disability was used and estimation of the costs of education and full time residential care was made and discounted at 5% over the appropriate pe...

INTRODUCTION This study aimed to determine the rates of non-adherence to standard steps of medication administration and medication administration errors committed by registered nurses in a neonatal intensive care unit before and after intervention. METHODS A baseline assessment of compliance with ten standard medication administration steps by neonatal intensive care unit nurses was carried ...

OBJECTIVE To explore mothers' perceptions of family centred care (FCC) in neonatal intensive care units (NICUs) in England. DESIGN The qualitative experiences of 12 mothers from three NICUs in the UK were elicited using individual interviews. A thematic network analysis was conducted on the transcribed interviews MAIN OUTCOME MEASURES A central global theme supported by a number of organizi...

Infants in the neonatal intensive care unit (NICU) face many challenges to their health and survival. The combination of stress, pain, isolation from parents, aversive stimuli and multiple caregivers in the NICU can intensify their challenges. To address from a music therapy perspective some of the negative effects of the NICU on premature infants, I conducted a pilot study at MCP Hahnemann Hos...