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NANN 33rd Annual Conference

Learning Center Schedule

Check out what's in store in the Learning Center at NANN's 33rd Annual Conference. The Learning Center is located in the Exhibit Hall near NANN HQ.

 

Wednesday, October 11

5:30 pm - 6:00 pm

Small Things Impact Big Things: Diaper Need in America

Joanne Goldblum, Chief Executive Officer, National Diaper Bank Network
Sponsored by Huggies


 

Thursday, October 12

10:00 am - 10:30 am

The Evolution of the Incision

Diana Blanco
Sponsored by Instrumentation Laboratory


11:55 am - 12:25 pm

Research Summit Presentation - High Flow Therapy: Current Practice and Preconceptions Regarding Benefits and Challenges. The Report from the Neonatologists and Nurse Practitioners in North America CE: 0.5

Patricia A. Scott, DNP APN NNP-BCC C-NPT
Sponsored by Mead Johnson Nutrition

The use of High Flow Nasal Cannulas (HFNC) has rapidly become one of the most frequently chosen respiratory modalities globally, however, some regions of the world only recently began to utilize HFNC. Existing evidence provides guidance for practice in multi-faceted approaches of HFNC use, however, it does not provide guidance for every aspect. Considering the evidence and identifying areas of practice improvement requires understanding of the current practice. Although, our colleagues from abroad previously published reports to describe practice patterns and the clinicians’ perceptions, no data existed to describe the current practice in North America. The investigators designed a survey to conduct a nationwide survey to collect data to describe the current practice pattern with HFNC as well as the clinicians’ perceptions regarding the benefits and challenges. This presentation will focus primarily on the practice patterns. The results of this study revealed wide variations in use and strategies practiced by the providers across North America. Over all, no significant differences are found between the Neonatologists and NNPs in their pattern of practice, however, statistically significant strategy differences emerged in certain areas based on the two types of HFNC products available today. The results also describe that many experienced NNPs are on the frontline making a significant contribution to respiratory care decision making. Previous reports only reflected physician practice. This study reflects the collaborative practice model that is highly dependent on advance practice nursing professionals.


12:35 pm - 1:05 pm

The Science Behind Infant Wipes: The Implications of Skin Health

Joanne Kuller, MS RN CNS, UCSF Benioff Children's HospitalRebecca Vongsa, PhD, Kimberly-Clark
Sponsored by Huggies


1:15 pm - 1:45 pm

Research Summit Presentation - Interruptions in Care During Bottle Feedings of Infants in the NICU CE 0.5

Barbara Reyna, PhD RN NNP-BC
Sponsored by Mead Johnson Nutrition

Background:

Interruptions that occur during clinical nursing care are gaining increased attention with the growing concern for their impact on patient care, patient safety and the work environment. An interruption can be a distraction or disruption that diverts attention away from the task at hand. In the newborn intensive care unit (NICU) a regularly occurring nursing task is bottle feeding infants. Nursing “presence” is important to best support an infant with their emerging oral feeding skills. Interruptions can challenge a nurse’s ability to attend to the baby’s cues.

Purpose:

The purpose of this pilot study is three-fold: (1) to determine the number and type of interruptions that occur during bottle feeding of infants by nursing staff in the Newborn Intensive Care Unit (NICU); (2) to determine if certain feeding times of the day are more prone to interruptions and (3) to describe the nature of interruptions that occur during feeding as reported by nurses.

Methods:

In this descriptive, exploratory study a trained observer recorded the number and type of interruptions occurred during a bottle feeding in the infant’s private room. To examine the nurses’ perceptions of interruptions, nurses were invited via email to complete a brief electronic survey. A convenience sample of 80 feeding observations was collected; 10 observations for the 8 routine feeding times that occur over 24 hours. Observations occurred with infants > 32 weeks gestational age and taking on average > 30% of the prescribed volume orally.

Results:

Total observation time was 31 hours. There were 795 interruptions across feeding times with 50% occurring during the day shift (9am-3pm), 24% during the evening (6pm and 9pm) and 26% occurring at night (12am-6am). Fifty-three percent of interruptions were patient alarms from the nurse’s assignment. Forty-two nurses completed the electronic survey with a response rate of 45%. Survey results showed that although some interruptions are necessary (88%) all nurses (100%) agreed that the interruptions can affect the infant’s feeding. Interruptions make it hard to concentrate on cues (90.2%) and 71% found it hard to get back to the task after being interrupted. Monitor alarms to their Ascom phone from other babies were considered the most distracting (69%) and the most disruptive to feeding (59.5%). Phone calls and someone coming to the room were considered a “little distracting” (62%).

Implications for Practice & Research:

Interruptions in care can potentially have a negative impact on an infant’s oral feeding and the nursing care associated with feeding. Identifying times more prone to interruptions is important for developing strategies to reduce the frequency and provide uninterrupted care during oral feeding.


 

Friday, October 13

10:15 am - 10:45 am

Advances in Neonatal Care Writers Workshop CE: 0.5

Debra H. Brandon, PhD RN CCNS FAAN
Jacqueline McGrath, PhD RN FNAP FAAN


 

12:10 pm - 12:40 pm

Research Summit Presentation - The Journey of the Hero: The Lived Experience of Fathering a Premature Infant in a NICU CE: 0.5

Rebecca Logan, PhD RN
Sponsored by Mead Johnson Nutrition

The purpose of this study was to gain an understanding of the lived experience of fathering an infant born at less than 28 weeks gestation admitted to a level III neonatal intensive care unit (NICU).  Although one in ten infants in the United States is born prematurely each year (CDC, 2015), parents are generally unprepared, and this experience from the paternal perspective is largely unrepresented in the literature as most research has focused on the mother and infant.  In this study, men provided the lived experience of fathering a premature infant in a NICU.  The stories shared about the journey describe a phenomenon that most men have never experienced.  The themes that emerged from this study included: Looking in, Persevering, Holding, and Finding my way.  The phases and themes of the hero journey by Joseph Campbell support the themes that emerged in this study.  The hero journey is the transformation of a hero in a narrative pattern, such as by the experience of becoming a father to a premature infant.  While the experience is unique and something most men have never experienced, some will inevitably be forced into this unknown territory.  The hero of the journey is the father of the infant and the dialogue and language he shared with the researcher was his story that needed to be told.  This study adds to nursing science by illuminating the experience of fathers of premature infants and their difficulties navigating the journey through the NICU.  As a phenomenon previously largely unexplored, neonatal nurses can use these findings to understand what the fathers are going through when they have a premature baby in the NICU, to enhance family-centered care, and to build strategies that engage and encourage paternal involvement in the care of the baby


 

12:50 pm - 1:20 pm

No Baby Unhugged: Helping Babies and Families Thrive

Media Esser, NNP-BC APNP, Neonatal Nurse Practitioner
Richard Fleischer, President and Founder, Project Undercover
Lisa Mardenli Cohen, Vice President, Project Undercover
Aric Melzl, General Manager, Project Undercover, Kimberly-Clark Huggies
Sponsored by Huggies


 

1:30 pm - 2:00 pm

Activities to Help Support NICU Parents

Jennifer Degl, author of Hope to Joy: A Memoir of a Mother's Determination and her Micro Preemie's Struggle to Beat the Odds
Cheryl Chotrani, Executive Director, Pebbles of Hope
Sponsored by the Preemie Parent Alliance