Audit nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani Hospital, Babol, Iran

Background: Accurate and complete documentation of nursing records is one of the preconditions of the evidence-based cares and is considered as one of the most important professional tasks in nursing. The aim of the present study was to audit the nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani hospital, Babol. Methods: In this cross-sectional study, 100 nursing reports were randomly selected from the neonatal intensive care unit. Data were collected by a researcher using a checklist which was developed in accordance with the standard and indicators of nursing documentation in national and international reliable sources and then compared after determining the content validity and reliability (observers' agreement coefficient). Data were analyzed using SPSS20, and statistical methods of Man-Whitney and Kruskal-Wallis were used at a significant level of p<0.05. Results: The quality of 93%, 1% and 6% of nursing records was good, moderate and poor, respectively. Overall, the quality of nursing records was desirable in terms of content and structure and there was no significant difference in nursing documentation record in dimensions of structure and content according to overtime (P=0.92 and P=0.11), work experience (P=0.61 and P=0.16) and age group (P=0.09 and P=0.76). Conclusions: The quality of nursing records in neonatal intensive care unit of Ayatollah Rouhani Hospital of Babol has been improved according to the Accreditation of Health Care Centers. In addition, the increase of nurses' knowledge about legal and professional issues has also been effective on improving the quality of the documentation

Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants

BackgroundThe absence of pain relief in infants can lead to harmful effects; so, this study aimed to investigate the effect of local heat on the pain of vitamin K injection in the infants.Materials and MethodsThis randomized clinical trial was conducted on 80 healthy infants. For the control group, 1 mg vitamin K was injected into the vastus lateralis muscle by a nurse. In the 3 intervention groups, respectively 5, 10 and 15 minutes before the injection, hot-water bag at 37 °C was placed on the quadriceps muscle and then injection was done with the same condition as in the control group. Immediately after the injection, the Neonatal Infant Pain Scale (NIPS) was completed. Data analysis was done using SPSS version 21.0 software.Results41(51.25%) girls and 39 (48.75%) boys were participated. First-minute Apgar of all samples were 8.64±0.557. Birth weight was 3335.37±339.51 grams and the minimum gestational age 36.37±1.01 weeks. The mean pain score in the first minute in the control group was 3.6± 2.136, which was 3.3± 1.976 in the 5-minute warm-up group, and this amount was reached to 1.6± 1.569 in 10-minute warm up group, and 0.6± 0.821 in 15 minute warm-up group (P=0.008). The mean pain scores in the control group for the second minute was 1.0±1.835, which was reduced to 0.25± 0.716 in the 10-minute and 15-minute warm-up group (P=0.023).ConclusionLocal heating before the injection procedure can be effective in reducing pain in infants and the pain will reduce by increasing the local heating time (15 minutes)