Safety and feasibility of skin-to-skin care for surgical infants: A quality improvement project

Studies demonstrate 67% of elderly patients can have dermatoses, which could result in functional and psychological consequences. Elderly presentations are further complicated by comorbidities and polypharmacy. This combined with limited dermatology training at undergraduate and postgraduate levels creates diagnostic challenges. This project investigated dermatology assessments by trainees using the Trust’s acute medical admissions proforma. 100 proforma were reviewed for skin assessments alongside nursing skin care bundles. Subsequently, a skin survey was conducted amongst trainees evaluating knowledge and confidence when diagnosing and managing common dermatoses. Successively, a dermatology teaching series was delivered. Post-intervention the above were reassessed, demonstrating improvements in most areas. The dermatology teaching series will continue alongside a Trust hospital guideline to sustain improvements in dermatological care on admission.

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Increasing Skin-to-Skin in a Level IV NICU: A Quality Improvement Project

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832/11-t-665 ◽

2021 ◽

Vol 40 (2) ◽

pp. 80-87

Author(s):

Kimberly R. Marsh ◽

Heather L. Young ◽

Eric S. Peeples

Keyword(s):

Quality Improvement ◽

Absolute Number ◽

Quality Improvement Project ◽

Kangaroo Care ◽

Quality Improvement Effort ◽

Improvement Project ◽

Unplanned Extubations ◽

Phase Range ◽

Skin To Skin ◽

Improvement Effort

Purpose To evaluate the effect of a bundled intervention on the number of skin-to-skin (“kangaroo care”) events occurring in a level IV NICU. Design A quality improvement effort centering around the introduction of an intervention bundle intended to safely increase the rate of skin-to-skin holding. Rates of unplanned extubations were recorded as a balancing measure to estimate safety. Sample All infants admitted to the NICU from December 2017 through September 2019 were included. The “preintervention” period was the 6 months prior to the initiation of the intervention bundle (December 2017–May 2018). Results The absolute number of skin-to-skin holds increased from the preintervention phase (range 7–28 holds/month, median 11 holds/month) to the postintervention phase (range 16–100 holds/month, median 55 holds/month). The total unplanned extubations showed no significant change between the preintervention and postintervention periods.

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A Quality Improvement Project Focused on Women's Perceptions of Skin-to-Skin Contact After Cesarean Birth

Nursing for Women s Health ◽

10.1111/1751-486x.12135 ◽

2014 ◽

Vol 18 (4) ◽

pp. 294-303 ◽

Cited By ~ 16

Author(s):

Judith Ann Moran-Peters ◽

Cheryl Robyn Zauderer ◽

Susan Goldman ◽

Jennifer Baierlein ◽

April Eve Smith

Keyword(s):

Quality Improvement ◽

Quality Improvement Project ◽

Improvement Project ◽

Cesarean Birth ◽

Skin Contact ◽

Women’S Perceptions ◽

Skin To Skin

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Promoting Newborn Safety Using the RAPPT Assessment and Considering Apgar Criteria: A Quality Improvement Project

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.37.2.85 ◽

2018 ◽

Vol 37 (2) ◽

pp. 85-95 ◽

Cited By ~ 6

Author(s):

Susan M. Ludington-Hoe ◽

Barbara L. Morrison-Wilford ◽

Marguerite DiMarco ◽

Marilyn Lotas

Keyword(s):

Quality Improvement ◽

Respiratory Activity ◽

Quality Improvement Project ◽

Sample Design ◽

Apgar Scores ◽

Improvement Project ◽

Skin Contact ◽

Scoring Accuracy ◽

Skin To Skin

PurposeThe aim of this project was to evaluate the implementation of the Respiratory, Activity, Perfusion, Position, and Tone (RAPPT) instrument in assessing the infant’s transition to extrauterine life while in skin-to-skin contact (SSC).Sample/DesignNurses (n = 17) completed a pretest and posttest of RAPPT and Apgar scoring knowledge, attended an in-service about accurate scoring, and were observed during 17 deliveries when newborns were in SSC.Outcome VariablesPrimary variables were knowledge scores, use of RAPPT, and accurate RAPPT scoring. Apgar scoring was also measured.ResultsKnowledge scores increased significantly after education, RAPPT scores were correctly assessed, and 1 of 17 newborns had a sudden unexpected postnatal collapse. Apgar scoring accuracy did not change and nurses reported that their Apgar scores were based on their overall impressions of the infant instead of Apgar criteria.

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