A newborn's admission to the Neonatal Intensive Care Unit (NICU) can be both stress inducing and ... more A newborn's admission to the Neonatal Intensive Care Unit (NICU) can be both stress inducing and frightening for a parent or caregiver. With nursing being a constant calming presence, a trusting bond between the parents and nurses often becomes the lifeline to survive the NICU journey. This bond impacts not only the baby and family, but also promotes the institution's reputation within the community. In today's climate of healthcare professional shortages, the power of the nurses' connections to families cannot be overlooked. It is critical in all neonatal units, especially where parents are being approached to enroll their infant in clinical research.
Journal of Perioperative & Critical Intensive Care Nursing, 2016
The purpose of article is to explore how transitions in care have been operationalized and discus... more The purpose of article is to explore how transitions in care have been operationalized and discuss how nurse managers can leverage their role in impacting care transitions.
Journal of Midwifery & Women's Health, May 6, 2005
New screening techniques and diagnostic tests for genetic diseases available for newborn screenin... more New screening techniques and diagnostic tests for genetic diseases available for newborn screening can provide information about many diseases long before they are clinically detected. However, this information creates complex questions and ethical dilemmas regarding which newborns should be tested, when testing should occur, availability and costs of tests, and how families should be counseled. There is no national policy regarding newborn screening, which leads to great variation among states'newborn screening programs. This article reviews newborn genetic testing and provides a blueprint for clinicians to improve practice by incorporating into their care knowledge of new developments in newborn testing and screening.
Journal of public health and epidemiology, Jul 31, 2018
Precision health is an all-encompassing term, which can describe a type of care that shows the in... more Precision health is an all-encompassing term, which can describe a type of care that shows the intersectionality of genomics, precision health or medicine and public health. This integrative review aimed to investigate how precision health strategies could contribute to the public health and improve health-related outcomes among populations. The search strategy included 5 main keywords combined with other 63 descriptors, resulting in 252 potential combinations. A total of 1,576 published articles were retrieved from the search. Fourteen articles met the inclusion criteria. Most addressed healthrelated outcomes were linked with chronic diseases like diabetes and cancer. The analyzed papers also discussed contextual effects and risk factors such as smoking under the scope of precision health and its interfaces with public health. Application of precision health to public health requires more collaborative work; the use of science and technology to help individuals achieve better health outcomes is costly, although over time may result in more efficient, cost-effective resource allocation. The downside of it is the risk of excessive focus on genes and technology detrimental to other relevant determinants of health (e.g. social factors). It is important to give the population, government, health providers and other stakeholders equal voice in health innovation discussions.
S ignificant progress on the reduction of maternal child morbidity and mortality worldwide has oc... more S ignificant progress on the reduction of maternal child morbidity and mortality worldwide has occurred since the launch of the millennium developmental goals (MDGs) in 2000. 1-3 MDG 4 is aimed at reducing the "under-five" mortality by two-thirds between 1990 and 2015. 1 The overall "under-five" child mortality rate has decreased by 41% from 1990 to 2011. 1 However, slower progress
Unit I: Neonatal Nursing Care: A Collaborative Practice Arena. Neonatal Nursing and Its Role in C... more Unit I: Neonatal Nursing Care: A Collaborative Practice Arena. Neonatal Nursing and Its Role in Comprehensive Care. Collaborative Practice in the Neonatal Intensive Care Unit. Ethical Aspects of Perinatal Care. Legal Aspects of Perinatal Care. Collaborative Research in Neonatal Nursing. Unit II: Family Dynamics. The Changing Family Unit. Sibling Adaptation to the Neonate. Bereavement: A State of Having Suffered a Loss. Unit III: The Prenatal Environment: Maternal-Fetal Interactions. Human Genetics. Fetal Development: Environmental Influences and Critical Periods. High-Risk Pregnancy. Regionalization of Care. Neonatal Transport. Unit IV: The Intrapartal Environment: Maternal-Child Interactions. The Effects of Labor on the Fetus and Neonate. Resuscitation and Stabilization of the Neonate. Neonatal Thermoregulation. Unit V: Physiologic Adaptation of the Neonate. Neonatal Assessment. Assessment and Management of Respiratory Dysfunction. New Technologies Applied to the Management of Respiratory Dysfunction. Complications of Respiratory Management. Assessment and Management of Cardiovascular Dysfunction. Fluids, Electrolytes, Vitamins, And Trace Minerals: Basis of Ingestion, Digestion, Elimination and Metabolism. Nutrition: Physiologic Basis of Metabolism and Management of Enteral Parenteral Nutrition. Assessment and Management of Gastrointestinal Dysfunction. Assessment and Management of Metabolic Dysfunction. Assessment and Management of Endocrine Dysfunction. Assessment and Management of Immunologic Dysfunction. Assessment and Management of Hematologic Dysfunction. Assessment and Management of Musculoskeletal Dysfunction. Assessment and Management of Genitourinary Dysfunction. Assessment and Management of Integumentary Dysfunction. Assessment and Management of Auditory Dysfunction. Assessment and Management of Ophthalmic Dysfunction. Unit VI: Neonatal Monitoring and Evaluation. Monitoring Neonatal Biophysical Parameters. Diagnostic Imaging. Diagnostic Test and Laboratory Values. Unit VII: Special Clinical Conc
A newborn's admission to the Neonatal Intensive Care Unit (NICU) can be both stress inducing and ... more A newborn's admission to the Neonatal Intensive Care Unit (NICU) can be both stress inducing and frightening for a parent or caregiver. With nursing being a constant calming presence, a trusting bond between the parents and nurses often becomes the lifeline to survive the NICU journey. This bond impacts not only the baby and family, but also promotes the institution's reputation within the community. In today's climate of healthcare professional shortages, the power of the nurses' connections to families cannot be overlooked. It is critical in all neonatal units, especially where parents are being approached to enroll their infant in clinical research.
Journal of Perioperative & Critical Intensive Care Nursing, 2016
The purpose of article is to explore how transitions in care have been operationalized and discus... more The purpose of article is to explore how transitions in care have been operationalized and discuss how nurse managers can leverage their role in impacting care transitions.
Journal of Midwifery & Women's Health, May 6, 2005
New screening techniques and diagnostic tests for genetic diseases available for newborn screenin... more New screening techniques and diagnostic tests for genetic diseases available for newborn screening can provide information about many diseases long before they are clinically detected. However, this information creates complex questions and ethical dilemmas regarding which newborns should be tested, when testing should occur, availability and costs of tests, and how families should be counseled. There is no national policy regarding newborn screening, which leads to great variation among states'newborn screening programs. This article reviews newborn genetic testing and provides a blueprint for clinicians to improve practice by incorporating into their care knowledge of new developments in newborn testing and screening.
Journal of public health and epidemiology, Jul 31, 2018
Precision health is an all-encompassing term, which can describe a type of care that shows the in... more Precision health is an all-encompassing term, which can describe a type of care that shows the intersectionality of genomics, precision health or medicine and public health. This integrative review aimed to investigate how precision health strategies could contribute to the public health and improve health-related outcomes among populations. The search strategy included 5 main keywords combined with other 63 descriptors, resulting in 252 potential combinations. A total of 1,576 published articles were retrieved from the search. Fourteen articles met the inclusion criteria. Most addressed healthrelated outcomes were linked with chronic diseases like diabetes and cancer. The analyzed papers also discussed contextual effects and risk factors such as smoking under the scope of precision health and its interfaces with public health. Application of precision health to public health requires more collaborative work; the use of science and technology to help individuals achieve better health outcomes is costly, although over time may result in more efficient, cost-effective resource allocation. The downside of it is the risk of excessive focus on genes and technology detrimental to other relevant determinants of health (e.g. social factors). It is important to give the population, government, health providers and other stakeholders equal voice in health innovation discussions.
S ignificant progress on the reduction of maternal child morbidity and mortality worldwide has oc... more S ignificant progress on the reduction of maternal child morbidity and mortality worldwide has occurred since the launch of the millennium developmental goals (MDGs) in 2000. 1-3 MDG 4 is aimed at reducing the "under-five" mortality by two-thirds between 1990 and 2015. 1 The overall "under-five" child mortality rate has decreased by 41% from 1990 to 2011. 1 However, slower progress
Unit I: Neonatal Nursing Care: A Collaborative Practice Arena. Neonatal Nursing and Its Role in C... more Unit I: Neonatal Nursing Care: A Collaborative Practice Arena. Neonatal Nursing and Its Role in Comprehensive Care. Collaborative Practice in the Neonatal Intensive Care Unit. Ethical Aspects of Perinatal Care. Legal Aspects of Perinatal Care. Collaborative Research in Neonatal Nursing. Unit II: Family Dynamics. The Changing Family Unit. Sibling Adaptation to the Neonate. Bereavement: A State of Having Suffered a Loss. Unit III: The Prenatal Environment: Maternal-Fetal Interactions. Human Genetics. Fetal Development: Environmental Influences and Critical Periods. High-Risk Pregnancy. Regionalization of Care. Neonatal Transport. Unit IV: The Intrapartal Environment: Maternal-Child Interactions. The Effects of Labor on the Fetus and Neonate. Resuscitation and Stabilization of the Neonate. Neonatal Thermoregulation. Unit V: Physiologic Adaptation of the Neonate. Neonatal Assessment. Assessment and Management of Respiratory Dysfunction. New Technologies Applied to the Management of Respiratory Dysfunction. Complications of Respiratory Management. Assessment and Management of Cardiovascular Dysfunction. Fluids, Electrolytes, Vitamins, And Trace Minerals: Basis of Ingestion, Digestion, Elimination and Metabolism. Nutrition: Physiologic Basis of Metabolism and Management of Enteral Parenteral Nutrition. Assessment and Management of Gastrointestinal Dysfunction. Assessment and Management of Metabolic Dysfunction. Assessment and Management of Endocrine Dysfunction. Assessment and Management of Immunologic Dysfunction. Assessment and Management of Hematologic Dysfunction. Assessment and Management of Musculoskeletal Dysfunction. Assessment and Management of Genitourinary Dysfunction. Assessment and Management of Integumentary Dysfunction. Assessment and Management of Auditory Dysfunction. Assessment and Management of Ophthalmic Dysfunction. Unit VI: Neonatal Monitoring and Evaluation. Monitoring Neonatal Biophysical Parameters. Diagnostic Imaging. Diagnostic Test and Laboratory Values. Unit VII: Special Clinical Conc
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Papers by Carole Kenner