Intraprofessional Excellence in Nursing: Collaborative Strategies for Neonatal Abstinence Syndrome

2015 ◽  
Vol 34 (6) ◽  
pp. 320-328 ◽  
Author(s):  
Amanda H. Teague ◽  
Amy J. Jnah ◽  
Desi Newberry
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Transitional Care ◽  
Health Care Systems ◽  
Action Plan ◽  
State Level ◽  
Neonatal Abstinence Syndrome ◽  
Health Concern ◽  
Care Bundle ◽  
Abstinence Syndrome

AbstractNeonatal abstinence syndrome (NAS) is a growing public health concern, one that costs the health care system $190–$720 million each year. Recently, state-level perinatal quality collaborative groups have disseminated NAS action plans: customizable frameworks aimed to assist health care systems in identifying, evaluating, treating, and coordinating discharge services for neonates with NAS. Hospital-based neonatal nursing quality improvement teams, including neonatal nurse practitioners (NNPs), neonatal clinical nurse specialists (CNSs), and clinical neonatal nurses, by virtue of their collective academic, administrative, and practical years of experience, are ideally positioned to develop, implement, and evaluate NAS care bundles. The article’s purpose is to discuss key elements of an NAS care bundle using the framework of the Perinatal Quality Collaborative of North Carolina NAS action plan as an exemplar. Discussion of evidence-based and nursing-driven metrics will be followed by a discussion of the emerging concept of an inpatient-to-outpatient transitional care NAS management model.

scholarly journals Neonatal Abstinence Syndrome Incidence and Health Care Costs in the United States, 2016

2020 ◽  
Vol 174 (2) ◽  
pp. 200 ◽  
Author(s):  
Andrea E. Strahan ◽  
Gery P. Guy ◽  
Michele Bohm ◽  
Meghan Frey ◽  
Jean Y. Ko
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Costs ◽  
The United States ◽  
Neonatal Abstinence Syndrome ◽  
Abstinence Syndrome ◽  
Care Costs

scholarly journals Do Our Health Care Systems Support Our Work as Nurse Practitioners?

2018 ◽  
Vol 14 (8) ◽  
pp. 582-583
Author(s):  
Donald Gardenier ◽  
Minna Miller ◽  
Kathy J. Wheeler
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Health Care Systems ◽  
Care Systems

Adding to Our Practice Toolkit: Using the ACTS Script to Address Stigmatizing Peer Behaviors in the Context of Maternal Substance Use

2016 ◽  
Vol 35 (5) ◽  
pp. 327-332 ◽  
Author(s):  
Lenora Marcellus ◽  
Elizabeth Poag
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Neonatal Abstinence Syndrome ◽  
Abstinence Syndrome ◽  
Negative Attitudes ◽  
Peer Attitudes ◽  
Drugs And Alcohol ◽  
Communication Frameworks ◽  
Structured Communication ◽  
Growing Population

AbstractInfants with neonatal abstinence syndrome (NAS) are a growing population in the NICU setting, and nurses report that caring for families can be challenging. Women who are pregnant and newly parenting who use drugs and alcohol typically face significant negative attitudes, judgment, and stigma within their communities and from providers when they access health care. When nurses witness biased behavior or communication from their peers, they may feel distressed and unprepared to address the situation. Using script guides or structured communication frameworks (e.g., SBAR) is one helpful strategy for rehearsing actions and responses. The ACTS script was developed specifically to address peer attitudes and stigma in relation to substance use during pregnancy.

Improving Primary Health Care for Residents Living in Assisted Living: Evidence for Practice and Policy

2021 ◽  
pp. 1-10
Author(s):  
Patricia Cann ◽  
Rose McCloskey
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Assisted Living ◽  
Health Care Systems ◽  
Health Care Reforms ◽  
Term Care ◽  
Complex Needs ◽  
Primary Health

ABSTRACT The fact that there is a large and growing number of older Canadians has generated a sense of urgency in improving seniors’ access to health and long-term care services. Many provincial health care systems have engaged in a range of reforms to help older adults remain healthy and independent. Although many transformational changes have taken place across Canada to improve primary care, variations exist across provinces and territories in terms of older adults’ access to primary health care. Opportunities exist for provinces to learn from successful reforms implemented in other Canadian jurisdictions. Residents of assisted living (AL) facilities are an ideal group to whom to target primary health care reforms, given the important role these facilities play in the care continuum and the complex needs of their residents. Allowing practitioners to practice to their full scope and assume greater responsibility within the health care system is a strategy adopted in some jurisdictions with success. This article reports on reforms that have been made to expand the scopes of practice of nurse practitioners and paramedics in some provinces, but also have the potential to improve access to primary health care for those living in AL across the entire country, including those living in smaller provinces such as New Brunswick.

Opioid-Induced Hearing Loss and Neonatal Abstinence Syndrome: Clinical Considerations for Audiologists and Recommendations for Future Research

2020 ◽  
Vol 29 (4) ◽  
pp. 701-709
Author(s):  
Khary K. Rigg ◽  
Malika S. Rigg
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Health Care Providers ◽  
Neonatal Abstinence Syndrome ◽  
Future Research ◽  
Care Providers ◽  
Abstinence Syndrome ◽  
Opioid Misuse ◽  
Populations At Risk ◽  
Hearing Health

Purpose Over the last two decades, the number of Americans misusing opioids has reached epidemic levels. With such drastic increases in opioid misuse, audiologists are more likely to have patients with opioid-induced hearing loss or neonatal abstinence syndrome (NAS) than in previous years. More attention is needed on how these increases might influence clinical practice and such a discussion could be useful for audiologists. The goal of this article, therefore, is to summarize what is currently known regarding the relationship between opioid misuse and audiology to help guide hearing health care providers (with a particular focus on opioid-induced hearing loss and NAS). This article (a) summarizes the overlap in opioid misuse and hearing loss populations, (b) describes the evidence linking opioid misuse to hearing loss, (c) discusses clinical implications that opioid-induced hearing loss and NAS have for practicing audiologists, and (d) recommends directions for future audiological research on opioid-induced hearing loss and NAS. Conclusions There is considerable overlap between populations at-risk for hearing loss and opioid misuse. Additionally, compelling evidence exists linking opioid misuse to hearing loss, but the specific causal mechanisms remain unclear, indicating a need for additional research. This article attempts to fill a gap in the audiological literature and has the potential to serve as a guide for hearing health care providers to make more informed clinical decisions regarding patients with opioid-induced hearing loss and NAS. Clinicians may wish to consider the concerns raised in this article before intervening with such concerns, especially in the absence of best practice protocols.

scholarly journals A state-level study of opioid use disorder treatment access and neonatal abstinence syndrome

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth R. Wolf ◽  
Sebastian T. Tong ◽  
Roy T. Sabo ◽  
Steven H. Woolf ◽  
Kassie Abbinanti ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Illicit Drug ◽  
State Level ◽  
Opioid Use Disorder ◽  
Neonatal Abstinence Syndrome ◽  
Abstinence Syndrome ◽  
Opioid Use ◽  
Treatment Access ◽  
Disorder Treatment

Abstract Background Adult opioid use and neonatal abstinence syndrome (NAS) are growing public health problems in the United States (U.S.). Our objective was to determine how opioid use disorder treatment access impacts the relationship between adult opioid use and NAS. Methods We conducted a cross-sectional state-level ecologic study using 36 states with available Healthcare Cost and Utilization Project State Inpatient Databases in 2014. Opioid use disorder treatment access was determined by the: 1) proportion of people needing but not receiving substance use treatment, 2) density of buprenorphine-waivered physicians, and 3) proportion of individuals in outpatient treatment programs (OTPs). The incidence of NAS was defined as ICD-9 code 779.5 (drug withdrawal syndrome in newborn) from any discharge diagnosis field per 1000 live births in that state. Results Unmet need for substance use disorder treatment correlated with NAS (r = 0.54, 95% CI: 0.26–0.73). The correlation between adult illicit drug use/dependence and NAS was higher in states with a lower density of buprenorphine-waivered physicians and individuals in OTPs. Conclusions Measures of opioid use disorder treatment access dampened the correlation between illicit drug use/dependence and NAS. Future studies using community- or individual-level data may be better poised to answer the question of whether or not opioid use disorder treatment access improves NAS relative to adult opioid use.

Neonatal Abstinence Syndrome Incidence and Health Care Costs in the United States, 2016

2020 ◽  
Vol 75 (7) ◽  
pp. 391-392
Author(s):  
Andrea E. Strahan ◽  
Gery P. Guy ◽  
Michele Bohm ◽  
Meghan Frey ◽  
Jean Y. Ko
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Costs ◽  
The United States ◽  
Neonatal Abstinence Syndrome ◽  
Abstinence Syndrome ◽  
Care Costs

Developing Statewide Violence Prevention Programs in Health Care: An Exemplar From Massachusetts

2021 ◽  
pp. 152715442098718
Author(s):  
Patricia M. Noga ◽  
Anna Dermenchyan ◽  
Susan M. Grant ◽  
Elizabeth B. Dowdell
Keyword(s):  
Health Care ◽  
Workplace Violence ◽  
Policy Development ◽  
Action Plan ◽  
State Level ◽  
Work Conditions ◽  
Communication Policy ◽  
Delivery Of Care ◽  
Safety Improvement ◽  
Federal Statute

Workplace violence is on the rise in health care. This problem contributes to medical errors, ineffective delivery of care, conflict and stress among health professionals, and demoralizing and unsafe work conditions. There is no specific federal statute that requires workplace violence protections, but several states have enacted legislation or regulations to protect health care workers. To address this problem in their state, the Massachusetts Health & Hospital Association developed an action plan to increase communication, policy development, and strategic protocols to decrease workplace violence. The purpose of this article is to report on the quality and safety improvement work that has been done statewide by the Massachusetts Health & Hospital Association and to provide a roadmap for other organizations and systems at the local, regional, or state level to replicate the improvement process.

scholarly journals Opioid Use in Pregnant Women and Neonatal Abstinence Syndrome—A Review of the Literature

Toxics ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 9 ◽  
Author(s):  
Fábio Martins ◽  
David Oppolzer ◽  
Catarina Santos ◽  
Mário Barroso ◽  
Eugenia Gallardo
Keyword(s):  
Scientific Community ◽  
Neonatal Abstinence Syndrome ◽  
Health Concern ◽  
Abstinence Syndrome ◽  
Review Of The Literature ◽  
Opioid Use ◽  
Research Directions ◽  
Developmental Problems ◽  
Future Goals ◽  
Opiate Use

Opiate use during pregnancy has been an increasing problem over the last two decades, making it an important social and health concern. The use of such substances may have serious negative outcomes in the newborn, and clinical and cognitive conditions have been reported, including neonatal abstinence syndrome, developmental problems, and lower cognitive performance. These conditions are common when opiates are used during pregnancy, making the prescription of these kinds of drugs problematic. Moreover, the mother may develop opiate addiction, thus, increasing the likelihood of the infant being born with any of those conditions. This paper reviews the use of opiates during pregnancy and focuses mainly on the neonatal abstinence syndrome. First, the commonly prescribed opiates will be identified, namely those usually involved in cases of addiction and/or neonatal abstinence syndrome. Second, published approaches to deal with those problems will be presented and discussed, including the treatment of both the mother and the infant. Finally, we will outline the treatments that are safest and most efficient, and will define future goals, approaches, and research directions for the scientific community regarding this problem.

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