A Southeastern, 741-bed acute care, Magnet designated teaching hospital and level III B NICU identified assessment and treatment concerns for Neonatal Opioid Withdrawal Syndrome (NOWS). In March 2020, a quality improvement project led to a multidisciplinary team formation to determine the effectiveness of the Eat, Sleep, Console (ESC) model of care in reducing the length of treatment (LOT) and length of stay (LOS) for neonates experiencing NOWS rather than use of the Finnegan Neonatal Abstinence Syndrome Scoring tool. The results concluded a decrease in the average LOT from 19.2 to 2.5 days and the average LOS from 23.9 to 9.3 days for those admitted directly into the ESC model of care on postpartum vs previous direct admission to the NICU. A group samples t- test showed there was a statistically significant decrease in LOS for ESC patients ( p < .001) and LOT for ESC patients ( p < 001).
Keyphrases
- quality improvement
- healthcare
- end stage renal disease
- palliative care
- newly diagnosed
- ejection fraction
- chronic kidney disease
- preterm infants
- pain management
- prognostic factors
- emergency department
- peritoneal dialysis
- acute care
- systematic review
- randomized controlled trial
- physical activity
- case report
- chronic pain
- low birth weight
- sleep quality