Atención Neonatal Avanzada: Interacciones Clínicas entre Enfermería y Médicos en la Estabilización Temprana
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https://doi.org/10.56200/mentor.v5i13.11639Palabras clave:
Atención neonatal avanzada, interacción interprofesional, enfermería neonatal, estabilización neonatal tempranaResumen
La atención neonatal avanzada requiere enfoques interprofesionales que integren comunicación, toma de decisiones compartida y roles clínicos claros, dado el impacto crítico de la estabilización temprana en la supervivencia neonatal. El objetivo del studio fue analizar la literatura sobre la atención neonatal avanzada, con énfasis en las interacciones clínicas entre profesionales de enfermería y médicos durante la estabilización neonatal temprana. Se realizó una revisión documental cualitativa de literatura científica publicada entre 2020 y 2025, analizada mediante enfoque temático para interpretar interacciones clínicas interprofesionales en la estabilización neonatal temprana. Los hallazgos evidencian que la calidad de la interacción enfermería–médicos, mediada por comunicación, roles claros y carga de trabajo, es determinante para la seguridad y eficacia de la estabilización neonatal. La estabilización neonatal temprana demanda modelos colaborativos que reconozcan a la enfermería como agente clínico activo y promuevan interacciones interprofesionales estructuradas para fortalecer la seguridad, calidad y confiabilidad del cuidado neonatal.
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Altimier, L., & Phillips, R. M. (2013). The Neonatal Integrative Developmental Care Model: Seven Neuroprotective Core Measures for Family-Centered Developmental Care. Newborn and Infant Nursing Reviews, 13(1), 9-22. https://doi.org/10.1053/j.nainr.2012.12.002 DOI: https://doi.org/10.1053/j.nainr.2012.12.002
Aziz, K., Lee, H. C., Escobedo, M. B., Hoover, A. V., Kamath-Rayne, B. D., Kapadia, V. S., Magid, D. J., Niermeyer, S., Schmölzer, G. M., Szyld, E., Weiner, G. M., Wyckoff, M. H., Yamada, N. K., & Zaichkin, J. (2020). Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 142(16_suppl_2). https://doi.org/10.1161/CIR.0000000000000902 DOI: https://doi.org/10.1161/CIR.0000000000000902
Batey, N., Henry, C., Garg, S., Wagner, M., Malhotra, A., Valstar, M., Smith, T., Sharkey, D., the European Society for Paediatric Research (ESPR) Neonatal Resuscitation Section Writing Group, Niemuth, M., Küster, H., Rozycki, H., Solevåg, A. L., Lara-Cantón, I., Badurdeen, S., Dekker, J., Davis, P., Roberts, C., Te Pas, A., … Sharkey, D. (2024). The newborn delivery room of tomorrow: Emerging and future technologies. Pediatric Research, 96(3), 586-594. https://doi.org/10.1038/s41390-022-01988-y DOI: https://doi.org/10.1038/s41390-022-01988-y
Bell, E. A., Rufrano, G. A., Traylor, A. M., Ohning, B. L., & Salas, E. (2023). Enhancing team success in the neonatal intensive care unit: Challenges and opportunities for fluid teams. Frontiers in Psychology, 14, 1284606. https://doi.org/10.3389/fpsyg.2023.1284606 DOI: https://doi.org/10.3389/fpsyg.2023.1284606
Chae, S., & Shon, S. (2024). Effectiveness of simulation-based interprofessional education on teamwork and communication skills in neonatal resuscitation. BMC Medical Education, 24(1), 602. https://doi.org/10.1186/s12909-024-05581-1 DOI: https://doi.org/10.1186/s12909-024-05581-1
Ediger, K., Rashid, M., & Law, B. H. Y. (2022). What Is Teamwork? A Mixed Methods Study on the Perception of Teamwork in a Specialized Neonatal Resuscitation Team. Frontiers in Pediatrics, 10, 845671. https://doi.org/10.3389/fped.2022.845671 DOI: https://doi.org/10.3389/fped.2022.845671
Fawke, J., Stave, C., & Yamada, N. (2021). Use of briefing and debriefing in neonatal resuscitation, a scoping review. Resuscitation Plus, 5, 100059. https://doi.org/10.1016/j.resplu.2020.100059 DOI: https://doi.org/10.1016/j.resplu.2020.100059
Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information & Libraries Journal, 26(2), 91-108. https://doi.org/10.1111/j.1471-1842.2009.00848.x DOI: https://doi.org/10.1111/j.1471-1842.2009.00848.x
Huang, H.-B., Sang, K., Zhou, M., Yi, L., Liu, J.-Q., Yang, C.-Z., Law, B. H. Y., Schmölzer, G. M., & Cheung, P.-Y. (2025). The perceived workload of first-line healthcare professionals during neonatal resuscitation. Resuscitation Plus, 21, 100866. https://doi.org/10.1016/j.resplu.2025.100866 DOI: https://doi.org/10.1016/j.resplu.2025.100866
Jepkosgei, J., English, M., Adam, M. B., & Nzinga, J. (2022). Understanding intra- and interprofessional team and teamwork processes by exploring facility-based neonatal care in kenyan hospitals. BMC Health Services Research, 22(1), 636. https://doi.org/10.1186/s12913-022-08039-6 DOI: https://doi.org/10.1186/s12913-022-08039-6
Katantha, M. N., Strametz, R., Baluwa, M. A., Mapulanga, P., & Chirwa, E. M. (2025). Effective Interprofessional Communication for Patient Safety in Low-Resource Settings: A Concept Analysis. Safety, 11(3), 91. https://doi.org/10.3390/safety11030091 DOI: https://doi.org/10.3390/safety11030091
Lawn, J. E., Blencowe, H., Oza, S., You, D., Lee, A. C., Waiswa, P., Lalli, M., Bhutta, Z., Barros, A. J., Christian, P., Mathers, C., & Cousens, S. N. (2014). Every Newborn: Progress, priorities, and potential beyond survival. The Lancet, 384(9938), 189-205. https://doi.org/10.1016/S0140-6736(14)60496-7 DOI: https://doi.org/10.1016/S0140-6736(14)60496-7
Lee, J. H., Noh, O. K., Chang, Y. S., & Korean Neonatal Network. (2019). Neonatal Outcomes of Very Low Birth Weight Infants in Korean Neonatal Network from 2013 to 2016. Journal of Korean Medical Science, 34(5), e40. https://doi.org/10.3346/jkms.2019.34.e40 DOI: https://doi.org/10.3346/jkms.2019.34.e40
Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiologica Scandinavica, 53(2), 143-151. https://doi.org/10.1111/j.1399-6576.2008.01717.x DOI: https://doi.org/10.1111/j.1399-6576.2008.01717.x
Mileder, L. P., Baik-Schneditz, N., Pansy, J., Schwaberger, B., Raith, W., Avian, A., Schmölzer, G. M., Wöckinger, P., Pichler, G., & Urlesberger, B. (2024). Impact of in situ simulation training on quality of postnatal stabilization and resuscitation—A before-and-after, non-controlled quality improvement study. European Journal of Pediatrics, 183(11), 4981-4990. https://doi.org/10.1007/s00431-024-05781-3 DOI: https://doi.org/10.1007/s00431-024-05781-3
Polglase, G. R., Miller, S. L., Barton, S. K., Kluckow, M., Gill, A. W., Hooper, S. B., & Tolcos, M. (2014). Respiratory support for premature neonates in the delivery room: Effects on cardiovascular function and the development of brain injury. Pediatric Research, 75(6), 682-688. https://doi.org/10.1038/pr.2014.40 DOI: https://doi.org/10.1038/pr.2014.40
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2018(8). https://doi.org/10.1002/14651858.CD000072.pub3 DOI: https://doi.org/10.1002/14651858.CD000072.pub3
Sawyer, T., Laubach, V., Yamamura, K., Hudak, J., & Pocrnich, A. (2013). Interprofessional Teamwork Training in Neonatal Resuscitation Using TeamSTEPPS and Event-Based Approach Simulation. MedEdPORTAL, 9583. https://doi.org/10.15766/mep_2374-8265.9583 DOI: https://doi.org/10.15766/mep_2374-8265.9583
Schmölzer, G. M., Morley, C. J., & Kamlin, O. C. O. F. (2019). Enhanced monitoring during neonatal resuscitation. Seminars in Perinatology, 43(8), 151177. https://doi.org/10.1053/j.semperi.2019.08.006 DOI: https://doi.org/10.1053/j.semperi.2019.08.006
Schwarz, C. E., Schwaberger, B., Flore, A. I., Joyce, R., Woodworth, S., Adam, F., & Dempsey, E. M. (2025). Addressing the Humans in the Delivery Room—Optimising Neonatal Monitoring and Decision-Making in Transition. Children, 12(4), 402. https://doi.org/10.3390/children12040402 DOI: https://doi.org/10.3390/children12040402
Shah, P. S., Lui, K., Sjörs, G., Mirea, L., Reichman, B., Adams, M., Modi, N., Darlow, B. A., Kusuda, S., San Feliciano, L., Yang, J., Håkansson, S., Mori, R., Bassler, D., Figueras-Aloy, J., Lee, S. K., Badawi, N., Marshall, P., Craven, P., … Gibson, D. (2016). Neonatal Outcomes of Very Low Birth Weight and Very Preterm Neonates: An International Comparison. The Journal of Pediatrics, 177, 144-152.e6. https://doi.org/10.1016/j.jpeds.2016.04.083 DOI: https://doi.org/10.1016/j.jpeds.2016.04.083
Wyckoff, M. H., Wyllie, J., Aziz, K., De Almeida, M. F., Fabres, J., Fawke, J., Guinsburg, R., Hosono, S., Isayama, T., Kapadia, V. S., Kim, H.-S., Liley, H. G., McKinlay, C. J. D., Mildenhall, L., Perlman, J. M., Rabi, Y., Roehr, C. C., Schmölzer, G. M., Szyld, E., … Testoni, D. (2020). Neonatal Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 142(16_suppl_1). https://doi.org/10.1161/CIR.0000000000000895
Wyckoff, M. H., Wyllie, J., Aziz, K., De Almeida, M. F., Fabres, J. W., Fawke, J., Guinsburg, R., Hosono, S., Isayama, T., Kapadia, V. S., Kim, H.-S., Liley, H. G., McKinlay, C. J. D., Mildenhall, L., Perlman, J. M., Rabi, Y., Roehr, C. C., Schmölzer, G. M., Szyld, E., … Pas, A. T. (2020). Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation, 156, A156-A187. https://doi.org/10.1016/j.resuscitation.2020.09.015 DOI: https://doi.org/10.1016/j.resuscitation.2020.09.015
Wyllie, J., Perlman, J. M., Kattwinkel, J., Wyckoff, M. H., Aziz, K., Guinsburg, R., Kim, H.-S., Liley, H. G., Mildenhall, L., Simon, W. M., Szyld, E., Tamura, M., & Velaphi, S. (2015). Part 7: Neonatal resuscitation. Resuscitation, 95, e169-e201. https://doi.org/10.1016/j.resuscitation.2015.07.045 DOI: https://doi.org/10.1016/j.resuscitation.2015.07.045
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Derechos de autor 2026 Vilma Rocío Quijije Chávez , Gladys Yuvani Tasinchana Bastidas , Karina Rocío Caiza Escobar , Bertha Alejandrina Vásquez Moran

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.





































