Early Initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Reduces Length of Stay: A Quality Improvement Project

Moody, Cheryl; Callahan, Tiffany J.; Aldrich, Heather; Gance‐Cleveland, Bonnie; Sables-Baus, Sharon

doi:10.1016/j.pedn.2016.11.001

Cited by 45 publications

(36 citation statements)

References 11 publications

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“…The feedback system was co-designed in an educational setting by researchers and students of the Rotterdam University of Applied Sciences together with nurses, medical doctors, Newborn Individualised Developmental Care and Assessment Programme (NIDCAP) 23 certified specialists, housekeeping staff, infection prevention specialists and medical device safety specialists of the NICU of the Erasmus MC-Sophia Children's Hospital, in incremental design-research projects between 2011 and 2016. A participatory design approach served as co-creation method.…”

Section: Methodsmentioning

confidence: 99%

Incubator traffic light: the development of an alcohol-based hand rub dispenser system for neonatal incubators with visual feedback to improve hand hygiene compliance

2019

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IntroductionSustained high compliance with hand hygiene prior to patient contact in a neonatal intensive care unit (NICU) could reduce the spread of pathogens and incidence of bloodstream infections of preterm infants. These infections are associated with high mortality, morbidity and additional costs. Behaviour change interventions to promote hand hygiene, such as education, have only temporary beneficial effect on compliance. Our aim is to develop a technical intervention that supports a sustainable behaviour change for appropriate hand hygiene among NICU healthcare professionals.MethodsStudents from different disciplines incrementally designed and evaluated solutions in co-creation with healthcare professionals of a NICU in a teaching hospital.ResultsA prototype of the ‘Incubator Traffic Light’ system for neonatal incubators was developed, that is, a touchless alcohol-based hand rub (ABHR) dispenser with integrated colour display and incubator door sensor with lights. The system provides visual feedback to support healthcare professionals’ compliance with the prescribed 30 s drying time for ABHR. After 30 s, green lights indicate that the incubator doors may be opened. In the event that doors are opened without dispensing ABHR or earlier than 30 s, blinking orange lights and a display message urge the person to close the doors. The system documents compliance data in a web-based database.ConclusionsWe developed a sophisticated technical intervention to support hand hygiene compliance. It is ready for clinical tests that should prove that the system contributes to sustainable hand hygiene compliance near neonatal incubators.

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Section: Methodsmentioning

confidence: 99%

Incubator traffic light: the development of an alcohol-based hand rub dispenser system for neonatal incubators with visual feedback to improve hand hygiene compliance

2019

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“…Обязательным условием Программы является участие в ней медицинского персонала и родителей. Научные публикации последних лет показывают, что специалисты из Канады, США, Италии, Швеции и других стран заинтересованы во внедрении этой Программы в ОИТН [26][27][28][29][30][31]. Внедрение принципов NIDCAPэто постепенный, глубокий процесс изменения системы здравоохранения, который затрагивает все аспекты ухода за новорожденным в ОИТН [22,32].…”

Section: программа индивидуального ухода и оценки развития новорожденныхunclassified

Early rehabilitation of newborns moved by perinatal hypoxia

Перепелица

2020

Physical and rehabilitation medicine, medical rehabilitation

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Rehabilitation of newborns after perinatal hypoxia in the intensive care unit is the subject of study and discussion. The choice of complex treatment, including developmental care, positioning, massage and hydrotherapy, is carried out individually for each newborn. This process involves not only medical workers, but also parents. Creation of a long-term program which is being implemented not only at the hospital, but also at home after the child is discharged.

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“…While the provision of developmental neuroprotective care is a fundamental neonatal nursing responsibility, the five core measures included in the 2011 NANN guidelines serve as imperatives that an optimal neuroprotective environment requires the coordination of care with disciplines of medicine and nursing, including the scope of practice of NTs [18][19][20][21][22][23]. Skilled neonatal therapy competencies support preventative intervention from birth to enhance physiologic function and neurostructural development of the infant with benefits extending to all stakeholders including the infant, family, healthcare community, and provider networks [11,[24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

Craig

Smith

2020

J Perinatol

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Infants admitted to neonatal intensive care units (NICU) require carefully designed risk-adjusted management encompassing a broad spectrum of neonatal subgroups. Key components of an optimal neuroprotective healing NICU environment are presented to support consistent quality of care delivery across NICU settings and levels of care. This article presents a perspective on the role of neonatal therapists-occupational therapists, physical therapists, and speech-language pathologists-in the provision of elemental risk-adjusted neuroprotective care services. In alignment with professional organization competency recommendations from these disciplines, a broad overview of neonatal therapy services is described. Recognizing the staffing budget as one of the more difficult challenges hospital department leaders face, the authors present a formula-based approach to address staff allocations for neonatal therapists working in NICU settings. The article has been reviewed and endorsed

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Early Initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Reduces Length of Stay: A Quality Improvement Project

Cited by 45 publications

References 11 publications

Incubator traffic light: the development of an alcohol-based hand rub dispenser system for neonatal incubators with visual feedback to improve hand hygiene compliance

Incubator traffic light: the development of an alcohol-based hand rub dispenser system for neonatal incubators with visual feedback to improve hand hygiene compliance

Early rehabilitation of newborns moved by perinatal hypoxia

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

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