Abstract
Objective: The study aimed to evaluate how neonatal blood pressure measurement with the oscillometric method is performed by a nursing team, including patient preparation, documentation, materials, and equipment. Method: This cross-sectional study was conducted in a neonatal intensive care unit (NICU) through direct observation of procedures performed by nursing staff. A systematic script was used for observation and documentation of the procedure, patient reparation, and handling of equipment. The results were analyzed through inferential statistics. Results: In a total of 150 observations, 60% or more of steps were classified as correct in 13 of the 26 target items. There was no difference between RNs and nurse technicians concerning the procedure´s success rate (p = 0.3933). Blood pressure measurement was obtained in the first attempt, according to the procedure´s adequacy (p <0.0001). Conclusion: Published recommendations for oscillometric blood pressure measurement were not followed completely. Continuing education should focus on routine procedures to ensure essential aspects of care.
References
Flynn JT, Kaelber DC, Baker-Smith CM, Blower D, Carroll AE, Daniels SR, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics. 2017;140(3):e20171904. http://dx.doi.org/10.1542/peds.2017-1904
Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq Bras Cardiol. 2021;116(3):516-658. https://doi.org/10.36660/abc.20201238
Forouzanfar M, Dajani HR, Groza VZ, Bolic M, Rajan S, Batkin I. Oscillometric blood pressure estimation: past, present, and future.
IEEE Rev Biomed Eng. 2015;8:44-63. http://dx.doi.org/10.1109/RBME.2015.2434215
Dionne JM, Bremner SA, Baygani SK, Batton B, Ergenekon E, Bhatt-Mehta V. Method of Blood Pressure Measurement in Neonates and Infants: A Systematic Review and Analysis. J Pediatr. 2020;221:23-31. https://doi.org/10.1016/j.jpeds.2020.02.072
Salihog˘lu O, Can E, Beşkardeş A, Koç BS, Tan I, Can G, et al. Delivery room blood pressure percentiles of healthy, singleton, liveborn neonates. Pediatr Int. 2012;54:182–189. http://dx.doi.org/10.1111/j.1442-200X.2011.03520.x
Semenova O, Lightbody G, O’Toole JM, Boylan G, Dempsey E, Temko A. Coupling between mean blood pressure and EEG in preterm neonates is associated with reduced illness severity scores. PloS One. 2018;13(6):e0199587. https://doi.org/10.1371/journal.pone.0199587
Kent AL, Kecskes Z, Shadbolt B, Falk MC. Blood pressure in the first year of life in healthy infants born at term. Pediatr Nephrol. 2007;22:1743–9. http://dx.doi.org/10.1007/s00467-007-0561-8
Nwankwo MU, Lorenz JM, Gardiner JC. A standard protocol for blood pressure measurement in the newborn. Pediatrics. 1997;99(6):E10. http://dx.doi.org/10.1542/peds.99.6.e10
Jamieson MJ, Webster J, Philips S, Jeffers TA, Scott AK, Robb OJ, et al. The measurement of blood pressure: sitting or supine, once or twice? J Hypertens. 1990;8(7):635-40. http://dx.doi.org/10.1097/00004872-199007000-00006
Stebor AD. Basic principles of noninvasive blood pressure measurement in infants. Adv Neonatal Care. 2005;5(5):252–61. http://dx.doi.org/10.1016/j.adnc.2005.06.005
Polit FD, Beck TC. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem. 9. ed. Porto Alegre: Artmed; 2019.
Medronho R, Carvalho D, Bloch K. Epidemiologia. 2. ed. Rio de Janeiro: Atheneu; 2008.
Cochran WG. Técnicas de amostragem. 2. ed. Portugal: Editora Fundo de Cultura; 1963.
Souza MC. Interobserver reliability of blood pressure measurement by auscultation method in term newborns [master thesis on the internet] Campinas: Universidade Estadual de Campinas, Faculdade de Enfermagem; 2014 [cited 2018 Jun 30]. 120 p. Available from: http://repositorio.unicamp.br/handle/REPOSIP/283882
Pagano M, Gauvreau K. Princípios de Bioestatística. 2. ed. São Paulo: Ed. Thomson; 2004.
Takci S, Ygit S, Korkmaz A, Yurdakok M. Comparison between oscillometric and invasive blood pressure measurements in critically ill premature infants. Acta Pædiatrica. 2012;101:132-5. https://doi.org/10.1111/j.1651-2227.2011.02458.x
Sarici SU, Alpay F, Okutan V, Gokçay E. Is a standard protocol necessary for oscillometric blood pressure measurement in term newborns? Biol Neonate. 2000;77:212-6. https://doi.org/10.1159/000014218
Sacks E. Defining disrespect and abuse of newborns: a review of the evidence and an expanded typology of respectful maternity care. Reprod Health. 2017;14:66. http://dx.doi.org/10.1186/s12978-017-0326-1
Shas PS, Herbozo C, Aliwalas LL, Shah Vs. Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Syst Rev. 2012;12. http://10.0.3.234/14651858.CD004950.pub3
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