A Quality Improvement Project Evaluating the Effects of Eat, Sleep, Console on Nurses and on Neonates With Neonatal Abstinence Syndrome

被引:0
作者
Cooney, Tia [1 ]
Larizza, Jacqueline [2 ]
Cote, Ursula [3 ]
Gervais, Anne-Sophie [4 ]
Rae, Lindsey [5 ]
Warkentin, Joel [5 ]
Dubois, Sacha [6 ]
机构
[1] Confederat Coll, Thunder Bay, ON, Canada
[2] Northern Ontario Sch Med, Thunder Bay, ON, Canada
[3] Thunder Bay Reg Hlth Sci Ctr, Thunder Bay, ON, Canada
[4] Northern Ontario Sch Med, Thunder Bay, ON, Canada
[5] Thunder Bay Reg Hlth Sci Ctr, Thunder Bay, ON, Canada
[6] Lakehead Univ, Thunder Bay, ON, Canada
关键词
eat; sleep; console; length of stay; NAS; neonatal abstinence syndrome; neonate; NICU; nonpharmacologic; nurse; quality improvement; ONTARIO;
D O I
10.1016/j.nwh.2024.02.009
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates with neonatal abstinence syndrome (NAS). Design: Retrospective chart review and descriptive survey design. Setting/Local Problem: A hospital in Northwestern Ontario, where an evidence-based practice change was undertaken to improve care for neonates with NAS. Participants: Neonates being screened for NAS during the Modified fi ed Finnegan Neonatal Abstinence Syndrome Scoring System (MFNASSS) protocol (n n = 75) and ESC protocol (n n = 40). Nurses working in the departments after the implementation of ESC were surveyed.(5.16, SD 1 / 4 1.02). Overall, the nurses had a positive perspective on the policy change. Conclusion: ESC was successfully implemented in a Northwestern Ontario hospital. The overall LOS of neonates with NAS decreased. Nurses found the policy change to be safe and attainable.
引用
收藏
页码:329 / 338
页数:10
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