Respirotory distress, Newborn Neonatal nursing Care Nasal Continuos Possitive Airway pressure Respiratory Distress Nursing Practice Guideline Pilot Project Implementation Research
Conditions
Interventions
The study is guided by Soukup model, categorized into 2 phases.
Phase 1 Evidence Based Development Phase: This phase involves searching and synthesizing evidence from 23 research studies to develop th
Experimental Other
Clinical Nursing Guidelines for the management of respiratory distress in newborns receiving with nasal continuous positiveairway pressure and strategies for implementing the CNPG
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Faculty of Medicine Vajira HospitalNavamindradhiraj University
Eligibility
Sex/Gender
All
Age
1 Hours to 1 Days
Inclusion criteria
Inclusion criteria: Sample group for quantitative data: 1) Newborn: Newborns with respiratory distress and receiving nCPAP within the first 24 hours of admission from the delivery room or transfer from the semi-critical care unit are eligible for nCPAP. This includes: - Premature infants who received nCPAP within 15-30 minutes of birth (early nCPAP) - Full-term infants diagnosed by a physician with respiratory distress, along with at least one clinical symptom (e.g., tachycardia > 60 breaths/minute, nasal flaring, chest retraction, or groaning). 2) Registered Nurse: 1. Work experience at NICU. 2. At least one year of experience caring for newborns using nCPAP. 3. At least one instance of providing nCPAP care to newborns using the provided CNPG. Sample group for qualitative data. Registered Nurse: Experienced in providing nCPAP care for newborns, having used the CNPG at least 7 times.
Exclusion criteria
Exclusion criteria: Newborn: 1. Infants with multiple congenital anomalies or surgical abnormalities requiring urgent surgery, such as diaphragmatic hernia or gastroschisis, are not suitable for nCPAP treatment as a first-line option. 2. Infants with severe or cyanotic congenital heart disease, or those with hemodynamically significant heart abnormalities affecting the circulatory system, such as tetralogy of fallot (TOF) or transposition of the great arteries (TGA), face complex pathologies that make it impractical to assess outcomes using nCPAP alone. 3. Infants whose parents or legal guardians have not given consent for their participation in the research project. Registered Nurse: unwilling to participate in the research project
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility and satisfaction of the guideline implementation At the end of the study period Surveys and in-depth interviews using feasibility and satisfaction questionnaires | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical outcomes including nCPAP failure within 72 hours, pneumothorax, nasal injury, and CPAP belly syndrome Up to 48 hours post-weaning Clinical observation and case record form monitoring | — |
Countries
Thailand
Contacts
Public ContactKritsana Kongsaenkaew
Faculty of Medicine Ramathibodi Hospital
Outcome results
None listed