Easley, Lisa. Implementing practice recommendations to improve management of infants with neonatal abstinence syndrome. Retrieved from https://doi.org/doi:10.7282/t3-d8wa-fw49
DescriptionPurpose of Project: One infant is diagnosed with neonatal abstinence syndrome every 25 minutes in the United States due to the abrupt cessation of maternal in-utero opioids. Standardizing hospital protocols that support nonpharmacologic support for neonatal abstinence syndrome (NAS) has shown to reduce use of pharmacologic agents and hospital length of stay. The purpose of this study was to assess the effectiveness of education for nurses on non-pharmacologic recommendations as first-line treatment when caring for infants with NAS through use of pre- and post-education survey.
Methodology: A pre-education survey was conducted followed by pre-recorded asynchronous staff education with the focus on environmental stimulation modification, feeding methods, and supporting the mother-infant dyad. A post-education survey was conducted to analyze the effectiveness of education. A retrospective chart review was also conducted looking at the treatments of infants diagnosed with NAS over a period of five years in a community hospital setting. Thirty-five charts met inclusion criteria.
Results: Post education surveys resulted in a 28% increase in scores when compared to pre-education surveys. Retrospective chart review demonstrated the need for policy implementation and standardized protocol.
Implications for Practice: The launch of the education guided the development of a NAS nursing policy. Nurses require up to date, ongoing, and standardized education on caring for infants with NAS. Standardizing hospital treatment protocols that outline nonpharmacologic interventions have the potential to reduce use of medication and length of stay.