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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Fundamentals of Nursing Process II01:25

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Updated: Sep 16, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Nurse Perspectives on Incorporating Swaddling Into Diaper Change Procedures: A Qualitative Study.

Renee Tedder1, Jane K Sweeney, Debbie Evans Rogers

  • 1Author Affiliations: Pediatric Science Department, Rocky Mountain University of Health Professions, Provo, Utah (Drs Tedder, Sweeney, Evans-Rogers, Dr Ross); Pediatric Science Department, University of Washington School of Nursing, Seattle, Washington (Dr Blackburn); and Pediatric Science Department, University of Colorado School of Medicine, Aurora, Colorado (Dr Ross).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|July 8, 2025
PubMed
Summary

Swaddling during diaper changes in the Neonatal Intensive Care Unit (NICU) effectively reduces infant and nurse stress. This simple intervention, when explained to staff and families, enhances infant well-being.

Keywords:
infant stressneonatal intensive carepain managementswaddling

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Area of Science:

  • Neonatal care practices
  • Pediatric nursing interventions
  • Stress and coping mechanisms in infants

Background:

  • Neonatal procedural stress impacts infant metabolic and neurologic development.
  • Swaddling is known to reduce neonatal stress, but nurses' views on its use during care are unexplored.

Purpose of the Study:

  • To investigate Neonatal Intensive Care Unit (NICU) nurses' experiences and perceptions of using a swaddled diaper change.
  • To assess the feasibility of implementing this intervention as a NICU policy.

Main Methods:

  • Qualitative study involving 10 semi-structured interviews with experienced NICU nurses.
  • Inductive content analysis was used for data interpretation.

Main Results:

  • Four main themes and 13 subthemes emerged from the analysis.
  • Nurses perceived swaddling as an efficient and effective method for stress control in infants.
  • Observed benefits included reduced infant stress, decreased nurse stress, and calmer parents.

Conclusions:

  • The upper body swaddled diaper change is feasible, effective for stress reduction, and efficient for NICU nurses.
  • Educating staff and families about this intervention can significantly reduce daily stress for infants and parents.