Qualitative Description of Neonatal Expert Perspectives About Necrotizing Enterocolitis Risk

Sheila M. Gephart; Sasha N. Poole; Dennis R. Crain

doi:10.1053/j.nainr.2014.06.004

Qualitative Description of Neonatal Expert Perspectives About Necrotizing Enterocolitis Risk

Sheila M. Gephart, Sasha N. Poole, Dennis R. Crain

Nursing, College of

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

The purpose of this qualitative descriptive study was to provide rich description of experts' perspectives about necrotizing enterocolitis risk. Comments from 35 NEC experts were coded by two reviewers, grouped into categories and organized into themes. From 93 category codes, 9 meta-categories, and two broad themes were derived. NEC risk was considered to arise from both individual factors of vulnerability and variation in neonatal care practices. Controversy arose about the role of patent ductus arteriosus (PDA) and its treatment, transfusions, risk differences based on gestational age, efficacy and safety of probiotics in prevention, and the role of antibiotic exposure and multiple infections. Experts indicated the need for a stronger evidence base about NEC risk yet experts cited a lack of a strong evidence base on occasion when good to high quality evidence was available.

Original language	English (US)
Pages (from-to)	124-130
Number of pages	7
Journal	Newborn and Infant Nursing Reviews
Volume	14
Issue number	3
DOIs	https://doi.org/10.1053/j.nainr.2014.06.004
State	Published - Sep 1 2014

Keywords

Necrotizing enterocolitis
Neonatal intensive care
Neonate
Nursing
Premature infant
Qualitative description
Quality
Risk assessment
Risk index

ASJC Scopus subject areas

Pediatrics

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10.1053/j.nainr.2014.06.004

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title = "Qualitative Description of Neonatal Expert Perspectives About Necrotizing Enterocolitis Risk",

abstract = "The purpose of this qualitative descriptive study was to provide rich description of experts' perspectives about necrotizing enterocolitis risk. Comments from 35 NEC experts were coded by two reviewers, grouped into categories and organized into themes. From 93 category codes, 9 meta-categories, and two broad themes were derived. NEC risk was considered to arise from both individual factors of vulnerability and variation in neonatal care practices. Controversy arose about the role of patent ductus arteriosus (PDA) and its treatment, transfusions, risk differences based on gestational age, efficacy and safety of probiotics in prevention, and the role of antibiotic exposure and multiple infections. Experts indicated the need for a stronger evidence base about NEC risk yet experts cited a lack of a strong evidence base on occasion when good to high quality evidence was available.",

keywords = "Necrotizing enterocolitis, Neonatal intensive care, Neonate, Nursing, Premature infant, Qualitative description, Quality, Risk assessment, Risk index",

author = "Gephart, {Sheila M.} and Poole, {Sasha N.} and Crain, {Dennis R.}",

note = "Funding Information: The project described was supported by grant number F31NR012333 from the National Institute of Nursing Research and by the Friends of Yuma . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health. Study findings were presented in various forms at the National Association of Neonatal Nurses Research Summit in April 2012; Western Institute of Nursing Communicating Research Conference in April 2012 and the quantitative e-Delphi results were published by Journal of Obstetric Gynecologic and Neonatal Nursing in June 2013. We thank Drs. Judith Effken, Jacqueline McGrath, Pamela Reed, and Elaine Jones for their work on the first author's dissertation committee. Publisher Copyright: {\textcopyright} 2014 .",

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Qualitative Description of Neonatal Expert Perspectives About Necrotizing Enterocolitis Risk

Abstract

Keywords

ASJC Scopus subject areas

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