Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates

Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young
{"title":"Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates","authors":"Alexandria L. Tasket,&nbsp;Makenna R. Black,&nbsp;Tracy L. Brewer,&nbsp;Megan Lacy Young","doi":"10.1016/j.nwh.2024.04.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge in opioid-exposed neonates (OENs).</div></div><div><h3>Design</h3><div>Quality improvement project.</div></div><div><h3>Setting/Local Problem</h3><div>Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.</div></div><div><h3>Participants</h3><div>Staff nurses in the women and infants department (<em>N</em> = 311).</div></div><div><h3>Intervention/Measurements</h3><div>Nurses completed an asynchronous online educational module regarding awareness and use of the HMF and OUD standardized care pathway for supporting HMF in OENs. Monthly infographics were placed in each nursing unit to reinforce content. Nurses completed pre- and posteducation surveys to evaluate their knowledge and use of the pathway. After the education, rates of OENs receiving human milk at discharge were collected from the electronic health record.</div></div><div><h3>Results</h3><div>A total of 240 (77.2%) nurses participated in the educational module; awareness of the pathway increased from 91.5% to 97.3%. HMF rate at discharge significantly increased from 29.8% to 59.4% (<em>p</em> = .03).</div></div><div><h3>Conclusion</h3><div>Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 339-348"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing for Women''s Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751485124001624","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objective

To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge in opioid-exposed neonates (OENs).

Design

Quality improvement project.

Setting/Local Problem

Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.

Participants

Staff nurses in the women and infants department (N = 311).

Intervention/Measurements

Nurses completed an asynchronous online educational module regarding awareness and use of the HMF and OUD standardized care pathway for supporting HMF in OENs. Monthly infographics were placed in each nursing unit to reinforce content. Nurses completed pre- and posteducation surveys to evaluate their knowledge and use of the pathway. After the education, rates of OENs receiving human milk at discharge were collected from the electronic health record.

Results

A total of 240 (77.2%) nurses participated in the educational module; awareness of the pathway increased from 91.5% to 97.3%. HMF rate at discharge significantly increased from 29.8% to 59.4% (p = .03).

Conclusion

Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.
教育护士提高对接触阿片类药物的新生儿母乳喂养护理路径的认识和使用。
目标:提高护士对母乳喂养(HMF)和阿片类药物使用障碍(OUD)标准化护理路径的认识和使用,以提高暴露于阿片类药物的新生儿(OENs)出院时的母乳喂养率:环境/当地问题:一家学术医疗中心未充分利用HMF和OUD标准化护理路径,导致出院时HMF率下降:干预/测量:护士们完成了一个异步在线教育模块,内容涉及对 HMF 和 OUD 标准化护理路径的认识和使用,以支持 OEN 中的 HMF。每月在每个护理单元放置信息图表以强化内容。护士们完成了教育前和教育后调查,以评估她们对路径的了解和使用情况。教育结束后,从电子健康记录中收集了出院时母乳喂养率:共有 240 名护士(77.2%)参加了教育模块;对该途径的认知度从 91.5% 提高到 97.3%。出院时的 HMF 率从 29.8% 显著上升至 59.4%(p = .03):结论:提高护士对标准化 HMF 和 OUD 护理路径的认识与 OENs 出院时 HMF 率翻倍有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Nursing for Women''s Health
Nursing for Women''s Health Nursing-Nursing (all)
CiteScore
2.10
自引率
0.00%
发文量
90
期刊介绍: Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信