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

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