Nursing Intervention of Neonatal Jaundice in a Pediatric Ward
Adhikari, Yasmin; Thapa, Aarati (2025)
2025
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https://urn.fi/URN:NBN:fi:amk-2025121737462
https://urn.fi/URN:NBN:fi:amk-2025121737462
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Introduction: Neonatal Jaundice refers to the yellowish discoloration of skin, mucosa membranes and white area of eyes called sclera resulting from breakdown of red blood cells which leads to elevated bilirubin levels in the bloodstream.
Background: Over 60% of term babies and 80% of preterm newborns experience neonatal jaundice during the first week of their life. It can be either physiological jaundice, pathological jaundice, breastmilk jaundice, or hemolytic jaundice. If not detected and treated or managed on time it can cause serious complications like kernicterus and neurological disabilities. Nurses play a vital role in early detection, management and treating neonatal jaundice if the nurses have adequate knowledge, practices and awareness about the jaundice intervention.
Aim: The aim of this study is to gain better knowledge and understanding of nursing interventions on the early detection and treatment of neonatal jaundice to enhance neonatal care.
Methods: A scoping review method has been used in this study. Thirteen scientific articles from the Academic Search Elite, Medline, and CINAHL were used in data analysis.
Result: Result includes two main themes and sub themes from data extraction. The theme detection includes screening, monitoring, knowledge, and training while theme intervention outcomes include clinical results, nursing performance, and feeding support. Early detection and treatment on time can prevent the newborns from neurological problems, if the nurses have knowledge and practices. Proper breastfeeding helps to eliminate bilirubin levels. The result is aligned with Watson´s Theory of Human Caring.
Conclusion: The study concluded that Nursing intervention are essential in early detection and to reduce the complications of newborn´s jaundice such as kernicterus and neurological abnormalities. Parental awareness plays a huge role in infants outcomes. Continuous training, awareness, and knowledge helps the nurses to provide neonatal care and reduce the number of readmissions and helps in early recovery.
Background: Over 60% of term babies and 80% of preterm newborns experience neonatal jaundice during the first week of their life. It can be either physiological jaundice, pathological jaundice, breastmilk jaundice, or hemolytic jaundice. If not detected and treated or managed on time it can cause serious complications like kernicterus and neurological disabilities. Nurses play a vital role in early detection, management and treating neonatal jaundice if the nurses have adequate knowledge, practices and awareness about the jaundice intervention.
Aim: The aim of this study is to gain better knowledge and understanding of nursing interventions on the early detection and treatment of neonatal jaundice to enhance neonatal care.
Methods: A scoping review method has been used in this study. Thirteen scientific articles from the Academic Search Elite, Medline, and CINAHL were used in data analysis.
Result: Result includes two main themes and sub themes from data extraction. The theme detection includes screening, monitoring, knowledge, and training while theme intervention outcomes include clinical results, nursing performance, and feeding support. Early detection and treatment on time can prevent the newborns from neurological problems, if the nurses have knowledge and practices. Proper breastfeeding helps to eliminate bilirubin levels. The result is aligned with Watson´s Theory of Human Caring.
Conclusion: The study concluded that Nursing intervention are essential in early detection and to reduce the complications of newborn´s jaundice such as kernicterus and neurological abnormalities. Parental awareness plays a huge role in infants outcomes. Continuous training, awareness, and knowledge helps the nurses to provide neonatal care and reduce the number of readmissions and helps in early recovery.