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- Title
Increasing Skin-to-Skin in a Level IV NICU: A Quality Improvement Project.
- Authors
Marsh, Kimberly R.; Young, Heather L.; Peeples, Eric S.
- Abstract
Purpose: To evaluate the effect of a bundled intervention on the number of skin-to-skin ("kangaroo care") events occurring in a level IV NICU. Design: A quality improvement effort centering around the introduction of an intervention bundle intended to safely increase the rate of skin-to-skin holding. Rates of unplanned extubations were recorded as a balancing measure to estimate safety. Sample: All infants admitted to the NICU from December 2017 through September 2019 were included. The "preintervention" period was the 6 months prior to the initiation of the intervention bundle (December 2017–May 2018). Results: The absolute number of skin-to-skin holds increased from the preintervention phase (range 7–28 holds/month, median 11 holds/month) to the postintervention phase (range 16–100 holds/month, median 55 holds/month). The total unplanned extubations showed no significant change between the preintervention and postintervention periods.
- Subjects
MEDICAL quality control; HEALTH policy; HEALTH education; NEONATAL intensive care; CLINICAL trials; NEONATAL intensive care units; PEDIATRICS; FAMILIES; EXTUBATION; NURSING education; DOCUMENTATION; TREATMENT effectiveness; QUALITY assurance; DESCRIPTIVE statistics; POSTNATAL care; PATIENT safety; EVIDENCE-based nursing
- Publication
Neonatal Network, 2021, Vol 40, Issue 2, p80
- ISSN
0730-0832
- Publication type
Article
- DOI
10.1891/0730-0832/11-T-665