{"title":"实施饮食、睡眠和护理控制模式:一个质量改进项目。","authors":"Chelsie Ober, Linda Bloom, Nicholas Obiri","doi":"10.1891/NN-2023-0037","DOIUrl":null,"url":null,"abstract":"<p><p>A Southeastern, 741-bed acute care, Magnet designated teaching hospital and level III B NICU identified assessment and treatment concerns for Neonatal Opioid Withdrawal Syndrome (NOWS). In March 2020, a quality improvement project led to a multidisciplinary team formation to determine the effectiveness of the Eat, Sleep, Console (ESC) model of care in reducing the length of treatment (LOT) and length of stay (LOS) for neonates experiencing NOWS rather than use of the Finnegan Neonatal Abstinence Syndrome Scoring tool. The results concluded a decrease in the average LOT from 19.2 to 2.5 days and the average LOS from 23.9 to 9.3 days for those admitted directly into the ESC model of care on postpartum vs previous direct admission to the NICU. A group samples <i>t-</i>test showed there was a statistically significant decrease in LOS for ESC patients (<i>p</i> < .001) and LOT for ESC patients (<i>p <</i>001).</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"42 6","pages":"320-328"},"PeriodicalIF":0.6000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementation of the Eat, Sleep, and Console Model of Care: A Quality Improvement Project.\",\"authors\":\"Chelsie Ober, Linda Bloom, Nicholas Obiri\",\"doi\":\"10.1891/NN-2023-0037\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A Southeastern, 741-bed acute care, Magnet designated teaching hospital and level III B NICU identified assessment and treatment concerns for Neonatal Opioid Withdrawal Syndrome (NOWS). In March 2020, a quality improvement project led to a multidisciplinary team formation to determine the effectiveness of the Eat, Sleep, Console (ESC) model of care in reducing the length of treatment (LOT) and length of stay (LOS) for neonates experiencing NOWS rather than use of the Finnegan Neonatal Abstinence Syndrome Scoring tool. The results concluded a decrease in the average LOT from 19.2 to 2.5 days and the average LOS from 23.9 to 9.3 days for those admitted directly into the ESC model of care on postpartum vs previous direct admission to the NICU. A group samples <i>t-</i>test showed there was a statistically significant decrease in LOS for ESC patients (<i>p</i> < .001) and LOT for ESC patients (<i>p <</i>001).</p>\",\"PeriodicalId\":46706,\"journal\":{\"name\":\"Neonatal Network\",\"volume\":\"42 6\",\"pages\":\"320-328\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neonatal Network\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1891/NN-2023-0037\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neonatal Network","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/NN-2023-0037","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Implementation of the Eat, Sleep, and Console Model of Care: A Quality Improvement Project.
A Southeastern, 741-bed acute care, Magnet designated teaching hospital and level III B NICU identified assessment and treatment concerns for Neonatal Opioid Withdrawal Syndrome (NOWS). In March 2020, a quality improvement project led to a multidisciplinary team formation to determine the effectiveness of the Eat, Sleep, Console (ESC) model of care in reducing the length of treatment (LOT) and length of stay (LOS) for neonates experiencing NOWS rather than use of the Finnegan Neonatal Abstinence Syndrome Scoring tool. The results concluded a decrease in the average LOT from 19.2 to 2.5 days and the average LOS from 23.9 to 9.3 days for those admitted directly into the ESC model of care on postpartum vs previous direct admission to the NICU. A group samples t-test showed there was a statistically significant decrease in LOS for ESC patients (p < .001) and LOT for ESC patients (p <001).
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