Evaluation of an Evidence-Based Teaching Program for Newborn Safe Sleep

2016 ◽  
Vol 35 (6) ◽  
pp. 397-400 ◽  
Author(s):  
Deborah A. Raines ◽  
Khloe Barlow ◽  
Donna Manquen ◽  
Theresa Povinelli ◽  
Ashley Wagner

AbstractPurpose: To evaluate the effectiveness of evidence-based teaching guideline and patient outcomes.Design: Descriptive evaluation study with two data collection points.Sample: A convenience sample of 48 new mothers.Main outcome variable: Mothers’ knowledge and practice of safe sleep behaviors for their newborn.Results: The findings of this evaluation study demonstrate that this unit-based teaching program was effective in impacting mothers’ knowledge about and practice of safe sleep for the newborn following discharge from the postpartum unit.

2013 ◽  
Vol 32 (6) ◽  
pp. 399-403 ◽  
Author(s):  
Deborah A. Raines

Purpose: To quantify mothers’ concerns in anticipation of their infant’s discharge from the NICUDesign: An exploratory, cross-sectional survey design was used.Sample: A convenience sample of 150 mothersMain Outcome Variable: The focus was the mothers’ concerns about their infant’s impending discharge.Results: The mothers expressed confidence in their ability as a caregiver but expressed concern about being tired, the need for readmission to the hospital, and missing a change in the infant’s conditions.


2011 ◽  
Vol 30 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Camille A. Boucher ◽  
Paola M. Brazal ◽  
Cynthia Graham-Certosini ◽  
Kathryn Carnaghan-Sherrard ◽  
Nancy Feeley

AbstractPurpose: There is extensive literature on the physical and physiologic benefits of breastfeeding premature infants. Less is known about mothers’ perceptions of their own breastfeeding experience. This study explored the maternal experience of breastfeeding initiation and progression in the NICU.Design: A qualitative, descriptive design.Sample: A convenience sample of ten mothers was recruited from a Level III NICU. The sample included mothers of infants between 33 and 36 weeks gestational time at the time of the interview who had been in the NICU for at least five days.Main Outcome Variable: Mothers’ breastfeeding experiences with preterm infants in an NICU.Results: Mothers described their breastfeeding experiences in terms of maintaining milk production, the regimen of the NICU, mother as learner, personal motivation, and forming attachments.


1999 ◽  
Vol 18 (4) ◽  
pp. 35-38 ◽  
Author(s):  
Leslie Altimier ◽  
Barbara Warner ◽  
Stephanie Amlung ◽  
Carole Kenner

Purpose: To describe temperature changes that occur in preterm infants following bed surface transfers.Design: The design was descriptive.Sample: The convenience sample was comprised of 20 preterm infants (<1,500 gm birth weight).Main outcome variable: Temperature stability after a bed transfer (i.e., radiant warmer to incubator) was the main outcome variable.Results: There were no significant differences in temperatures after bed surface transfer. However, the temperatures one hour after bed surface transfer were lower than baseline temperature before bed surface transfer.


2014 ◽  
Vol 33 (6) ◽  
pp. 353-355 ◽  
Author(s):  
Terry Povenelli ◽  
Donna Manquen ◽  
Ashley Wagner ◽  
Deborah A. Raines

ABSTRACTThis column describes the experience of the units practice council in developing an evidence-based practice teaching program focused on safe sleep for newborn infants.


2002 ◽  
Vol 21 (6) ◽  
pp. 15-21 ◽  
Author(s):  
Diane Hudson-Barr ◽  
Beverly Capper-Michel ◽  
Sally Lambert ◽  
Tonya Mizell Palermo ◽  
Kristen Morbeto ◽  
...  

Purpose: To establish the validity and clinical usefulness of a modified pain assessment scale, the Pain Assessment in Neonates (PAIN) scale.Design: Correlational design to compare scores obtained on the PAIN with scores obtained on the Neonatal Infant Pain Scale (NIPS).Sample: A convenience sample of 196 neonates from an NICU and a step-down unit with gestational ages of 26 to 47 weeks.Method: Bedside nurses observed the neonates for two minutes and then scored their responses on both scales. The scales were scored sequentially and in a randomized order.Main Outcome Variable: Correlation of individual item scores and total scores on the PAIN and the NIPS.Results: The scores for individual items on the PAIN were significantly associated with scores obtained on the NIPS. Overall correlation between the scales was 0.93. These associations suggest that the PAIN is a valid scale for assessment of neonatal pain.


2018 ◽  
Vol 37 (4) ◽  
pp. 218-223 ◽  
Author(s):  
Steven L. Olsen ◽  
Nesha D. Park ◽  
Kelly Tracy ◽  
Darian Younger ◽  
Betsi Anderson

PurposeThe purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.DesignEvidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Staff education was given. Guideline compliance was measured. Nutritional intake and daily weights were recorded.SampleInfants of birth weight <1,500 grams who were admitted to the NICU before day of life four.Main Outcome VariableIncrease in GV from 12 to 15 g/kg/d.ResultsGrowth velocity was unchanged. Compliance to the nutritional guidelines was 70 percent. No difference was seen in length of stay. Rate of necrotizing enterocolitis was decreased.


2011 ◽  
Vol 30 (2) ◽  
pp. 89-98 ◽  
Author(s):  
Frida Ardal ◽  
Joanne Sulman ◽  
Esme Fuller-Thomson

AbstractPurpose: (1) To explore the experience of non-English-speaking mothers with preterm, very low birth weight (VLBW) infants (<1,500 g); and (2) to examine mothers’ assessment of a peer support program matching them with linguistically and culturally similar parent-buddies.Design: An exploratory, qualitative analysis based on grounded theory.Sample: A convenience sample of eight mothers from four of the most prevalent non-English-speaking cultures (Spanish, Portuguese, Chinese, and Tamil) in an urban Canadian-teaching hospital.Main Outcome Variable: Non-Anglophone mothers’ experience and support in the NICU.Results: Study mothers experienced intense role disequilibrium during the unanticipated crisis of preterm birth of a VLBW infant; situational crises owing to the high-tech NICU environment and their infant’s condition; and developmental crises with feelings of loss, guilt, helplessness, and anxiety. Language barriers compounded the difficulties. Parent-buddies helped non-English-speaking mothers mobilize their strengths. Culture and language are important determinants of service satisfaction for non-English-speaking mothers. Linguistically congruent parent-to-parent matching increases access to service.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nesrin N. Abu-Baker ◽  
Salwa AbuAlrub ◽  
Rana F. Obeidat ◽  
Kholoud Assmairan

Abstract Background Integrating evidence-based practice (EBP) into the daily practice of healthcare professionals has the potential to improve the practice environment as well as patient outcomes. It is essential for nurses to build their body of knowledge, standardize practice, and improve patient outcomes. This study aims to explore nursing students’ beliefs and implementations of EBP, to examine the differences in students’ beliefs and implementations by prior training of EBP, and to examine the relationship between the same. Methods A cross-sectional survey design was used with a convenience sample of 241 nursing students from two public universities. Students were asked to answer the questions in the Evidence-Based Practice Belief and Implementation scales. Results This study revealed that the students reported a mean total belief score of 54.32 out of 80 (SD = 13.63). However, they reported a much lower implementation score of 25.34 out of 72 (SD = 12.37). Students who received EBP training reported significantly higher total belief and implementation scores than those who did not. Finally, there was no significant relationship between belief and implementation scores (p > .05). Conclusion To advance nursing science, enhance practice for future nurses, and improve patient outcomes, it is critical to teach nursing students not only the value of evidence-based knowledge, but also how to access this knowledge, appraise it, and apply it correctly as needed.


1999 ◽  
Vol 18 (7) ◽  
pp. 33-39 ◽  
Author(s):  
Jennifer Sullivan

Purpose: To investigate the development of feelings of attachment between fathers and their preterm infants and to identify factors that help or hinder this process.Design: A longitudinal descriptive design was used to obtain fathers!’ perceptions of their infants, feelings for their infants, and other related factors.Sample: A convenience sample of 27 fathers of preterm infants was recruited.Main Outcome Variable: The main outcome variable was the time at which fathers first held their infants.Results: The earlier fathers held their babies, the sooner they reported feelings of warmth and love for them.


2000 ◽  
Vol 19 (2) ◽  
pp. 19-24 ◽  
Author(s):  
Kirsten Sueppel Hanrahan ◽  
Charmaine Kleiber ◽  
Susan Berends

Purpose: To evaluate the efficacy of saline versus 10 units/ml heparin for peripheral IV flushes in neonates.Design: A nonexperimental group design was used to compare the longevity of heparin and saline IV locks. A research utilization method was chosen to increase the study power while simultaneously implementing a practice change and evaluating the outcomes. Power analysis showed that a sample size of approximately 120 per group was needed to decrease the risk of beta error to 0.1.Sample: Subjects included neonates in the Special Care Nurseries at a Level III large midwestern university teaching hospital. Data were collected from a convenience sample of 123 neonates receiving 10 units/ml heparin flush into a peripheral IV. Practice was then changed to preservative- free normal saline, and data collection continued for 117 neonates.Main Outcome Variable: IV catheter longevity.Results: There was no significant statistical difference in IV catheter longevity between IV locks flushed with 10 units/ml heparin and those flushed with normal saline. Patient weight accounted for a significant proportion of the variance in IV catheter life.


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