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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Indonesia JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal JMM (Jurnal Masyarakat Mandiri) Jurnal Ilmu Keperawatan Anak JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) Community Empowerment Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Teknologi Kesehatan Jurnal Ilmu Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Dyah Dwi Astuti
Poltekkes Kemenkes Surakarta
Arts Humanities Civil Engineering, Building, Construction & Architecture Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Belitung Nursing Journal

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Oral feeding skills in premature infants: A concept analysis Dyah Dwi Astuti; Yeni Rustina; Dessie Wanda
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2107

Abstract

Background:  The delay in developing oral feeding skills becomes a problem experienced by premature infants. One of the reasons for the delay may be related to inconsistent definitions of oral feeding skills, which can cause discrepancies in the provision of nursing care. Objective: This study aimed to clarify the concept of oral feeding skills in premature infants. Methods: The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: CINAHL, PubMed, ProQuest, EMBASE, and Google Scholar, to find articles between January 2020 and December 2022. Results: The literature search obtained 20 articles on oral feeding skills from various disciplines. Five attributes were developed from the concept analysis, including (1) coordination ability to suck, swallow, and breathe, (2) the ability to regulate oral-motor functions, (3) the ability to regulate sensory functions, (4) the ability to maintain the stability of physiology function, and (5) the ability to regulate feeding behavior. Antecedents to oral feeding skills include immaturity of the nervous system, gestational age, feeding intolerance, increased length of stay and cost of care, increased rehospitalization, stress on parents, and increased morbidity and mortality. Consequences include optimization of growth and development, reduction of length of stay and cost of hospitalization, increased bonding attachment, increased self-efficacy of parents in caring for premature infants, and improvement of the quality of life of premature infants. Conclusion: The concept analysis provides five comprehensive attributes and their antecedents and consequences. However, this concept can be used to provide nursing care to premature infants, assess the criteria for discharge, and optimize nutrition for the growth and development of premature infants.
Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study Dyah Dwi Astuti; Rinawati Rohsiswatmo; Dessie Wanda; Diah Mulyawati Utari
Belitung Nursing Journal Vol. 9 No. 5 (2023): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2772

Abstract

Background: Many preterm infants face feeding difficulties during the transition from enteral to oral feeding due to organ immaturity, resulting in aspiration, airway instability, and oral feeding intolerance. These challenges can increase morbidity and mortality among preterm infants. Nurses play a vital role in providing interventions to minimize negative impacts and enhance the safety of preterm oral feeding. Objective: This study aimed to explore the experiences of Indonesian nurses in improving preterm oral feeding readiness. Methods: A qualitative descriptive study was conducted involving ten nurses working in intensive care units as participants through purposive sampling. Data were collected through semi-structured, in-depth interviews conducted from January to March 2023. Thematic analysis was applied for data analysis. Results: Four key themes developed in this study: 1) comprehensive and holistic nursing assessment, 2) challenging and complex nursing issues, 3) the need for nutritional management skills, and 4) the necessity of collaborative support. Conclusion: Nurses play a pivotal role in enhancing oral feeding readiness among premature infants. Their responsibilities include assessing oral feeding readiness, addressing nursing challenges, and implementing multidisciplinary stimulation involving parents. This study provides a foundational framework for developing interventions to improve preterm oral feeding readiness.
Co-Authors Astuti, Duwi Pudji Diah Mulyawati Utari Duwi Pudji Astuti Erfin Firmawati Fachriza Malika Ramadhani Fajar Tri Waluyanti Fiona Meylawati Handayani, Tri Widyastuti Mandawati, Murti Rinawati Rohsiswatmo Rita Adriani Benya Adriani Romdzati Romdzati Siti Lestari Tri Widyastuti Handayani Tri Widyastuti Handayani Tri Widyastuti, Tri Widyastuti Handayani Wanda , Dessie Yeni Rustina Yeni Rustina