The Role of Neonatal Nurse Practitioners in the Implementation of a Bedside Point-of-Care Ultrasound Program.

IF 1.6 4区 医学 Q2 NURSING
Jacklin H Tong, Christine Manipon, Shelby Vallandingham-Lee, Reedhi Dasani, Alexis S Davis, Shazia Bhombal
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Abstract

Background: Point-of-care ultrasound (POCUS) in the neonatal intensive care unit (NICU) is becoming increasingly utilized, with the focus of training aimed at physicians. However, the role of neonatal nurse practitioners (NNPs) in the development of POCUS programs is not well described.

Purpose: To describe the NNP role in the implementation of a NICU POCUS program and exemplify the potential to expand the professional scope and educational advancement of NNPs.

Methods: In 2018, a multidisciplinary team assembled to develop a POCUS program in the NICU at Lucile Packard Children's Hospital (LPCH). Three NNPs received formal POCUS training in order to provide onsite training, perform and supervise POCUS imaging, and participate in quality assurance sessions. NNPs also assisted with the development of a REDCap database and imaging protocols.

Results: The LPCH POCUS NNP providers contributed to the advancement of the profession by practicing to the full scope of their role, providing leadership in program development, research, and education. Incorporating NNPs into the programmatic structure of a POCUS program can be a model for others. With advancing skill set, NNPs can be positioned to be national leaders and educators.

Implications for practice and research: NICUs developing POCUS programs can benefit from the integration of NNPs to serve as consistent content experts to expand the number of trained providers while assuring the quality of image capture. POCUS is becoming increasingly essential to the care of newborns. NNPs can play a central role in performing POCUS, participating in quality improvement and research, and educating other NICU providers.

新生儿护理师在实施床旁护理点超声波计划中的作用。
背景:新生儿重症监护室(NICU)中护理点超声(POCUS)的应用越来越广泛,培训的重点是医生。然而,新生儿执业护士(NNPs)在制定 POCUS 计划中的作用却没有得到很好的描述。目的:描述 NNP 在实施 NICU POCUS 计划中的作用,并举例说明扩大 NNPs 专业范围和教育提升的潜力:2018年,一个多学科团队在露西尔-帕卡德儿童医院(LPCH)的新生儿重症监护室(NICU)中制定了一项POCUS计划。三名 NNP 接受了正规的 POCUS 培训,以便提供现场培训、执行和监督 POCUS 成像,并参与质量保证会议。NNP 还协助开发了 REDCap 数据库和成像协议:LPCH POCUS NNP 提供者通过充分履行其职责,在项目开发、研究和教育方面发挥领导作用,为促进该行业的发展做出了贡献。将 NNP 纳入 POCUS 项目的计划结构可为其他项目树立典范。随着技能的不断提高,NNPs 可以成为国家领导者和教育者:对实践和研究的启示:制定 POCUS 计划的新生儿重症监护病房可从整合 NNPs 中获益,因为 NNPs 可作为内容一致的专家,在确保图像捕获质量的同时,扩大受训提供者的数量。POCUS 对新生儿护理越来越重要。NNP 可在实施 POCUS、参与质量改进和研究以及教育其他新生儿重症监护室医疗人员方面发挥核心作用。
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来源期刊
CiteScore
2.60
自引率
5.90%
发文量
101
期刊介绍: Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.
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