{"title":"Team-Led Empowerment: A Toolkit Enhancing NOWS Care.","authors":"Maria V Hughes","doi":"10.1097/JPN.0000000000000858","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Individual states are becoming proactive in addressing the gaps in knowledge about newborns experiencing opioid withdrawal syndrome (ie, Neonatal Opioid Withdrawal Syndrome [NOWS]) through interdisciplinary efforts, perinatal learning collaboratives, and quality improvement initiatives.</p><p><strong>Methods: </strong>Descriptive statistics and a repeated measures analysis of variance were used to analyze the data. The 5-step project implemented a team-led, evidence-based, nursing intervention toolkit. This project was completed in a Midwest, nonprofit, level III neonatal intensive care hospital serving a high-minority, low-income demographic. The participants included 38 registered nurses.</p><p><strong>Intervention: </strong>A team-led initiative that developed a specialized toolkit aligned with the Indiana Perinatal Substance Use Practice Bundle. A pre-and posttraining assessment survey called \"The Assessment of Nursing Knowledge and Self-Efficacy Related to NOWS\" was developed to determine baseline knowledge and an increase in self-efficacy and knowledge. An educational curriculum intervention for onboarding new hires and completion of annual competencies was introduced.</p><p><strong>Results: </strong>Posttraining, knowledge increased, and self-efficacy scores improved by 0.85 points. The curriculum change integrated the toolkit into consistent onboarding and annual competencies.</p><p><strong>Conclusion: </strong>This comprehensive approach empowers nurses by equipping them with the skills and confidence necessary to provide quality care resulting in improved neonatal outcomes. Adopting a team-driven intervention for onboarding and annual competencies reinforce a dedication to continuous improvement and excellence in standards of care for newborns and their families.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatal & Neonatal Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JPN.0000000000000858","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Individual states are becoming proactive in addressing the gaps in knowledge about newborns experiencing opioid withdrawal syndrome (ie, Neonatal Opioid Withdrawal Syndrome [NOWS]) through interdisciplinary efforts, perinatal learning collaboratives, and quality improvement initiatives.
Methods: Descriptive statistics and a repeated measures analysis of variance were used to analyze the data. The 5-step project implemented a team-led, evidence-based, nursing intervention toolkit. This project was completed in a Midwest, nonprofit, level III neonatal intensive care hospital serving a high-minority, low-income demographic. The participants included 38 registered nurses.
Intervention: A team-led initiative that developed a specialized toolkit aligned with the Indiana Perinatal Substance Use Practice Bundle. A pre-and posttraining assessment survey called "The Assessment of Nursing Knowledge and Self-Efficacy Related to NOWS" was developed to determine baseline knowledge and an increase in self-efficacy and knowledge. An educational curriculum intervention for onboarding new hires and completion of annual competencies was introduced.
Results: Posttraining, knowledge increased, and self-efficacy scores improved by 0.85 points. The curriculum change integrated the toolkit into consistent onboarding and annual competencies.
Conclusion: This comprehensive approach empowers nurses by equipping them with the skills and confidence necessary to provide quality care resulting in improved neonatal outcomes. Adopting a team-driven intervention for onboarding and annual competencies reinforce a dedication to continuous improvement and excellence in standards of care for newborns and their families.
期刊介绍：
The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses.
The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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