Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates

Nursing for Women''s Health Pub Date : 2024-10-01 DOI:10.1016/j.nwh.2024.04.004

Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young

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Abstract

Objective

To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge in opioid-exposed neonates (OENs).

Design

Quality improvement project.

Setting/Local Problem

Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.

Participants

Staff nurses in the women and infants department (N = 311).

Intervention/Measurements

Nurses completed an asynchronous online educational module regarding awareness and use of the HMF and OUD standardized care pathway for supporting HMF in OENs. Monthly infographics were placed in each nursing unit to reinforce content. Nurses completed pre- and posteducation surveys to evaluate their knowledge and use of the pathway. After the education, rates of OENs receiving human milk at discharge were collected from the electronic health record.

Results

A total of 240 (77.2%) nurses participated in the educational module; awareness of the pathway increased from 91.5% to 97.3%. HMF rate at discharge significantly increased from 29.8% to 59.4% (p = .03).

Conclusion

Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.

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教育护士提高对接触阿片类药物的新生儿母乳喂养护理路径的认识和使用。

目标：提高护士对母乳喂养（HMF）和阿片类药物使用障碍（OUD）标准化护理路径的认识和使用，以提高暴露于阿片类药物的新生儿（OENs）出院时的母乳喂养率：环境/当地问题：一家学术医疗中心未充分利用HMF和OUD标准化护理路径，导致出院时HMF率下降：干预/测量：护士们完成了一个异步在线教育模块，内容涉及对 HMF 和 OUD 标准化护理路径的认识和使用，以支持 OEN 中的 HMF。每月在每个护理单元放置信息图表以强化内容。护士们完成了教育前和教育后调查，以评估她们对路径的了解和使用情况。教育结束后，从电子健康记录中收集了出院时母乳喂养率：共有 240 名护士（77.2%）参加了教育模块；对该途径的认知度从 91.5% 提高到 97.3%。出院时的 HMF 率从 29.8% 显著上升至 59.4%（p = .03）：结论：提高护士对标准化 HMF 和 OUD 护理路径的认识与 OENs 出院时 HMF 率翻倍有关。

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

Nursing for Women''s Health Nursing-Nursing (all)

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.