Eat Sleep Console for the Management of Neonatal Abstinence Syndrome: A Process and Outcomes Evaluation

被引：0
|
作者：
Slymon, Michelle D. [1 ,2 ]
Simpson, Alison [1 ]
Mullin, Suzanne [1 ]
Herendeen, Pamela [1 ]
机构：
[1] St John Fisher Univ, Rochester Reg Hlth, Rochester, NY USA
[2] St John Fisher Univ, Rochester Reg Hlth, 3690 East Ave, Rochester, NY 14618 USA
来源：
JOURNAL OF PEDIATRIC HEALTH CARE | 2023年 / 37卷 / 04期
关键词：
Neonatal abstinence syndrome; Eat Sleep Console; evaluation; Donabedian's quality care model;
D O I：
10.1016/j.pedhc.2023.01.006
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Introduction: This project aimed to evaluate a practice change to Eat Sleep Console (ESC) in the postpartum unit and neonatal intensive care unit of a single Baby-Friendly tertiary hospital. Method: Guided by Donabedian's quality care model, a process and outcomes evaluation of ESC was conducted through a retrospective chart review and the Eat Sleep Console Nurse Questionnaire, which assessed processes of care and knowledge, attitudes and perceptions of nurses. Results: Improvement in neonatal outcomes, including a decreased number of morphine doses (12.33 vs. 3.17; p =.045), was noted from preintervention to postintervention. Breastfeeding at discharge increased from 38% to 57% but did not reach statistical significance. Thirty-seven nurses (71%) completed the full survey. Discussion: The use of ESC resulted in positive neonatal outcomes. Nurse-identified areas for improvement resulted in a plan for continued improvement. J Pediatr Health Care. (2023) 37, 402-413
引用
收藏
页码：402 / 413
页数：12
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