CPAP for infants in rural and metropolitan special care nurseries: Perspectives of Nurse Unit Managers

Leonie Girvan, Wei Wang, Virginia Plummer

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Use of Continuous Positive Airway Pressure (CPAP) in the management of Respiratory Distress Syndrome (RDS) and Transient Tachypnoea of the Newborn (TTN) for infants was introduced in Special Care Nurseries, Victoria, Australia approximately ten years ago. There has been scant evidence on outcomes on CPAP utilization in neonates cared for in developed countries. This study aimed to explore the associations between CPAP outcomes and nursery characteristics for infants with RDS and TTN. Method: A retrospective cross-sectional study using a paper-based anonymous survey was utilized. Participants were Nurse Managers of Special Care Nurseries (SCN) in Victoria, Australia. Multiple correspondence analysis was applied to explore the structural relationships between the nursery background characteristics and the outcome variables. Ethical approval was provided by Peninsula Health. Results: The response rate was 40% (N = 8); 10–100 + infants were treated in the SCN and not transferred and 0–16 required unplanned transfer. Positive CPAP outcomes were associated with preferable nursery characteristics such as higher bed capacity, more years’ experience using CPAP and shorter distances to a NICU. In contrast, unfavourable outcomes (Increased work stressors on nurses and disagreement on general improvement within 6 h when referral was otherwise recommended) were related to a disadvantaged nursery environment. Conclusion: Transfers have been reduced; outcomes have been positive for infants, parents and staff, yet education of nursing staff varied between nurseries. A survey of Special Care Nursery Nurse Unit Managers exploring association between nursery characteristics and CPAP outcomes. Overall positive outcomes for infants, parents and staff.

Original languageEnglish
Pages (from-to)336-339
Number of pages4
JournalJournal of Neonatal Nursing
Volume24
Issue number6
DOIs
Publication statusPublished - 6 Dec 2018

Keywords

  • Continuous positive airway pressure
  • Education
  • Infant
  • NICU
  • Nursery
  • Parent craft
  • RDS
  • SCN

Cite this