A Continuous Quality Improvement Project to Implement Infant-Driven Feeding as a Standard of Practice in the Newborn/Infant Intensive Care Unit |
| |
| Affiliation: | A clinical nurse in the Newborn/Infant Intensive Care Unit, The Children’s Hospital of Philadelphia, Philadelphia, PA;A general, thoracic, and fetal surgery neonatal nurse practitioner in the Newborn/Infant Intensive Care Unit, The Children’s Hospital of Philadelphia, Philadelphia, PA;A professor of perinatal nursing and the Helen M. Shearer Professor of Nutrition at the University of Pennsylvania School of Nursing and is a nurse researcher and the Director of the Lactation Program, Children’s Hospital of Philadelphia, Philadelphia, PA;A doctoral student, University of Pennsylvania, Philadelphia, PA;A professor, Department of Nursing, Dongguk University, GyeongJu, South Korea;A postdoctoral researcher, University of Pennsylvania, Philadelphia, PA;A research associate professor, University of Pennsylvania, Philadelphia, PA;A professor and Marjorie O. Rendell Endowed Professor, University of Pennsylvania, Philadelphia, PA;Executive Director of the National Alliance for Breastfeeding Advocacy, Weston, MA;Division of Informatics, Health Systems & Leadership, College of Nursing, University of Colorado, Aurora, CO;Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;Professor of pharmacy practice, Ferris State University, Kalamazoo, MI;Master faculty specialist, Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;Master faculty specialist, Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;College of Nursing, University of Colorado Denver, Denver, CO;coordinator of the Birth & Family Education/Lactation Program, Miami Valley Hospital, Dayton, OH;perinatal clinical nurse specialist at Miami Valley Hospital, Dayton, OH;Retired pediatric nurse practitioner, Sigma Theta Tau International Maternal Child Health Nurse Leadership Academy faculty, and professor emeritus, Oregon Health and Science University School of Nursing, Portland, OR |
| |
| Abstract: | Objective: To increase the number of neonates who were fed according to cues prior to discharge and potentially decrease length of stay.Design: Continuous quality improvement.Setting: Eighty-five bed level IV neonatal intensive care unit.Patients: Surgical and nonsurgical neonates of all gestational ages. Neonates younger than 32 weeks gestation, who required intubation, continuous positive airway pressure (CPAP), high flow nasal cannula (HFNC), or did not have suck or gag reflexes were excluded as potential candidates for infant-driven feeding.Intervention/Measurements: The project was conducted over a 13-month period using the following methods: (a) baseline data collection, (b) designation of Infant Driven Feeding (IDF) Champions, (c) creation of a multidisciplinary team, (d) creation of electronic health record documentation, (e) initial staff education, (f) monthly team meetings, (g) reeducation throughout the duration of the project, and (h) patient-family education.Results: Baseline data were collected on 20 neonates with a mean gestational age of 36 0/7th weeks and a mean total length of stay (LOS) of 43 days. Postimplementation data were collected on 150 neonates with a mean gestational age of 36 1/7th weeks and a mean total LOS of 36.4 days. A potential decrease in the mean total LOS of stay by 6.63 days was achieved during this continuous quality improvement (CQI) project.Conclusions: Neonates who are fed according to cues can become successful oral feeders and can be safely discharged home regardless of gestational age or diagnosis. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
