Concept analysis of Neonatal Near Miss

J Pediatr Nurs. 2024 Jul-Aug:77:e411-e419. doi: 10.1016/j.pedn.2024.05.004. Epub 2024 May 17.


Objective: To analyze the concept of Neonatal Near Miss (NNM) using Walker and Avant's method.

Method: This study employs conceptual analysis following Walker and Avant's model, involving concept selection, objective definition, identification of potential uses, determination of attributes, model case creation, additional case consideration, antecedent identification, consequent analysis, and empirical reference examination. To elucidate the concept, a scoping review was conducted across journals indexed in scientific databases such as Web of Science, EMBASE, SCOPUS, and MEDLINE/PubMed.

Results: The analysis encompassed 43 articles, revealing diverse definitions of neonatal near miss across different contexts. A comprehensive definition emerged from identified antecedents: risk of death, susceptibility to adverse outcomes, and potential adverse events. These antecedents were categorized into maternal conditions, neonatal conditions, and healthcare assistance.

Conclusion: The analysis and definition of the NNM concept was successful, and its antecedents, attributes, and consequences were delineated.

Implications: Identifying the risk factors associated with NNM cases may contribute to reducing infant morbidity and mortality and improving the quality of care, facilitating future research and improving the use of the NNM concept.

Keywords: Concept formation; Near Miss; Neonatal intensive care; Newborn.

Publication types

  • Review

MeSH terms

  • Concept Formation
  • Female
  • Humans
  • Infant Mortality
  • Infant, Newborn
  • Male
  • Near Miss, Healthcare* / statistics & numerical data
  • Risk Factors