Effect of Facilitated Tucking Created with Simulated Hands on Physiological Pain Indicators during Venipuncture in Premature Infants

Background: There is a low threshold of pain in newborns, especially premature infants, who are extremely sensitive to pain and painful procedures by showing a strong response. This study aimed to determine the effect of facilitated tucking with simulated hands on physiological factors of pain during venipuncture in premature infants. Methods: This experiment was conducted on preterm infants admitted to the neonatal intensive care unit of Amin and Shahid Beheshti hospitals in Isfahan, Iran in 2016. In total, 66 patients were selected through convenience sampling and were randomly assigned to the intervention (N=33) and control (N=33) groups. In the intervention group, venipuncture procedure was performed as infants were placed in the facilitated tucking position using simulated hands. Data were collected applying the new Iranian S1800 monitors for hemodynamic control. Data analysis was performed in SPSS version 18 using Kolmogorov-Smirnov, Chi-square, independent t-test and repeated measures ANOVA. Results: In this research, a statistically significant difference was observed between the mean of arterial oxygen saturation and respiratory rate of the intervention and control groups (

Nursing Care and Documentation Assistant with an Electronic Nursing Management System in Neonatal Intensive Care Unit

Background: All nursing cares require decision-making, and the ability to make the best decisions impact upon the quality of nursing care. Moreover, authenticity and accuracy of the best cares may be questioned if not recorded and reported properly and in a standard manner. We aimed to design and implement an electronic nursing managementsystem and then evaluate satisfaction of nurses with the designed electronic system.Methods: This technical action research was conducted in four phases of a) designing an electronic nursing process decision support system, b) designing an electronic nursing care documentation system, c) integrating these two systems and developing an electronic nursing information management system, and d) implementing the system and system satisfaction evaluation using quantitative methods (satisfaction questionnaire).Results: The results of this project led to design and development of an electronic nursing information management system for neonatal intensive care units, which enables nurses to carry out standard care and documentation with high level of nursing satisfaction.Conclusion: In order for an electronic system to support nurses in their care process, it must be accepted by nurses. If nurses are satisfied with the performance and nature of this system, they are much less likely to develop workaround solutions and much more likely to spend their efforts focusing on the professional aspects of nursing care