{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:20:13Z","timestamp":1777526413011,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"9_suppl","license":[{"start":{"date-parts":[[2018,6,11]],"date-time":"2018-06-11T00:00:00Z","timestamp":1528675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p>Background. Extremely low-birth-weight (ELBW) infants face significant diapering challenges compared with their full-term peers, due to immature musculature, nervous system, and skin development. Advances in medical care have increased an ELBW infant\u2019s rate of survival, which creates a growing need for diapers to better serve these infants. Aim of research. The objective of this study was to identify and confirm the requirements for optimal diaper performance from the neonatal intensive care unit nurses\u2019 perspective, as well as to assess in-hospital performance to determine if new features improved key developmental care parameters. Method. Two surveys were shared among nurses to address study objectives. Study 1 (N = 151) was designed for neonatal intensive care unit nurses to identify key requirements for ELBW diapers and rate the performance of existing ELBW diapers. Study 2 (N = 99) assessed in-hospital performance of the test diaper compared with the usual diaper, under normal usage conditions. Findings\/results. The majority of nurses agreed that ELBW diapers must fit appropriately between the legs so that hips and legs are not spread apart and that ELBW diapers need to be flexible between the legs for positioning. Of the nurses-infant pair responses, 93% ( P &lt; .0001) preferred the test ELBW diaper over their usual diaper. Conclusion. Findings suggest that nurses should be included in the product design process to ensure both their needs and the needs of an infant are being met. Nurses are considering how diaper features may affect both acute and long-term medical outcomes and this information provides necessary guidance to diaper manufacturers and designers when developing better-performing diapers.<\/jats:p>","DOI":"10.1177\/0009922818780116","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:47:52Z","timestamp":1528764472000},"page":"4S-12S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving Diaper Performance for Extremely Low-Birth-Weight Infants"],"prefix":"10.1177","volume":"57","author":[{"given":"Veronica","family":"Sanchez","sequence":"first","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Maladen-Percy","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Gustin","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Tally","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Gibb","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Ogle","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianna C.","family":"Kenneally","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew N.","family":"Carr","sequence":"additional","affiliation":[{"name":"Procter & Gamble, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,6,11]]},"reference":[{"key":"bibr1-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1097\/00005237-200206000-00007"},{"key":"bibr2-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2007.03.008"},{"key":"bibr3-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1998.tb00928.x."},{"key":"bibr4-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2001.tb01520.x."},{"key":"bibr5-0009922818780116","first-page":"261","volume-title":"Paper presented at: 14th National Advanced Practice Neonatal Nurses","volume":"36","author":"Sanchez V","year":"2017"},{"key":"bibr6-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2003.00125.x."},{"key":"bibr7-0009922818780116","first-page":"75","volume":"3","author":"Berg RW.","year":"1998","journal-title":"Adv Dermatol"},{"key":"bibr8-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200407000-00004."},{"key":"bibr9-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1097\/00008480-200008000-00011."},{"key":"bibr10-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22545."},{"key":"bibr11-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2005.12.013."},{"key":"bibr12-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2014.01.011"},{"key":"bibr13-0009922818780116","unstructured":"Pampers delivers its smallest diaper ever for the tiniest premature babies designed in partnership with neonatal intensive care unit (NICU) nurses. Business Wire. www.businesswire.com\/news\/home\/20160929005367\/en\/Pampers-Delivers-Smallest-Diaper-Tiniest-Premature-Babies. Published September 29, 2016. Accessed May 22, 2018."},{"key":"bibr14-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10244"},{"key":"bibr15-0009922818780116","doi-asserted-by":"publisher","DOI":"10.1053\/j.nainr.2008.12.010."},{"key":"bibr16-0009922818780116","volume-title":"ASTM E1958-16a, Standard Guide for Sensory Claim Substantiation","author":"ASTM International","year":"2016"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922818780116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922818780116","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922818780116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:29:47Z","timestamp":1777393787000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922818780116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,11]]},"references-count":16,"journal-issue":{"issue":"9_suppl","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0009922818780116"],"URL":"https:\/\/doi.org\/10.1177\/0009922818780116","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,11]]}}}