Pediatric Nurse Practitioner, Rochester Regional Health, St. John Fisher University, Rochester, NY.
Assistant Professor, Wegmans School of Nursing, St. John Fisher University, Rochester, NY.
J Pediatr Health Care. 2023 Jul-Aug;37(4):402-413. doi: 10.1016/j.pedhc.2023.01.006. Epub 2023 Feb 21.
This project aimed to evaluate a practice change to Eat Sleep Console (ESC) in the postpartum unit and neonatal intensive care unit of a single Baby-Friendly tertiary hospital.
Guided by Donabedian's quality care model, a process and outcomes evaluation of ESC was conducted through a retrospective chart review and the Eat Sleep Console Nurse Questionnaire, which assessed processes of care and knowledge, attitudes and perceptions of nurses.
Improvement in neonatal outcomes, including a decreased number of morphine doses (12.33 vs. 3.17; p = .045), was noted from preintervention to postintervention. Breastfeeding at discharge increased from 38% to 57% but did not reach statistical significance. Thirty-seven nurses (71%) completed the full survey.
The use of ESC resulted in positive neonatal outcomes. Nurse-identified areas for improvement resulted in a plan for continued improvement.
本项目旨在评估一家婴儿友好型三级医院的产后病房和新生儿重症监护病房中，对 Eat Sleep Console（ESC）的实践改变。
以 Donabedian 的优质护理模型为指导，通过回顾性病历审查和 Eat Sleep Console 护士调查问卷，对 ESC 进行了过程和结果评估，评估了护理过程和护士的知识、态度和看法。
从干预前到干预后，新生儿结局得到改善，包括吗啡剂量减少（12.33 与 3.17；p = 0.045）。出院时母乳喂养率从 38%增加到 57%，但未达到统计学意义。37 名护士（71%）完成了完整的调查。
ESC 的使用带来了积极的新生儿结局。护士确定的改进领域促成了持续改进计划。
