Kalyan Geetanjali, Joshi Poonam, Murry Lumchio Levis, Campbell-Yeo Marsha, Tiwari Surya Kant
National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
College of Nursing, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Lancet Reg Health Southeast Asia. 2024 Dec 14;32:100522. doi: 10.1016/j.lansea.2024.100522. eCollection 2025 Jan.
Neonatal care is essential for the well-being of newborns, particularly premature or critically ill patients. Despite advancements in medical technology and evidence-based practice, India faces significant challenges in neonatal nursing, including resource limitations, inconsistent training, and inadequate policy support. This paper examines the current state of neonatal nursing in India, highlighting disparities between urban and rural areas, and comparing them to global practices. It explores systemic issues affecting neonatal care, such as inadequate educational frameworks, a shortage of trained faculty, and insufficient clinical exposure. We outline a comprehensive approach to address these challenges, including the introduction of Neonatal Nurse Practitioner programs, enhancements in specialized training, promotion of evidence-based practices, and integration of technology. We also emphasize the need for stronger policy support and increased funding to improve the neonatal care infrastructure. By adopting these recommendations, India can make significant strides towards improving neonatal outcomes and aligning itself with global health targets.
新生儿护理对新生儿的健康福祉至关重要，尤其是对早产儿或危重症患者而言。尽管医疗技术有所进步且循证实践不断发展，但印度在新生儿护理方面仍面临重大挑战，包括资源有限、培训不一致以及政策支持不足等问题。本文审视了印度新生儿护理的现状，突出城乡地区之间的差异，并将其与全球实践进行比较。探讨了影响新生儿护理的系统性问题，如教育框架不完善、训练有素的师资短缺以及临床实践机会不足等。我们概述了应对这些挑战的综合方法，包括引入新生儿执业护士项目、加强专业培训、推广循证实践以及整合技术。我们还强调需要更强有力的政策支持和增加资金投入以改善新生儿护理基础设施。通过采纳这些建议，印度在改善新生儿护理结局并使其与全球健康目标接轨方面可取得重大进展。
