We also use third-party cookies that help us analyze and understand how you use this website. By continuing you agree to the Use of Cookies. This Guideline provides registered nurses, advanced practice registered nurses and healthcare providers with evidence-based clinical practice recommendations for newborn skin care appropriate for full-term and preterm newborns. Washington USA: Johnson & Johnson; 2013. The AWHONN Neonatal Skin Care Guideline The purpose of the Neonatal Skin Care Evidence-Based Clinical Practice Guideline is to provide nurses, midwives, and other health care workers with clinical practice recommendations for neonatal skin care based on the best available evidence. AWHONN. Science team members where chosen based on their clinical and research expertise. Institutional review board approval was not required in most settings, although a few of the participating sites did obtain approval and parental consent. Twice-weekly skin assessment tool: provided a “snapshot” of newborn skin condition and daily care practices. Association of Women’s Health, Obstetric and Neonatal Nurses, Perinatal Orientation and Education Program (POEP), Neonatal Orientation and Education Program (NOEP), Leading Nursing Association Receives Grant to Improve Neonatal Skin Care Guidelines, Association of Women's Health, Obstetric and Neonatal Nurses. The effect of using the skin care guideline on NICU/ SCU infants’ skin condition was analyzed using a 2 (pre-vs. postintervention) x 4 (time) repeated measures ANOVA. Changes in frequency of selected skin care practices were used to assess the effectiveness and feasibility of using the practice guideline in everyday clinical practice. We'll assume you're ok with this, but you can opt-out if you wish. Learn more about AWHONN at www.awhonn.org. This report is based on the systematic observations and assessments made by site coordinators before and after implementing the project guideline. Newborn chemical exposure from over-the-counter skin care products. New recommendations based on current research focus on appropriate skin care practices for term and preterm newborns. Recent research indicates the routine use of emollients is contraindicated due to the increased risk of infection Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). Intensive Care Nursery, Children’s Hospital Oakland, 747 52nd Street, Oakland, CA 94609. A second period of observation of newly admitted patients occurred after the site coordinators implemented the skin care guideline in their individual units. The effect of repeated application of Aquaphor on skin condition, fluid requirements, and bacterial colonization in very low birth weight infants. Members of the Neonatal Skincare Team are: “The benefits of having evidence-based neonatal skin care guidelines are vital to the health of newborns and their families,” said AWHONN’s CEO, Lynn Erdman, MN, RN, FAAN. “As the leader in neonatal skin care research globally, our collaboration with AWHONN gives nurses and other newborn-focused HCPs the opportunity to share science-based recommendations, that are vital to the health and wellness of families everywhere.”, For media interviews, contact: This website uses cookies to improve your experience while you navigate through the website. The Stratum Corneum is the outermost layer of the epidermis which acts as mechanical barrier. We use cookies to help provide and enhance our service and tailor content and ads. There were 11,468 observations in the NICU sample and 628 observations in the well-baby sample. Because two observations were allowed each week, the maximum number of weeks that an infant could be observed was 8 weeks. Yet, 20% had scores higher than 3, indicating some degree of skin disruption. The well-baby population was usually observed twice, on 2 consecutive days, due to their limited hospital stays. Only infants with at least two humidity observations were included in this analysis. Since 1969, the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) has been the foremost authority promoting the health of women and newborns and strengthening the nursing profession through the delivery of superior advocacy, research, education, and other professional and clinical resources. This document is based on the third edition of the AWHONN Neonatal Skin Care Guidelines… Each site was to include at least 30 patients during both observation periods, before and after the implementation of the guideline. Other diagnoses identified were meconium aspiration, congenital malformation, congenital heart defects, seizures, birth depression, apnea, necrotizing enterocolitis, and pneumonia. Because the guideline recommended that skin cultures be obtained in infants with unexplained skin breakdown or excoriations that appeared erythematous or with purulent exudate, the increase is viewed as a result of the application of guideline recommendations and does not indicate any increase in skin infections. Third, tests of the intervention were performed, also using ANOVA tests. Some infants had as many as 16 observations recorded, whereas others were observed once or twice. Summary information regarding skin assessment, bathing, cord and circumcision care, disinfectants, water loss, Evaluation of detergent-induced irritant skin reactions by visual scoring and transepidermal water loss measurement. 2000. For use in neonatal units participating in the East of England 2. It is useful, therefore, to inventory the level of care in neonates requiring intensive care in terms of their relative risk for developing skin injury. Danby S, Bedwell C, Cork M (2015) Neonatal Skin Care and Toxicity. “On behalf of AWHONN, we would like to thank Johnson & Johnson for helping bring awareness of these benefits by their support of this important work.”, “We look forward to working with AWHONN on the neonatal skin care guidelines,” said NANN President, Lori Brittingham, MSN, RN, CNS, ACCNS-N. “NANN understands the criticality of evidence-based practice in relation to neonatal skin care and is excited to collaborate on this important resource.”, “There is a tremendous need to communicate and educate the best way to take care of babies’ skin,” said David Mays, Senior Director of Global Scientific Engagement. The form was streamlined to facilitate data collection, as fewer monitoring devices and other treatments are used by this population. 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