Pardis Karimnejad, Sedigheh Hasani Moghadam, Jila Ganji,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Lip and palate clefts are the most common birth defects that cause many medical, psychological, social and financial problems for person and his or her family. Since many factors are involved in causing these defects, this study aimed is review the effective factors causing cleft lip and palate.
Methods: The present study was conducted using a narrative review. For this purpose, the following keywords were searched in the PubMed, SID, Science Direct, Google Scholar, WHO, databases: Cleft Lip, Cleft Palate, neonates, Risk Factor, Effect Factors from 1990 until 2019.
Results: This study showed valuable results regarding the risk factors for neonatal cleft lip and palate, that including family and genetic history of cleft lip and palate, family marriage, using drug and antibiotics in the first 3 months of pregnancy, Maternal stressors especially in the first 3 months of pregnancy, high BMI before maternal pregnancy, maternal age over 35, maternal smoking during pregnancy, folic acid deficiency and environmental factors.
Conclusions: Lip and clefts palate can be associated with many complications such as speech and hearing problems, breast feeding problems, ear infections and psychosocial problems for the newborn. Therefore, identifying the factors that contribute to their creation can help to have healthy people in the community and prevent economic and social damage.
Razieh Talebi, Mahnaz Modanloo, Fatemeh Heydari , Neda Mehrdad, Abbasali Keshtkar, Homeira Khoddam,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Despite the expansion of knowledge of neonatal pain assessment and management, there is still a considerable gap between nurses' clinical practices in Iran and available evidence. The aim of this study was to develop an evidence-based protocol for neonatal pain management and to evaluate its effectiveness on nurses' clinical practice.
Methods: The present study will be based on the Johns Hopkins nursing evidence-based practice (JHNEBP) model and the three stages of practice question and project planning, evidence, and translation (PET). In this way, after forming an interprofessional team, clinical practice questions will be defined, and the main stakeholders will be identified. Then, the types, levels, and quality of evidence will be assessed to summarize their final strength using the proposed tools of the model, and finally, recommendations will be developed. In the translation phase, the recommendations will be implemented during a stepped wedge cluster randomized trial, and its implications for nursing practices in the management of pain in hospitalized neonates will be evaluated.
Results: The results of this study will lead to the production of an operational and applicable protocol in the management of pain in hospitalized neonates. It can provide the basis for improving the clinical practice of nurses and subsequently improving the quality of neonatal care.
Conclusion: One of the strengths of this study is the use of an interprofessional team approach, considering the clients' priorities, and the improvement of organizational culture in order to endeavor for knowledge translation and change in clinical practice.
