Neonatal Intensive Care Nursing, Second Edition by Glenys Boxwell

By Glenys Boxwell

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The authors conclude the study by stating that social interactions and experience should be given more credence as a source of knowledge than more legitimate sources, for example, research and policies, which reinforces the complexity of differing sources of evidence required for practice. Personal experience An example from personal experience provides an illustration of how experience gained through past practice can have a long-lasting impact. As part of my midwifery training I spent several weeks in the neonatal unit.

If undertaken systematically, utilising an appropriate model, for example, Smyth’s double loop model, reflection can evaluate the incident from a theoretical perspective by exploring which nursing theory and social practices have influenced the incident and how these may need to be modified (Greenwood 1998). Much is written about intuitive practice and it is important to remember that intuition can only develop in response to an accumulation of practice knowledge. It has a direct bearing on the analytical processes in patient care as it is often a trigger for reflective practice (King and Appleton 1997).

In view of the difficulties identified above, however, Brocklehurst and McGuire suggest that there should be more perinatal networks for undertaking multi-centre trials as is the case in North America and Australasia. Such collaboration would ensure that competing trials do not occur simultaneously and that parent groups and researchers can prioritise their most important research questions. g. Larroque et al. 2004). The findings of this particular study (Epipage) concluded that 42 per cent of those born at between 24–28 weeks were receiving special support at 5 years.

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