6533b828fe1ef96bd1288305

RESEARCH PRODUCT

Nurses' experiences using conventional overhead phototherapy versus fibreoptic blankets for the treatment of neonatal hyperbilirubinemia

subject

description

Abstract Background In some neonatal intensive care units (NICUs), conventional overhead phototherapy is the only phototherapy available, whereas others use fibreoptic blankets only. Several NICUs use both treatments interchangeably. Aim To explore how nurses experience the use of conventional versus fibreoptic phototherapy. Method Six qualitative in-depth interviews involving nurses at three different NICUs with experience in both treatments were conducted. Results Following experiences were revealed: i) Infants displayed discomfort while under phototherapy, whereas blanket use promoted infant satisfaction. ii) Blankets increased parents' satisfaction by facilitating bonding, breastfeeding and kangaroo care. iii) The nurses disagreed as to whether fibreoptic blankets and conventional treatment have similar effects. iv) Nurses were concerned about the possible harm and discomfort to the eyes and skin of infants caused by phototherapy. Conclusion When the efficacy was considered sufficient, nurses preferred blankets compared with conventional overhead, because of ability to facilitate infant comfort and parent–child interaction.