Kangaroo mother care utilization at stepdown ward of a tertiary care teaching hospital: a quality improvement study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-05 DOI:10.1093/tropej/fmad041

Dipen V Patel, K Sameer, Reshma K Pujara, Somashekhar M Nimbalkar, Paresha Y Patel, Jayshreeben B Makwana, Smita N Patel

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Abstract

Purpose: India has the highest burden of preterm/low birth weight newborns. To tackle this, Kangaroo Mother Care (KMC) needs to be scaled up. We did a quality improvement (QI) study to increase KMC coverage to 80% and its utilization to at least 4 h/infant/day.

Methods: This study was conducted at a stepdown ward (KMC ward) of a tertiary care teaching institute over a period of four months. All babies with birth weight <2.5 kg were eligible. The QI team included faculty in-charge, one senior resident and three senior staff nurses. Potential barriers were listed using fish-bone analysis. Four possible interventions were identified (daily documentation of total KMC hours by doctor, providing KMC during all the nursing duty shifts, counseling and education to mothers and family members), introduced, and then subsequently tested by four Plan-Do-Study-Act (PDSA) cycles and sustenance was assessed over three months.

Results: A total of 93 infants were included in this QI study. During baseline phase, the KMC coverage was 50% which increased to 100% by the end of fourth PDSA cycle and remained 100% during the sustenance phase. During baseline period, KMC was given for ≥ 4 h in 18.8% (28 of 149) patient days which increased to 88.96% (137 of 154) during the sustenance phase. The mean KMC utilization increased from 1.97 (1.57) h/infant/day to 5.65 (1.20) h/infant/day in the sustenance phase.

Conclusion: QI study incorporating PDSA cycles helped improve coverage and utilization of KMC.

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袋鼠妈妈护理在三级护理教学医院下坡病房的应用:质量改进研究。

目的:印度是早产/低体重新生儿负担最重的国家。为了解决这个问题，袋鼠妈妈护理(KMC)需要扩大规模。我们进行了质量改进(QI)研究，以将KMC覆盖率提高到80%，并将其利用率提高到至少4小时/婴儿/天。方法:本研究是在一个三级护理教学机构的降级病房(KMC病房)进行为期四个月的研究。结果:共有93名婴儿被纳入本QI研究。在基线阶段，KMC覆盖率为50%，在第四个PDSA周期结束时增加到100%，在维持阶段保持100%。在基线期，18.8%(149 / 28)患者日给予KMC≥4小时，在维持期增加到88.96%(154 / 137)。营养期平均KMC利用率由1.97 (1.57)h/婴儿/d增加到5.65 (1.20)h/婴儿/d。结论:结合PDSA循环的QI研究有助于提高KMC的覆盖率和利用率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.