Karen New

Karen New
The University of Queensland and Royal Brisbane & Women's Hospital · School of Nursing, Midwifery and Social Work

PhD

About

86
Publications
12,430
Reads
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1,107
Citations
Citations since 2016
30 Research Items
824 Citations
2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140
Additional affiliations
July 2013 - June 2018
Independent Researcher
Independent Researcher
Position
  • Midwifery Clinical Academic Fellow

Publications

Publications (86)
Article
Full-text available
Postnatal follow-up care is reported to be the ‘underutilised’ aspect of the maternity care continuum. This review explores women’s utilisation of early and late postnatal follow-up and their experiences and satisfaction with it. Five online databases were searched for English or Arabic articles published between 2011 and 2021. Methodological quali...
Article
Full-text available
Introduction Implementation of interprofessional education (IPE) is recognised as challenging, and well-designed programs can have differing levels of success depending on implementation quality. The aim of this review was to summarise the evidence for implementation of IPE, and identify challenges and key lessons to guide faculty in IPE implementa...
Article
Full-text available
Background Prevention of weight gain outside recommendations is a challenge for health services, with several barriers to best practice care identified. The aim of this pragmatic implementation study with a historical control was to examine the impact of implementing a service wide education program, and antenatal care pregnancy weight gain chart c...
Article
Aim To evaluate consistency in the assessment of neonatal skin injuries. Materials and methods Injury images collected during a multicentre period prevalence study (n = 297) were screened for optimal quality before 60 images, stratified for size and colour, were randomly selected for assessment by three neonatal and two adult specialists. The prin...
Article
Objectives To calculate 95% reference ranges for heart rate, respiratory rate, oxygen saturation, temperature and blood pressure for well late preterm newborns between 34+0/7 and 36+6/7 weeks of gestation during typical neonatal behaviour. Approach A single site, prospective cohort study in a major Australian quaternary hospital between February an...
Article
Full-text available
Background Medical adhesive-related skin injuries (MARSI) are common in hospitalised neonates. Aims To (i) identify adhesives and removal techniques, (ii) develop and distribute neonatal MARSI resources, and (iii) evaluate the resources. Methods A participatory action research cycle was conducted from 2017 to 2019 to identify practices and recomm...
Article
Background: The purpose of regulation of health professionals is public protection. Concerns regarding professional conduct or midwifery care can lead to clinical investigation. Midwifery literature reveals midwives feel ill-equipped and unprepared for clinical investigation and experience stress and abreaction. Aim: To explore the lived experie...
Article
Full-text available
The objective of this study was to explore neonatal skin injury period prevalence, classification, and risk factors. Skin injury period prevalence over 9 months and χ, Mann-Whitney U, and independent-samples t tests compared injured and noninjured neonates, with P values less than .05 considered statistically significant. Injury prediction models w...
Article
Aim and objective To explore and establish the language, clinical opinions and workplace culture around neonatal skin injury nomenclature. Specifically, what nomenclature is used to describe, define, identity, and communicate neonatal skin injuries including (i) terms (ii) locations (iii) associated risks and (iv) mechanical forces. Background Ski...
Article
Aim To measure sound exposure in an Australian single-room configured, neonatal unit and compare findings to current sound level recommendations. Methods Sound meters were placed inside 51 internal environments (incubators or open cots), and within the surrounding environment of each occupied single room between September 15 and October 28, 2015....
Article
Background Newborns have their vital signs measured as part of routine care. However, there is inconsistency in accepted physiological ranges for well newborns beyond the post-delivery stabilisation period which has implications for the identification of illness. Objective To explore differences in physiological vital signs between three gestation...
Article
Problem: More than half of women start pregnancy above a healthy weight and two-thirds gain excess weight during pregnancy, increasing the risk of complications. Background: Little research has examined the influence model of care has on weight-related outcomes in pregnancy. Aim: To explore how continuity vs non-continuity models of midwifery...
Article
Full-text available
Background Advanced cancer patients’ end-of-life care preferences in oncology units, medical-surgical units, nursing homes and palliative care services have been established. However, less is known about end-of-life care preferences of patients with advanced cancer in intensive care units and their families. Aim To explore end-of-life care prefere...
Technical Report
Full-text available
In 2018, WHO, UNICEF, the World Bank Group, and other partners launched Nurturing Care for Early Childhood Development: A Framework for Helping Children Survive and Thrive to Transform Health and Human Potential at the 71st World Health Assembly. The new Nurturing Care Framework draws on state-of-the-art evidence regarding early childhood developme...
Article
Full-text available
Aim: This study proposed to (1) develop a metric graduated colour tool and (2) demonstrate the effectiveness of the tool for use in the assessment of neonatal skin injuries. Materials/methods: Findings from wound literature informed the metric graduated colour tool's development. Tool development included consideration of colours, size (comparat...
Article
Peripheral intravenous catheters (PIVCs) are important tools for the provision of treatment for unwell and premature neonates. This study aimed to explore current PIVC practices (i.e. insertion, product selection, complications and management priorities) within Australian and New Zealand neonatal units, to identify areas for innovation and practice...
Article
Monitoring pregnancy weight can reduce excess gestational weight gain (GWG), and is recommended in clinical practice guidelines as part of routine care. This study aimed to evaluate the implementation of routine weight monitoring using a pregnancy weight gain chart (PWGC), and assess Healthcare Professionals (HCPs) attitudes and practices around it...
Article
Full-text available
Background: Elevated sound levels and low language exposures of preterm infants (< 37 weeks) cared for in the neonatal unit contribute to poorer growth, cognition, language and motor outcomes. These delays can have lasting effects on childhood development and continue throughout adult life. Whilst recommendations have been established for appropri...
Article
Objective: To examine if a brief midwifery education and training session incorporated into annual mandatory training improves the knowledge and confidence of midwives to support healthy weight gain and management in pregnancy. Design: An implementation evaluation using a pre-post study design was used. Midwives completed a self- administered qu...
Article
Full-text available
Introduction Recognition of neonatal skin injuries from mechanical forces and their risk factors are limited and vague. Aim To identify frequency, locations and risk factors for neonatal skin injuries from pressure, friction, shear and/or stripping. Methods Joanna Briggs Institute Systematic Review process was used to search and review articles f...
Article
Context: The birth process and the moments thereafter are a crucial time for newborns as they adapt to extra uterine life. The adaptive process begins immediately and can take a number of days to complete. The process involves initiating and maintaining respirations, thermoregulation, and the change from foetal circulation to newborn circulation....
Article
Objectives To measure the internal and external light exposure of incubators and open cots in an Australian single-room configured neonatal unit and compare findings to current recommendations. Methods Light meters were placed in the internal and external environment of incubators and open cots within occupied single rooms in a tertiary-level neon...
Article
Background: Breast milk provides optimal nutrition for term and preterm infants, and the ideal way for infants to receive breast milk is through suckling at the breast. Unfortunately, this may not always be possible for medical or physiological reasons such as being born sick or preterm and as a result requiring supplemental feeding. Currently, th...
Article
Objectives: To compare the available dressing and securement devices for central venous access devices (CVADs). Design: Systematic review of randomised controlled trials. Data sources: Cochrane Wounds Group Specialised Register, the Cochrane Central Register of Controlled Trials, the Database of Abstracts of Reviews and of Effects, NHS Economi...
Article
All newborns are at risk of deterioration as a result of failing to make the transition to extra uterine life. Signs of deterioration can be subtle and easily missed. It has been postulated that the use of an Early Warning Tool may assist clinicians in recognising and responding to signs of deterioration earlier in neonates, thereby preventing a se...
Article
Objective The aim of the present study was to investigate the incidence of and patient outcomes associated with frequent patient moves.Methods In a prospective cohort study, any bed move and the reason for the move were documented. Patients were assessed on admission for anxiety, social support and delirium. Adverse events, length of stay and satis...
Article
Objective: To describe the underpinning principles involved in central venous access device (CVAD) securement and dressing products to prevent CVAD failure and complications through a synthesis of research studies. Background: Functional, dependable CVADs are a necessary part of patient care. Dressing and securement products are used to prevent CVA...
Article
Full-text available
Background: Preterm birth is the leading cause of child death worldwide. Small and sick newborns require timely, high-quality inpatient care to survive. This includes provision of warmth, feeding support, safe oxygen therapy and effective phototherapy with prevention and treatment of infections. Inpatient care for newborns requires dedicated ward...
Article
Today, prematurity and its effects on neonates, families, and societies have risen to the world's policy stage. The recognition that most prematurity is preventable creates the "perfect storm" for professional organizations, private and public corporations, non-governmental organizations, and governmental groups to collaborate to improve health out...
Article
Full-text available
Abstract BACKGROUND: US Centers for Disease Control guidelines recommend replacement of peripheral intravenous (IV) catheters no more frequently than every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bloodstream infection. Catheter insertion is an unpleasant experience for patients and replacement may be unnec...
Article
Full-text available
Anaemia is common in critically ill patients, and has a significant negative impact on patients' recovery. Blood conservation strategies have been developed to reduce the incidence of iatrogenic anaemic caused by sampling for diagnostic testing. Describe practice and local guidelines in adult, paediatric and neonatal Australian intensive care units...
Article
Full-text available
What is known about this topic • Early warning tools for the detection of deterioration are commonly used in adult and paediatric clinical settings. There is a paucity of research for use in newborns in maternity and neonatal settings. What this paper adds • The effectiveness of early warning tools in adult and paediatric population groups are mixe...
Article
BACKGROUND: There is little published research regarding co-sleeping and bed sharing in maternity units. As primary carers of mothers and infants, midwives' knowledge and practice may influence co-sleeping and bed sharing. AIM: To assess clinical midwives' knowledge and practice surrounding co-sleeping and bed sharing in maternity units in the init...
Article
Today, prematurity and its effects on neonates, families, and societies have risen to the world’s policy stage. The recognition that most prematurity is preventable creates the “perfect storm” for professional organizations, private and public corporations, non-governmental organizations, and governmental groups to collaborate to improve health out...
Article
Background: All newborns are potentially at risk of deterioration as a result of failing to make the transition to extrauterine life. Clinicians in busy maternity and neonatal settings may not identify subtle early signs of deterioration. It has been postulated that the use of early warning tools (EWTs) would better assist clinicians in identifying...
Conference Paper
The Council of International Neonatal Nurses, Inc. (COINN) acts as the global voice of the international community on neonatal nursing issues. Our vision is to generate a community of neonatal nurses from all over the world to work together on common problems, sharing expertise and disseminating important information. COINN now represents over 60 c...
Article
Objective: To examine the use, management, documentation and complications for intravascular devices in cardiac, medical and surgical inpatients. Methods: A point prevalence survey was undertaken in a large tertiary hospital in Queensland. Descriptive statistics were used to analyse data. Results: Of the 327 patients assessed, 192 (58.7%) had...
Article
The Cochrane Collaboration has been instrumental in guiding evidence-based practice in health care over the last 20 years. There are many ways nurses can get involved with the Cochrane Collaboration and support the application of research evidence into best practices in health care.
Article
US Centers for Disease Control guidelines recommend replacement of peripheral intravenous (IV) catheters no more frequently than every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bloodstream infection. Catheter insertion is an unpleasant experience for patients and replacement may be unnecessary if the cathete...
Article
BACKGROUND: This 2-part article reviews the primary research on co-sleeping and bed sharing in maternity units and critiques clinical practice guidelines on co-sleeping and bed sharing in maternity units. METHODS: Electronic search strategies were used to identify primary research and to access clinical practice guidelines about co-sleeping and bed...
Article
Background: Central venous catheters (CVCs) play a vital role in the management of acute and chronic illness. Dressings and securement devices must ensure CVCs do not dislodge or fall out, provide a barrier protection from microbial colonisation and infection, and be comfortable for the patient. There is a large range of dressing and securement pr...
Article
Background: A key criterion for discharging preterm infants home from nurseries is their ability to maintain temperature once transferred from incubators to open cots. The timing of transfer is important given the preterm infant's immature thermoregulatory mechanisms. Objectives: To determine the effects of body weight in transferring preterm in...
Article
To determine the effects on weight gain and temperature control of transferring preterm infants from incubators to open cots at a weight of 1600 g versus a weight of 1800 g. Randomised controlled trial. One tertiary and two regional neonatal units in public hospitals in Queensland, Australia. 182 preterm infants born with a birth weight less than 1...
Article
To facilitate the uptake of evidence and to reduce the evidence practice gap for management of newborn pain through the development of a clinical practice guideline. An audit of practice and an appraisal of clinical practice guidelines were undertaken to establish current practices and guideline availability for the management of newborn pain in 23...
Article
Background: The incubator environment is essential for optimal physiological functioning and development of the premature infant but the infant is ultimately required to make a successful transfer from incubator to open cot in order to be discharged from hospital. Criteria for transfer lack a systematic approach because no clear, specific guidelin...
Article
Despite high level evidence showing that antenatal smoking cessation programs are effective in reducing the number of women who smoke during pregnancy and the number of low birthweight and preterm births, few Australian hospitals have adopted a systematic approach to assist pregnant women to stop smoking. The aim of this study was to assess the eff...
Article
Background: The use of incubators to maintain a thermoneutral environment for preterm infants is routine practice in neonatal nurseries. Successful transition from incubator to open cot is a prerequisite for hospital discharge. Practice on the optimal timing of this transition is reported to vary widely among neonatal units; however there is a pauc...
Article
Over the last 2 decades, nurses have had increased exposure to research. In spite of this, the literature reports that many nurses have not begun to undertake or use research. A qualitative study of neonatal nurses would add depth to our understanding of nurses' experiences relative to nurse led clinical research in neonatal nursing. The purpose of...
Article
Breast milk provides optimal nutrition for newborn infants, and the ideal way for infants to receive breast milk is through suckling at the breast. Unfortunately, this may not always be possible, as there are numerous reasons why a newborn infant may not be able to breastfeed and, as a result, require supplemental feeding. Currently, there are a va...
Article
Background: The use of incubators in helping to maintain a thermoneutral environment for preterm infants has become routine practice in neonatal nurseries. As one of the key criteria for discharging preterm infants from nurseries is their ability to maintain temperature; the infant will need to make the transition from incubator to open cot at som...
Article
Background: Breast milk provides optimal nutrition for newborn infants, and the ideal way for infants to receive breast milk is through suckling at the breast. Unfortunately, this may not always be possible, as there are numerous reasons why a newborn infant may not be able to breastfeed and, as a result, require supplemental feeding. Currently, t...