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Evaluation of a rooming-in model of care for infants with neonatal opioid withdrawal syndrome in a community hospital
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Forsyth, Nancy. Evaluation of a rooming-in model of care for infants with neonatal opioid withdrawal syndrome in a community hospital. Retrieved from https://doi.org/doi:10.7282/t3-5f50-bn76

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TitleEvaluation of a rooming-in model of care for infants with neonatal opioid withdrawal syndrome in a community hospital
NameForsyth, Nancy (author); Vitale, Tracy (chair); Lynam Bayne, Lynn (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-10 (degree)
SubjectNursing, Community hospitals, Neonatal abstinence syndrome, Neonatal opioid withdrawal syndrome, Rooming-in, Sudden infant death
Extent152 pages : illustrations
DescriptionPurpose: Although a rooming-in model of care for infants with neonatal opioid withdrawal syndrome (NOWS) is associated with better hospital outcomes compared to a neonatal intensive care model, there are few reports of care in the community hospital setting. This project assessed the impact of a well-established rooming-in model of care for infants with NOWS in a community hospital in the mid-Atlantic region.
Methodology: Retrospective chart review was used to evaluate outcomes of 166 opioid-exposed infants over a five-year period. Mother and infant characteristics, maximum Finnegan score, length of stay, initiation of medication, duration of medication, feeding data, and discharge disposition were extracted. The Context-Input-Process-Product model provided a framework for program evaluation.
Results: Twenty-six infants were transferred to a higher level of care; one was transferred for escalation of NOWS and 25 for comorbidities requiring intensive care. For the remaining infants, mean length of stay was 10.1 ± 6 days; 60 infants were treated with oral morphine; 59 received some or all human milk feeding; 111 were discharged in maternal custody. Infants of smokers were more likely to receive morphine and had longer hospital stays. Maternal buprenorphine was associated with less use of morphine and shorter length of stay. Adverse events included weight loss, diaper dermatitis, thrush, paronychia, and unsafe sleep events.
Implications for practice: Rooming-in care for infants with NOWS in the community hospital setting is safe and effective. Unsafe sleep is critical and must be addressed. Confounders of NOWS include maternal smoking and type of opiate agonist therapy.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-5f50-bn76
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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