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An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support

BACKGROUND: There are many barriers to parental skin-to-skin contact for critically ill neonates. Our aims were to decrease median time to first parental hold of neonates requiring respiratory support from 6.4 to 3 days, and to increase the percentage of neonates held within the first 24 h after bir...

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Autores principales: Kenaley, Kaitlin M., Rickolt, Annette L., Vandersteur, Derek A., Ryan, Julia D., Stefano, John L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223435/
https://www.ncbi.nlm.nih.gov/pubmed/31911648
http://dx.doi.org/10.1038/s41372-019-0569-5
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author Kenaley, Kaitlin M.
Rickolt, Annette L.
Vandersteur, Derek A.
Ryan, Julia D.
Stefano, John L.
author_facet Kenaley, Kaitlin M.
Rickolt, Annette L.
Vandersteur, Derek A.
Ryan, Julia D.
Stefano, John L.
author_sort Kenaley, Kaitlin M.
collection PubMed
description BACKGROUND: There are many barriers to parental skin-to-skin contact for critically ill neonates. Our aims were to decrease median time to first parental hold of neonates requiring respiratory support from 6.4 to 3 days, and to increase the percentage of neonates held within the first 24 h after birth from 6 to 75%. METHODS: Lean Six Sigma methodology was used to identify barriers to holding and opportunities for improvement. INTERVENTION: A multifactorial improvement bundle was implemented to reduce the time to first parental hold of critically ill neonates. RESULTS: Median time to first parental hold was reduced from 6.4 to 1.2 days (p < 0.01). Infants held within the first 24 h after birth increased from 6 to 35%. There was no increase in adverse events associated with parental holding. CONCLUSIONS: Implementation of an improvement bundle resulted in a significant reduction in time to first parental hold of infants requiring respiratory support.
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spelling pubmed-72234352020-05-15 An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support Kenaley, Kaitlin M. Rickolt, Annette L. Vandersteur, Derek A. Ryan, Julia D. Stefano, John L. J Perinatol Quality Improvement Article BACKGROUND: There are many barriers to parental skin-to-skin contact for critically ill neonates. Our aims were to decrease median time to first parental hold of neonates requiring respiratory support from 6.4 to 3 days, and to increase the percentage of neonates held within the first 24 h after birth from 6 to 75%. METHODS: Lean Six Sigma methodology was used to identify barriers to holding and opportunities for improvement. INTERVENTION: A multifactorial improvement bundle was implemented to reduce the time to first parental hold of critically ill neonates. RESULTS: Median time to first parental hold was reduced from 6.4 to 1.2 days (p < 0.01). Infants held within the first 24 h after birth increased from 6 to 35%. There was no increase in adverse events associated with parental holding. CONCLUSIONS: Implementation of an improvement bundle resulted in a significant reduction in time to first parental hold of infants requiring respiratory support. Nature Publishing Group US 2020-01-07 2020 /pmc/articles/PMC7223435/ /pubmed/31911648 http://dx.doi.org/10.1038/s41372-019-0569-5 Text en © Springer Nature America, Inc. 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Quality Improvement Article
Kenaley, Kaitlin M.
Rickolt, Annette L.
Vandersteur, Derek A.
Ryan, Julia D.
Stefano, John L.
An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title_full An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title_fullStr An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title_full_unstemmed An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title_short An intervention to decrease time to parents’ first hold of infants in the Neonatal Intensive Care Unit requiring respiratory support
title_sort intervention to decrease time to parents’ first hold of infants in the neonatal intensive care unit requiring respiratory support
topic Quality Improvement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223435/
https://www.ncbi.nlm.nih.gov/pubmed/31911648
http://dx.doi.org/10.1038/s41372-019-0569-5
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