Improving Neonatal Abstinence Syndrome Outcomes and Nurse Experiences: Integrating Responsive Bassinets With Eat, Sleep, Console.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI:10.1097/ANC.0000000000001266

Melinda Pariser-Schmidt, Sandie Luo, Jason S Chwa

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引用次数: 0

Abstract

Background: The COVID-19 pandemic disrupted our practice of outpatient methadone weaning for pharmacologic management of infants with neonatal abstinence syndrome (NAS), resulting in increased average length of stay (ALOS). In response, we integrated a responsive Bassinet (SNOO), into our Eat, Sleep, Console (ESC) care model.

Purpose: Our primary aim through this quality improvement work was to explore whether integration of SNOO within our ESC care model had an impact.

Methods: Using quality improvement methodologies, a retrospective chart review was conducted for neonates admitted to the NICU for NAS from December 2020 to September 2022 ( N = 109). Study inclusion criteria were primary diagnosis of NAS, birth gestational age ≥35 weeks, and absence of other co-morbid diagnoses. Neonates were organized into two groups based on date of bassinet implementation. An online survey was sent to 76 NICU nurses 6 months post-implementation. Outcome measures included ALOS, number of sleep-related "yes" scores (indicating poor sleep), and nurse experience.

Results: Of 109 infants, 13 met inclusion criteria ALOS declined by 17.38% ( P= .57), and "yes" scores decreased by 41.72% ( P =.52). Nurses reported an average of 2.43 hours saved per 12-hour shift.

Implications for practice and research: The addition of SNOO as a non-pharmacologic intervention within ESC care models for infants with NAS may lead to a decreased average length of stay, improved infant sleep, and improved nursing experience (such as time savings).

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改善新生儿戒断综合征的结果和护士经验：将反应性摇篮与饮食、睡眠、安慰相结合。

背景：COVID-19大流行扰乱了我们对新生儿戒断综合征（NAS）婴儿进行门诊美沙酮断奶的药物管理，导致平均住院时间（ALOS）增加。为此，我们将响应式摇篮（SNOO）集成到我们的饮食、睡眠、控制台（ESC）护理模型中。目的：我们通过这项质量改进工作的主要目的是探索在ESC护理模式中整合SNOO是否有影响。方法：采用质量改进方法，对2020年12月至2022年9月NICU收治的NAS新生儿（N = 109）进行回顾性图表分析。研究纳入标准为原发性NAS，出生胎龄≥35周，无其他合并症诊断。根据使用摇篮的日期将新生儿分为两组。实施后6个月对76名新生儿重症监护病房护士进行在线调查。结果测量包括ALOS、睡眠相关的“是”评分（表明睡眠质量差）和护士经验。结果：109例患儿中，符合纳入标准的13例患儿ALOS评分下降17.38% (P= 0.57)，“yes”评分下降41.72% （P= 0.52）。护士报告说，每12小时轮班平均节省2.43小时。对实践和研究的启示：在新生儿NAS的ESC护理模式中加入SNOO作为非药物干预可能导致平均住院时间缩短，婴儿睡眠改善，护理经验改善（如节省时间）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

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.