Improving the Quality of Nursing Care for Late Preterm Infants

Lohr, Kimberly A

doi:10.1097/anc.0000000000000797

Cited by 2 publications

(4 citation statements)

References 6 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As experts in interprofessional collaboration, nurse practitioners are key stakeholders who understand the nursing and medical model challenges that may impede the implementation of standards of care. Interprofessional collaboration and process improvement are essential elements of sustainability for implementing new practice guidelines (Lohr, 2021).…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Characteristics of late preterm infant readmissions: A systematic review

Joyner,

Papermaster,

Champion

2024

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

Background: Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision. Objectives: This systematic review proposed the assessment of sociodemographic characteristics of LPT infants, clinical practice standards, and associated hospital readmission rates, mortality, and morbidity to determine the need for revision of evidence-based practice guidelines for these infants. Data Sources: The Preferred Reporting System Items for Systematic Reviews and Meta Analysis methodology provided the framework for the completion of this review. Literature searches of PubMed/Medline (Ovid), Web of Science, Cumulative Index of Nursing, and Allied Health Literature Plus databases and citation searches included articles published after 2012 using the search terms “late preterm infants,” “readmissions,” and “readmission rates.” Conclusions: The literature search identified 11 studies meeting search criteria. These studies included quasi experimental, retrospective, and prospective cohort studies. These studies highlighted the characteristics of LPT infants that potentially contribute to increased readmission rates, morbidity and mortality rates, health care costs, and long-term health inequities. Overall findings indicate the need for review and revision of evidence-based practice guidelines for these infants. Implications for practice: This systematic review manifests the vulnerability of LPT infants and the accompanying need for up-to-date clinical practice guidelines to effectively reduce their morbidity and mortality rates, hospital readmissions rates, and burden of health care costs.

show abstract

Section: Discussion and Recommendationsmentioning

confidence: 99%

Characteristics of late preterm infant readmissions: A systematic review

Joyner,

Papermaster,

Champion

2024

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

show abstract

“…Consistent staff training and the implementation of nursing care guidelines for the care of the LPT infant was successfully demonstrated across three different newborn care settings in a midwestern medical facility in the US (Lohr, 2021). The programme was underpinned by a quality improvement framework and led to improvement in the quality of care and a reduction in practice variations (Lohr, 2021). The additional benefit of underpinning the guidelines in a quality care framework enabled their adaptation as barriers were uncovered, and ineffective parts of the process to be removed (Lohr, 2021).…”

Section: Staffing a Transitional Care Unitmentioning

confidence: 98%

Section: Staffing a Transitional Care Unitmentioning

confidence: 99%

“…The programme was underpinned by a quality improvement framework and led to improvement in the quality of care and a reduction in practice variations (Lohr, 2021). The additional benefit of underpinning the guidelines in a quality care framework enabled their adaptation as barriers were uncovered, and ineffective parts of the process to be removed (Lohr, 2021). In addition to consistency of staff training, having staff continuity is also beneficial to parents.…”

Section: Staffing a Transitional Care Unitmentioning

confidence: 99%

See 1 more Smart Citation

A Model of Care For a Whānau/Family-Centred Newborn Transitional Care Unit in Aotearoa New Zealand: An Implementation Science Study

Dellabarca

View full text Add to dashboard Cite

Abstract In Aotearoa New Zealand, an increasing number of low medical risk infants are removed from their mothers and family/whānau and admitted to a neonatal intensive care unit (NICU) or special care baby unit (SCBU), despite needing only minimal interventions such as blood sugar monitoring and supplementary feeding. Internationally, the introduction of newborn transitional care (NTC) units, an intermediary option between NICU/SCBU and standard postnatal wards, has led to several evidence-based successes, including the non-separation of mother and infant, improved breastfeeding rates, shorter lengths of hospital stay and a decrease in readmission rates. However, the applicability of NTC has not been explored in the context of Aotearoa, which has unique contextual factors, including Māori as the indigenous people and our obligations under Te Tiriti o Waitangi, (Treaty of Waitangi), alongside the needs of at risk populations.This research hypothesised that it was possible to create a model of care for NTC in Aotearoa that meets the individual medical, neurodevelopmental and cultural needs of infants and their family/whānau. Underpinned by an implementation science methodology and the Practical Robust Implementation and Sustainability Model (PRISM), a thorough exploration of the complex contextual factors related to maternal and infant healthcare delivery was undertaken. Using the PRISM framework, the principles of a model of care incorporate the perspectives of the whānau/family and the healthcare service organisation while exploring factors such as sustainability, implementation and external influences. A mixed-methods design was employed to create research data and findings; these included stakeholder questionnaires, focus groups, individual interviews and hospital data sources.The findings demonstrate parents’ distress when they are separated from their infant, their desire to remain together as whānau/family and the difficulties they experience when their support networks are disrupted because of the current healthcare model. In addition, the findings show that NICU/SCBU admission creates barriers to parental access to their infant and that these are experienced differently by different groups, thereby widening current health disparities. From a healthcare professional and broader organisation perspective, there is recognition that the current model of care is not meeting the needs of infants or their whānau/family. The findings show overall support for NTC across whānau/families, professional groups and the wider community, and have informed a model of care for NTC that can support its implementation.An implementation science methodology supported by the PRISM framework enabled stakeholder engagement and an exploration of complex contextual factors, to build on a previous international model of NTC, thereby proving it is possible to develop a model of care for NTC that meets the individual medical, neurodevelopmental and cultural needs of infants and their whānau/family in the context of Aotearoa New Zealand. This model of care would enable at risk families to receive equitable, culturally safe, holistic care that sets them up on a trajectory for improved wellbeing and health outcomes.

show abstract

Improving the Quality of Nursing Care for Late Preterm Infants

Cited by 2 publications

References 6 publications

Characteristics of late preterm infant readmissions: A systematic review

Characteristics of late preterm infant readmissions: A systematic review

A Model of Care For a Whānau/Family-Centred Newborn Transitional Care Unit in Aotearoa New Zealand: An Implementation Science Study

Contact Info

Product

Resources

About