Newborn skin care strategies in neonatal unit

Objective: To identify skin care strategies for newborns (NB) used in reference centers of the Kangaroo-Mother Care Method (KMC) in Brazil. Methods: Descriptive exploratory study, using a qualitative approach, performed with 13 nurses working in the different reference centers of the KMC in Brazil. Data were collected through an online form. Analysis was performed descriptively, comparing the different studies realities. Results: Four categories were described regarding skin care of NB through the experience of the nurses: strategies adopted by the team regarding skin care of NBs; dealing with the health team regarding bath and dipper disposal; care regarding fixation of devices in NBs, and strategies adopted by the NB team under phototherapy. Conclusion: The nurses presented capacity, and they were highly trained to act in their areas of experience and knowledge. The answers indicated that there is a great concern in avoiding the usage of materials and devices that could cause harm to NB skin.

[1]  U. Maver,et al.  Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area , 2018, International journal of dermatology.

[2]  I. Kamada,et al.  Skin injuries in newborns in neonatal intensive care , 2018 .

[3]  Soliman Aa,et al.  Efficacy of Intensive Phototherapy in Management of Neonatal Hyperbilirubinemia in Neonatal Unit of Assiut University Children Hospital , 2017 .

[4]  B. Manley,et al.  Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review , 2017, Archives of Disease in Childhood: Fetal and Neonatal Edition.

[5]  E. Shepherd,et al.  Skin Rounds: A Quality Improvement Approach to Enhance Skin Care in the Neonatal Intensive Care Unit , 2016, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[6]  C. Lund Bathing and Beyond: Current Bathing Controversies for Newborn Infants , 2016, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[7]  Deanna E. Johnson Extremely Preterm Infant Skin Care: A Transformation of Practice Aimed to Prevent Harm , 2016, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[8]  J. Banerjee,et al.  Antiseptic use in the neonatal intensive care unit - a dilemma in clinical practice: An evidence based review. , 2016, World journal of clinical pediatrics.

[9]  M. Yurdakök Phototherapy in the newborn: what's new? , 2015 .

[10]  Roberta Costa,et al.  Prevention of newborn skin lesions: knowledge of the nursing team , 2015 .

[11]  Mauricio Odio,et al.  Newborn infant skin: physiology, development, and care. , 2015, Clinics in dermatology.

[12]  Biranjia-Hurdoyal A Study to Investigate the Prevalence of Nappy Rash among Babies Aged 0 to 36 Months Old in a Tropical Country , 2015 .

[13]  V. Narendran,et al.  Neonatal Infant Skin: Development, Structure and Function , 2014 .

[14]  Carolyn H. Lund,et al.  Medical Adhesives in the NICU , 2014 .

[15]  Roberta Costa,et al.  Tratamiento de lesiones de piel en recién nacidos: conociendo las necesidades del equipo de enfermería , 2014 .

[16]  M. L. D. da Cunha,et al.  Cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score to Brazilian Portuguese 1 , 2014, Revista Latino-Americana de Enfermagem.

[17]  Yvonne Cousins Wound care considerations in neonates. , 2014, Nursing standard (Royal College of Nursing (Great Britain) : 1987).