Detail Cantuman

ABSTRACT ARTICLE HISTORY
Introduction: A good comprehension of the clinical profile and nursing
diagnosis of newborn in Special Care Nursery (SCN) unit guides decision-
making by nurses. In addition, it can become an initial basis for making plans
for improving quality of care, management and nursing research. The purpose
of this study was to identify clinical profile and nursing diagnosis of newborns
in an SCN unit.
Received: October 21, 2020
Accepted: April 29, 2021
KEYWORDS
newborns; nursing diagnosis;
special care nursery
Methods: It is a quantitative, cross-sectional, descriptive study in SCN (Level
II and III) with a sample of 77 medical records of newborns less than 31 days
old in a national referral hospital. Descriptive analysis was used to identify
demographic characteristic, the medical diagnosis and nursing diagnosis of
newborns at birth and hospitalization.
Results: Newborns treated in SCN unit are dominated by preterm with low
birth weight (74%). Respiratory system disorders (55.8%) and infections
(35.1%) dominate newborn problems both at birth or coming. Most nursing
diagnoses when the baby is born or coming are the risk of infection (90.9%)
and ineffective breathing patterns (76.6%). As for the treatment, most
diagnoses show the risk of infection and hypovolemia.
CONTACT
Defi Efendi
 defiefendi@ui.ac.id
 Department of Pediatric
Nursing, Faculty of Nursing
Universitas Indonesia
Neonatal Intensive Care Unit
(NICU), Universitas Indonesia
Hospital
Conclusion: A good clinical profile and nursing diagnosis of newborns can
guide nurses to decision-making. Continuous update on nursing diagnosis
determination, improvement of nurses’ knowledge about the signs of
deterioration, and future research that prioritizes issues in neonates are
required to optimize nurses’ role in SCN units