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Languages : en
Pages : 60
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Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 60
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Book Description
Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.
Author: Ashley Regimbal
Publisher:
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Category : Drug withdrawal symptoms
Languages : en
Pages : 0
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Author: Jeanne Franza
Publisher:
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Category :
Languages : en
Pages : 0
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"Neonatal Abstinence Syndrome (NAS) is a multisystem disorder that occurs in newborns after birth when the mother has been taking addictive drugs, usually opiates, during pregnancy. These infants experience withdrawal symptoms and require prolonged hospital stays. When and infant with NAS requires treatment with medication, the length of stay is greatly prolonged due to the need to slowly taper the medication before discharge. Patrick et al. (2012) found that the incidence of NAS increased from 1.2 per 1000 live births in 2000 to 3.39 per 1000 live births in 2009, and the mean hospital cost for an infant with NAS increased from $39,400 in 2000 to $53,4000 in 2009. NAS has become a costly epidemic. Nurses who care for these infants require specialized knowledge. The RNs and APRNs in a community hospital expressed uncertainty regarding assigning Finnegan scores, which indicate the level of withdrawal symptoms. Many of these nurses were very experienced but had not had recent education focused on NAS or addiction, or experience in addiction medicine or behavioral health. The nurses required tools to be able to establish a therapeutic relationship with mothers who have addiction issues. A recently updated clinical practice guideline was in place, but education had not been provided to the RNs and APRNs regarding the updated guideline for the care of these infants, achieving accuracy in Finnegan scoring, or the establishment of a therapeutic relationship with the mother. The purpose of this evidence-based practice change was to increase nurses' knowledge in the care of these infants and their mothers. The plan included an educational program consisting of three parts; a PPT presentation on NAS, an interactive DVD session to achieve reliability in Finnegan scoring, and journal club style discussions focused on establishing a therapeutic relationship with mothers who have addiction issues. A pre/post test survey was done to measure increase in knowledge. All participants showed an increase in knowledge, with a change in score of 36.21%, well over the 10% increase benchmark. This change represents 71.92% growth. This outcome is statistically significant. The RNs and APRNs also overwhelmingly agreed in the program evaluations that they had increased confidence in their ability to care for infants and communicate effectively with their mothers, as a result of the educational program. The outcome of this project supports the provision of education focused on NAS for RNs and APRNs who care for these infants and their mothers. " -- Abstract.
Author: American Nurses Association
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 64
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These six standards of practice and nine standards of professional performance define the responsibilities and accountability to the profession and the public of all registered nurses who care for high- risk neonates and their families. The generic statements provide directives and a measurement framework for minimal levels of care related to assessment, outcome identification, planning, health promotion, quality, collaboration, ethics, and leadership. Annotation : 2005 Book News, Inc., Portland, OR (booknews.com).
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309388570
Category : Social Science
Languages : en
Pages : 525
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Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
Author: Mary Coughlin, RN, MS, NNP
Publisher: Springer Publishing Company
ISBN: 9780826131966
Category : Medical
Languages : en
Pages : 0
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This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend —the provision of trauma-informed care in the neonatal intensive care unit--that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it provides guidelines that encompass the five core measures for age-appropriate care, including the Healing Environment, Pain and Stress, Protected Sleep, Activities for Daily Living, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book’s utility. Key Features: Provides clinically relevant, evidence-based practice guidelines for minimizing trauma in neonates Encompasses the five core measures for age-appropriate care Includes proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE Reviewed and endorsed by transdisciplinary neonatal clinicians [EN1] Not sure I like this word – maybe a development, awareness, etc.?
Author: Patrick W. Corrigan
Publisher: Amer Psychological Assn
ISBN: 9781433815836
Category : Medical
Languages : en
Pages : 319
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The two main sections of the book comprise chapters on 10 specific illnesses and conditions and chapters relating to broader issues (stigma and family, overcoming stigma, stigma across cultures and future directions). The book concludes with observations on what has not worked in overcoming stigma as well as possible future directions. (Psychology)
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309324882
Category : Social Science
Languages : en
Pages : 587
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Book Description
Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children.
Author: Anne Sved Williams
Publisher: Australian Academic Press
ISBN: 1921513039
Category : Medical
Languages : en
Pages : 285
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This text describes how to achieve improved outcomes for infants growing up in situations of risk, particularly in the area of the parents' mental health and related psychosocial circumstances that may impair parental functioning.
Author: Mary Coughlin, RN, MS, NNP
Publisher: Springer Publishing Company
ISBN: 0826196578
Category : Medical
Languages : en
Pages : 199
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