Advances in neonatal care : official journal of the National Association of Neonatal Nurses最新文献_第5页

Congenital Diaphragmatic Hernia Management: A Systematic Review and Care Pathway Description Including Volume-Targeted Ventilation. 先天性膈疝治疗:系统回顾和包括容积定向通气的护理路径描述。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000863

Karen V Duncan, Stephanie Polites, Sanjay Krishnaswami, Brian P Scottoline

{"title":"Congenital Diaphragmatic Hernia Management: A Systematic Review and Care Pathway Description Including Volume-Targeted Ventilation.","authors":"Karen V Duncan, Stephanie Polites, Sanjay Krishnaswami, Brian P Scottoline","doi":"10.1097/ANC.0000000000000863","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000863","url":null,"abstract":"Background: Although it is well established that standardized treatment protocols improve outcomes for infants with congenital diaphragmatic hernia (CDH), there remains variance between existing protocols.Purpose: The purpose of this article was to review current literature on protocols for CDH management in the preoperative period and to describe a care pathway integrating best practice elements from existing literature with volume-targeted ventilation strategies previously in place at a major tertiary care center in the Pacific Northwestern United States.Methods/search strategy: A systematic review of literature was performed according to PRISMA guidelines to identify current publications on CDH protocols and examine them for similarities and differences, particularly regarding ventilation strategies.Findings/results: Although existing protocols from multiple regions worldwide shared common goals of reducing barotrauma and delaying surgery until a period of clinical stabilization was achieved, their strategies varied. None included volume-targeted ventilation with pressure limitation as a method of avoiding ventilation-induced lung injury (VILI).Implications for practice: Institutions that routinely manage infants with CDH should have a standardized treatment protocol in place, as this is shown to improve outcomes. This may include volume-targeted ventilation with pressure limitation as a successful VILI-limiting strategy.Implications for research: While standardized protocols have been shown to increase survival rate for infants with CDH, more research is needed to determine what these protocols should include. Specifically, there is a need for future study on the most appropriate ventilation mode for this population.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E138-E143"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25599386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Feeding Practices and Effects on Transfusion-Associated Necrotizing Enterocolitis in Premature Neonates. 喂养方法及其对早产儿输血相关坏死性小肠结肠炎的影响。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000872

Emma Killion

{"title":"Feeding Practices and Effects on Transfusion-Associated Necrotizing Enterocolitis in Premature Neonates.","authors":"Emma Killion","doi":"10.1097/ANC.0000000000000872","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000872","url":null,"abstract":"Background: Red blood cell (RBC) transfusions have been implicated in the development of necrotizing enterocolitis (NEC) in premature infants. Some evidence exists to support that withholding feedings during transfusion reduces the risk of subsequent NEC development.Purpose: To review the most recent literature on this topic to determine best evidence-based practice regarding withholding or not withholding feedings during RBC transfusions.Methods/search strategy: Four databases were searched using keywords and MeSH terms including \"necrotizing enterocolitis,\" \"NEC,\" \"NPO,\" and \"transfusion,\" with specifications limiting the search to articles published in the last 10 years and limiting the population to neonates.Findings: Four studies did not demonstrate a reduction in transfusion-associated necrotizing enterocolitis (TANEC) with the implementation of feeding protocols during packed red blood cell (PRBC) transfusions. One study concluded that it could not confirm the benefit of withholding feeds during transfusion to reduce the risk of TANEC. A 2020 randomized controlled trial (RCT) found no difference in splanchnic oxygenation when enteral feeds are withheld, continued, or restricted during a PRBC transfusion. Holding feedings during PRBC transfusions did not result in adverse nutritional outcomes.Implications for practice: To determine best evidence-based practice surrounding feeding protocols during RBC transfusions in very low-birth-weight and premature infants less than 37 weeks' gestation.Implications for research: It is recommended that large, multicentered, adequately powered RCTs be conducted in this area. Individual institutions should standardize their practice to improve quality, safety, and patient outcomes.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"356-364"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38875402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Implementing Evidence-Informed Discharge Preparedness Tools in the NICU: Parents' Perceptions. 在新生儿重症监护室实施循证出院准备工具:家长的看法。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000836

Kathleen M Mazur, Megan Desmadryl, Katherine VanAntwerp, Corrie Ziegman, Michelle Nemshak, Clayton J Shuman

{"title":"Implementing Evidence-Informed Discharge Preparedness Tools in the NICU: Parents' Perceptions.","authors":"Kathleen M Mazur, Megan Desmadryl, Katherine VanAntwerp, Corrie Ziegman, Michelle Nemshak, Clayton J Shuman","doi":"10.1097/ANC.0000000000000836","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000836","url":null,"abstract":"Background: Few studies address preparing parents of neonatal intensive care unit (NICU) infants for infant discharge. Inadequate or ineffective parental preparedness for discharge can result in preventable emergency department and primary care visits. Parents' perceptions are needed to inform development and implementation of effective educational tools to improve parent discharge preparedness in the NICU.Purpose: To describe the perceptions of parents of recently discharged NICU infants regarding discharge preparedness and implementation of the My Flight Plan for Home parent discharge preparedness tool.Methods: We used a qualitative descriptive design to collect individual interview data from 15 parents with infants discharged from a level 4 NICU in the Midwest. Individual interviews were conducted using a semistructured guide and were audio-recorded, transcribed verbatim, and thematically analyzed using the constant comparative method.Results: We identified 5 major themes: (1) family dynamics; (2) parenting in the NICU; (3) discharge preparedness; (4) engaging parents in infant care; and (5) implementation recommendations for the My Flight Plan for Home tool. Minor themes supported each of the major themes.Implications for practice: To improve parents' confidence in caring for their infant after discharge, parents suggest nurses must engage parents in discharge education and infant care shortly following NICU admission and use parent-centered discharge preparedness tools.Implications for research: Future studies are needed to develop and test parent-tailored strategies for implementing parent discharge preparedness tools in the NICU.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E111-E119"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25331333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Transition From the Neonatal Intensive Care Unit to Home: A Concept Analysis. 从新生儿重症监护病房到家庭的过渡:一个概念分析。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000835

Jessica Shillington, Deborah McNeil

{"title":"Transition From the Neonatal Intensive Care Unit to Home: A Concept Analysis.","authors":"Jessica Shillington, Deborah McNeil","doi":"10.1097/ANC.0000000000000835","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000835","url":null,"abstract":"Background: A successful transition from the neonatal intensive care unit to home is fundamental for the long-term health and well-being of preterm infants; however, the process parents' experience during their transition home is poorly understood. An improved understanding of this concept will allow nurses to offer families comprehensive and collaborative discharge preparation.Purpose: To describe the defining attributes, antecedents, and consequences for the concept of transition in the context of the neonatal intensive care unit to home.Methods: Databases, MEDLINE, CINAHL, PsycINFO, and EMBASE were searched for articles containing \"transition\" in combination with \"neonatal intensive care unit\" or variants of these terms. The Walker and Avant method was used for this concept analysis.Results: The defining attributes of transition in the context of the neonatal intensive care unit to home are \"mix of emotions,\" \"uncertainty,\" and \"coming into parenthood.\" The principal antecedent is \"hospital discharge preparation\" and consequences include \"feeding and medical needs,\" \"family life changes,\" and \"parental confidence.\"Implications for practice: Gradually increasing parents' participation in their infant's care and forming a partnership and collaborative plan with families will help ease the uncertainty parents experience during their transition home.Implications for research: Further investigation is needed to determine how best to provide emotional support for parents during their transition home and to explore a feasible option for neonatal nurses to follow up with parents after hospital discharge.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"399-406"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25448770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Engaging Frontline Providers Prevents Hypothermia and Improves Communication in the Postoperative Neonate. 让一线医护人员参与预防低体温症并改善新生儿术后的沟通。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000839

Judith C Guidash, Loren Berman, Patoula G Panagos, Kevin M Sullivan

{"title":"Engaging Frontline Providers Prevents Hypothermia and Improves Communication in the Postoperative Neonate.","authors":"Judith C Guidash, Loren Berman, Patoula G Panagos, Kevin M Sullivan","doi":"10.1097/ANC.0000000000000839","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000839","url":null,"abstract":"Background: Neonates undergoing surgery are at high risk for perioperative hypothermia. Hypothermia has been associated with increased adverse events. Transfer of care from the operating room (OR) to the neonatal intensive care unit (NICU) adds another layer of risk for this population introducing the potential for miscommunication leading to preventable adverse events.Purpose: The aim of this quality improvement initiative is to decrease mean postoperative hypothermia rate and achieve compliance with use of a standardized postoperative hand-off in neonates transferred to the NICU from the OR.Methods: An interdisciplinary team identified opportunities for heat loss during the perioperative period. The lack of standardized perioperative communication between the NICU and the OR and postoperative communication between neonatology, anesthesiology, surgery, and nursing were noted. Guidelines for maintaining euthermia in the perioperative period and a standardized interdisciplinary postoperative hand-off communication tool were created.Findings/results: Mean rate for participation in the hand-off process increased from 78.8% to 98.4% during the study period. The mean hypothermia rate improved from 28.6% to 6.3% (P < .0001) and was sustained.Implications for practice: Creating a hypothermia guideline and standardizing temperature monitoring can significantly decrease the rate of postoperative hypothermia in neonates. Standardization of transfer of care from OR to NICU increases consistent communication between the services.Implications for research: Future research and improvement efforts are needed to optimize the management of surgical neonates through their transfers of care.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"379-386"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25331331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers. 我们在养育我们的孩子吗?新生儿高级实践提供者中最差和最佳指导经验的定性概念分析。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000843

April L Morris, Elena M Bosque

{"title":"Do We Nurture Our Young? Qualitative Conceptual Analysis of Worst and Best Mentorship Experiences Among Neonatal Advanced Practice Providers.","authors":"April L Morris, Elena M Bosque","doi":"10.1097/ANC.0000000000000843","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000843","url":null,"abstract":"Background: There is increasing demand for neonatal advanced practice providers (APPs) and a shortage of neonatal nurse practitioners (NNPs). In many neonatal intensive care units, neonatal physician assistants are trained and hired, as well as new graduate NNPs. Neonatal APPs are utilized as mentors in a regional neonatology program in the Pacific Northwest. As part of a long-term goal to develop an educational program for neonatal APP mentors, an initial survey was administered.Purpose: The purpose of this survey was to raise personal insight and identify themes about 51 neonatal APP mentors' recollections of one's own worst and best mentorship experiences.Methods: The design used in this content analysis of survey responses included a phenomenological, qualitative approach. The participants received an online survey consisting of 2 questions asking them to describe their worst and best mentorship experiences. The blinded results were analyzed via content analysis by 2 coinvestigators.Results: Consistent themes about worst experiences include \"Eat our young,\" \"I am better than you,\" \"Thrown under bus,\" and \"Unwanted.\" Consistent themes about best experiences include \"Validation,\" \"Empowerment,\" \"Positivity,\" and \"Inclusion.\"Implications for practice: Recommendations for successful neonatal APP mentorship based upon the recurrent themes include use of consistent, engaged, trained, and supported mentors, provision of on-time constructive feedback, avoidance of public criticism, private and public praise, focus on the learner, preparation for tasks, and semiautonomy, with adequate support.Implications for research: Absenteeism, recruitment, retention, and satisfaction data may be measured to determine whether structured mentorship programs are beneficial.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E129-E137"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25440995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Call to Action to Fight for Equity and End Necrotizing Enterocolitis Disparities. 呼吁行动起来争取公平和结束坏死性小肠结肠炎的不平等。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000940

Sheila M Gephart, Megan Quinn

引用次数: 1

Purposeful Language Exposure by Neonatal Nurses and Caregivers in the NICU. 新生儿重症监护室护士和护理人员有目的的语言暴露。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000833

Katherine M Newnam, Lauren R Muñoz

{"title":"Purposeful Language Exposure by Neonatal Nurses and Caregivers in the NICU.","authors":"Katherine M Newnam, Lauren R Muñoz","doi":"10.1097/ANC.0000000000000833","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000833","url":null,"abstract":"Background: Preterm infants are at significant risk of neurocognitive deficits including language delay. Extended hospitalization in the neonatal intensive care unit (NICU) causes missed opportunities for language exposure at critical developmental periods of neural pathways for language processing. Healthcare providers (HCPs), particularly nurses, may be instrumental in providing infant-directed speech to improve neurodevelopmental outcomes.Purpose: To evaluate current evidence to determine what is known about the characteristics of HCP communication to infants in the NICU.Search/strategy: Four databases and forward searching were used to respond to the clinical question: \"What is known about the characteristics of HCP communication to infants in the NICU?\" Empiric, primary research studies published in English without date restriction were included.Findings: Eight studies, primarily descriptive, were reviewed. Overall, infant-directed speech was rarely provided by HCPs. Language was more often directed to sicker infants, occurred in contexts of procedural pain, and was sometimes combined with touch. Perceptions of language by nurses, infants, and parents as well as inhibitors and benefits of infant-directed speech were reported.Implications for practice: As frontline neonatal providers, nurses can serve as role models of infant-directed speech for parents, helping them gain comfort and understand the importance of speaking to their preterm infants. Nurses can also provide much-needed language nutrition to preterm infants when parents cannot be present.Implications for research: Methods to reduce barriers and support infant-directed speech in the NICU require testing. Predictive modeling using measures of language exposure in the NICU may support differences in neurodevelopmental outcomes.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"407-417"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39375065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Availability of Donor Human Milk Decreases the Incidence of Necrotizing Enterocolitis in VLBW Infants. 供体母乳的可用性降低了VLBW婴儿坏死性小肠结肠炎的发生率。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000804

Morris Cohen, Eileen Steffen, Randi Axelrod, Shalini N Patel, Krystyna Toczylowski, Christine Perdon, David Brown, Sankar Kaliappan, Michael Myers

{"title":"Availability of Donor Human Milk Decreases the Incidence of Necrotizing Enterocolitis in VLBW Infants.","authors":"Morris Cohen, Eileen Steffen, Randi Axelrod, Shalini N Patel, Krystyna Toczylowski, Christine Perdon, David Brown, Sankar Kaliappan, Michael Myers","doi":"10.1097/ANC.0000000000000804","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000804","url":null,"abstract":"Background: Human milk feeding is associated with decreased risk of necrotizing enterocolitis (NEC).Purpose: To determine whether a quality improvement project in New Jersey neonatal intensive care units (NICUs) to promote human milk (HM) feedings would be associated with a decrease in NEC.Methods: Fourteen New Jersey NICUs engaged in efforts to reduce infection and promote HM feeding in very low birth-weight (VLBW) infants. Donor human milk (DHM) availability and NEC rates were assessed.Results: From 2009 to 2016, NICUs with DHM increased from 0 to 7. VLBW infants discharged on any HM increased from 35% in 2007 before the formation of the New Jersey NICU Collaborative to more than 55% in 2016. Time to first oropharyngeal colostrum decreased from 37 to 30 hours from 2014 to 2016. HM at first feeding increased from 71% in 2013 to 82% in 2016. There was an increase in the percentage of feeds that were HM over the first 7 days of feeding. Analyses of data from 9400 VLBW infants born between 2009 and 2016 showed that the incidence of NEC when DHM was not available was 5.1% (367/7182) whereas the incidence when DHM was available (64/2218) was significantly lower (2.9%; P < .0001).Implications for practice: These findings show advantages of feeding HM and effectiveness of forming an NICU collaborative for improving care for preterm infants.Implications for research: New research projects should measure the quantity of HM consumed daily during the entire NICU stay and assess the timing and amount of HM consumption in relationship to incidence of NEC and infection in neonates.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"341-348"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38709450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

40% Glucose Gel for the Treatment of Asymptomatic Neonatal Hypoglycemia. 40%葡萄糖凝胶治疗无症状新生儿低血糖。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000823

Brandi L Gibson, Brigit M Carter, Lawrence D LeDuff, Angela Wallace

{"title":"40% Glucose Gel for the Treatment of Asymptomatic Neonatal Hypoglycemia.","authors":"Brandi L Gibson, Brigit M Carter, Lawrence D LeDuff, Angela Wallace","doi":"10.1097/ANC.0000000000000823","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000823","url":null,"abstract":"Background: The Mother Infant Care Center at Fort Belvoir Community Hospital (FBCH) recently revised its asymptotic neonatal hypoglycemia (ANH) protocol and adopted 40% glucose gel into its treatment pathway. The previous protocol used infant formula as the primary intervention.Purpose: To evaluate the effectiveness of 40% glucose gel on exclusive human milk diet rates, time on protocol, level II Special Care Nursery (SCN) admission rates, length of stay (LOS), and total hospital costs for newborns with ANH at FBCH.Methods: Infants with ANH were treated with 40% glucose gel (n = 35) and compared with a historical group of infants with ANH (n = 29) who were treated with formula.Results: Exclusive human milk diet rates increased by 33.6%. The mean time on protocol dropped by 1.13 hours. The SCN admission rates dropped by 2.4% in the postimplementation group. The mean LOS was more than 12 hours less in the postimplementation group. The mean total cost per patient was $1190.60 lower after implementation of 40% glucose gel.Implications for practice: The use of 40% glucose gel is a patient-focused, less-invasive, and cost-effective treatment of ANH.Implications for research: More studies are needed to better define neonatal hypoglycemia. The use of 40% glucose gel is safe for use in infants with ANH; however, more studies are needed to examine its comprehensive benefits.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"371-378"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38740818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1