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Section Editor(s): Damato, Elizabeth

doi: 10.1097/ANC.0b013e31827ed0ac
NANN pages

Board Member of National Association of Neonatal Nurses

Correspondence: Katie Macaluso, BA, National Association of Neonatal Nurses, 4700 W Lake Ave, Glenview, IL 60025 (

Celebrating 25 years of caring for neonates and their families

No grant funding was involved in the production of this article.

The author declares no conflict of interest.

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Neonatal Nurse Practitioner Linda McCarney, MSN, RN, NNP-BC, is the coordinator of neonatal nurse practitioner education at Children's Hospital Colorado, located in Aurora

Neonatal Nurse Practitioner Linda McCarney, MSN, RN, NNP-BC, is the coordinator of neonatal nurse practitioner education at Children's Hospital Colorado, located in Aurora

NANN membership has its rewards. Just ask Linda McCarney, a NANN member, who had the opportunity to travel to China in July 2012 as the NANN liaison to the American Academy of Pediatrics (AAP) Neonatal Resuscitation Program Steering Committee (NRPSC). The AAP NRPSC meetings are held twice each year. In March, the group meets in Chicago at the AAP headquarters; the October meeting is held in conjunction with the AAP National Conference and Exhibition in various cities around the country. For the past several years, a nurse has represented NANN at these meetings. Linda has been the NANN liaison since March 2011.

The mission of the NRPSC is to translate the evidence-based consensus findings of the International Liaison Committee on Resuscitation into practice guidelines that form the basis of the evidence-based educational program known as AAP/American Heart Association Neonatal Resuscitation Program (NRP). Although many countries participate in preparation of the International Liaison Committee on Resuscitation consensus statement, the AAP guidelines are often adopted worldwide.

In 2004, the AAP formed a partnership with the Chinese Ministry of Health, the Chinese National Center for Women and Children's Health, the Chinese Society of Perinatal Medicine, and the Johnson & Johnson Pediatric Institute to launch a 5-year initiative to train Chinese healthcare providers using a model based on the AAP NRP curriculum. Nearly 10 years ago, birth asphyxia was the leading cause of mortality in Chinese cities for children younger than 5 years old, accounting for more than 1 in 5 infant deaths. The Chinese NRP, “Freedom of Breath, Fountain of Life,” was founded with the goal to have at least 1 skilled person in neonatal resuscitation at each hospital delivery. In studies conducted by the China Ministry of Health, birth asphyxia declined by 53% in the first 6 years in the 360 hospitals surveyed following implementation of the Chinese NRP.

The purpose of the recent visit to Beijing was to evaluate the interim progress of the Chinese NRP and to train their National Faculty and provincial instructors on the revised 2010 NRP guidelines using 2011 simulation teaching approaches. The National Faculty consisted mostly of neonatologists, pediatricians, and midwives from the larger city hospitals. Representatives from more rural provinces were charged to train providers back in their home locations. The Johnson & Johnson Pediatric Institute has pledged continued support beyond the initial 5-year commitment to help the Chinese NRP become self-sustaining.

According to Linda, teaching the NRP program to Chinese providers was both similar and different to teaching it here in the United States. She recognized that they have the same issues we do and want the same things we do—good infant outcomes. Working with simulation models this time brought some unanticipated cultural challenges. The process of debriefing following simulation or pointing out what could have been done better resulted in an initial reticence to fully engage in the exercises—an understandable phenomenon in a country where “saving face” is a cultural value, particularly by physicians who are not accustomed to being questioned about their actions. By the third day, there was a turnaround in attitude of the participants, and they fully embraced the training. However, implementation of the guidelines will still be difficult in some parts of China. In certain provinces, there are no self-inflating bags, no oxygen blenders, and no umbilical catheters to provide medications. Providers in these areas often extubate the baby as soon as they detect a heart rate because they have no resources to continue ventilation past the delivery.

Linda commented that she never would have imagined that her journey into nursing would have provided her with such a rich opportunity to improve neonatal care on the other side of the world. Like many nurses, Linda had a nontraditional entry into the profession. She received her first degree in biology and worked for a police department and then went to paramedic school. It was in working as a paramedic on the Children's Hospital Colorado transport team that she was exposed to nursing and to the role of the neonatal nurse practitioner. In 1995, she received her BSN and worked in pediatric intensive care and pediatric emergency departments and then worked on the Colorado Children's Hospital transport team specializing in transport of children aged 0 to 2 years. In 2005, she graduated from a neonatal nurse practitioner program and she currently provides neonatal coverage for several level II and level III facilities in Colorado.

Reflecting back on the life-changing experience of teaching NRP in China, Linda did not need any convincing on the value of NANN membership. “It has been my privilege to represent NANN in this way,” Linda said.

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Report of the 2011 Neonatal Nurse Practitioner Workforce Survey



NANNP is pleased to announce that the long-awaited Report of the 2011 Neonatal Nurse Practitioner Workforce Survey is now available for purchase. The first report of its kind for neonatal nurse practitioners, the report highlights findings in the areas of demographics, practice environment, scope of responsibilities, benefits, and job satisfaction through 48 detailed tables. Invaluable for the hospital administrator, the downloadable PDF also contains a comprehensive review of literature, methods, and an in-depth analysis of the healthcare environment.

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Newborn Pain Assessment and Management: Guideline for Practice



The third edition of the Newborn Pain Assessment and Management: Guideline for Practice, published in September, offers evidence-based recommendations and rationale for infant nursing care. The guideline reflects the best evidence available on assessment and management of pain in hospitalized preterm and full-term newborns and provides a foundation for specific nursing protocols, policies, and procedures. The guideline is available as a downloadable PDF so you can access it from your computer or mobile device.

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© 2013 National Association of Neonatal Nurses