Eat Sleep Console for the Management of Neonatal Abstinence Syndrome

Title

Eat Sleep Console for the Management of Neonatal Abstinence Syndrome

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Document Type

Presentation

Department

Nursing

Abstract

Question: The purpose of the EBP project was to conduct a process and outcomes evaluation of the practice change to Eat Sleep Console (ESC) at a Baby-Friendly hospital.

Hypothesis: It was hypothesized that use of the ESC model of care to manage neonatal abstinence syndrome (NAS) would result in improved neonatal outcomes.

Methods: To test the hypothesis, an evaluation of ESC was conducted through a retrospective chart review and the Eat Sleep Console Nurse Questionnaire, which assessed the processes of care and nurses’ knowledge, attitudes, and perceptions of NAS. Neonates with NAS were compared pre-intervention (August 2019 to January 2021, n = 45) and post-intervention (February 2021 to July 2022; n =35). Average length of stay, NICU admission for NAS and total amount of morphine were compared between groups. The questionnaire was distributed to all permanent nurses on the postpartum unit and NICU in the fall 2022.

Results: Results showed improvement in neonatal outcomes pre- to post-intervention including a decreased need for NICU admission (44% vs 20%; p= .022) and number of morphine doses (12.33 vs 3.17; p=.045). Of the thirty-seven nurses who completed the full survey, approximately half (54%) agreed or strongly agreed they had enough knowledge about addiction to appropriately deal with mothers of infants with NAS.

Conclusion: From the results obtained, it is concluded that implementation of ESC results in positive neonatal outcomes.

Implications: To further study this topic, nurse-identified areas for improvement in NAS care practices require a plan of action for continued quality improvement.

Publication Date

11-3-2023

Comments

Michelle D. Slymon, DNP, CPNP-PC, CLC

Rochester General Hospital

Eat Sleep Console for the Management of Neonatal Abstinence Syndrome

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