Eat Sleep Console for the Management of Neonatal Abstinence Syndrome: A Process and Outcomes Evaluation

Date of Award/Publication

7-2023

Document Type

DNP Project Manuscript

Degree Name

Doctor of Nursing Practice

First Supervisor

Alison Simpson PhD, WHNP-BC, RN, CNE

Second Supervisor

Suzanne Mullin MD

Abstract

Introduction

This project aimed to evaluate a practice change to Eat Sleep Console (ESC) in the postpartum unit and neonatal intensive care unit of a single Baby-Friendly tertiary hospital.

Method

Guided by Donabedian's quality care model, a process and outcomes evaluation of ESC was conducted through a retrospective chart review and the Eat Sleep Console Nurse Questionnaire, which assessed processes of care and knowledge, attitudes and perceptions of nurses.

Results

Improvement in neonatal outcomes, including a decreased number of morphine doses (12.33 vs. 3.17; p = .045), was noted from preintervention to postintervention. Breastfeeding at discharge increased from 38% to 57% but did not reach statistical significance. Thirty-seven nurses (71%) completed the full survey.

Discussion

The use of ESC resulted in positive neonatal outcomes. Nurse-identified areas for improvement resulted in a plan for continued improvement.

Comments

Published online in the Journal of Pediatric Health Care. DOI: https://doi.org/10.1016/j.pedhc.2023.01.006

Share

COinS