Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young
{"title":"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。","authors":"Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young","doi":"10.1016/j.nwh.2024.04.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>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).</div></div><div><h3>Design</h3><div>Quality improvement project.</div></div><div><h3>Setting/Local Problem</h3><div>Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.</div></div><div><h3>Participants</h3><div>Staff nurses in the women and infants department (<em>N</em> = 311).</div></div><div><h3>Intervention/Measurements</h3><div>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.</div></div><div><h3>Results</h3><div>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% (<em>p</em> = .03).</div></div><div><h3>Conclusion</h3><div>Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 339-348"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates\",\"authors\":\"Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young\",\"doi\":\"10.1016/j.nwh.2024.04.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>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).</div></div><div><h3>Design</h3><div>Quality improvement project.</div></div><div><h3>Setting/Local Problem</h3><div>Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.</div></div><div><h3>Participants</h3><div>Staff nurses in the women and infants department (<em>N</em> = 311).</div></div><div><h3>Intervention/Measurements</h3><div>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.</div></div><div><h3>Results</h3><div>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% (<em>p</em> = .03).</div></div><div><h3>Conclusion</h3><div>Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.</div></div>\",\"PeriodicalId\":39985,\"journal\":{\"name\":\"Nursing for Women''s Health\",\"volume\":\"28 5\",\"pages\":\"Pages 339-348\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing for Women''s Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1751485124001624\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing for Women''s Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751485124001624","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates
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.
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.
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