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Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit
OBJECTIVE: Compassionate extubation (CE) can be stressful for staff and families in the neonatal intensive care unit (NICU). Our quality improvement initiative developed and implemented a novel symptom management and family support checklist and post-debriefing template to improve team communication...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129605/ https://www.ncbi.nlm.nih.gov/pubmed/34006968 http://dx.doi.org/10.1038/s41372-021-01085-8 |
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author | Donoho, Kelsey Fossa, Mallory Dabagh, Sarah Caliboso, Menchie Lotstein, Debra Nair, Srikumar |
author_facet | Donoho, Kelsey Fossa, Mallory Dabagh, Sarah Caliboso, Menchie Lotstein, Debra Nair, Srikumar |
author_sort | Donoho, Kelsey |
collection | PubMed |
description | OBJECTIVE: Compassionate extubation (CE) can be stressful for staff and families in the neonatal intensive care unit (NICU). Our quality improvement initiative developed and implemented a novel symptom management and family support checklist and post-debriefing template to improve team communication and staff support. STUDY DESIGN: An interprofessional team performed a needs assessment, determined key drivers and intervention steps, and implemented changes using Plan-Do-Study-Act cycles. Outcomes included nursing perception of good communication with the medical team, nursing assessment of patient comfort after CE, and frequency of post-event debrief. Outcomes were analyzed using time series design with 12 months baseline data and 6 months post-implementation monitoring. RESULT: Eighteen events were studied. Respondents endorsing “good” communication with the medical team increased by 60%, and debrief participation rate improved by 96%. CONCLUSION: Implementation of a CE checklist and post-event debriefing sheet was associated with increased rate of debriefs and improved team communication. |
format | Online Article Text |
id | pubmed-8129605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group US |
record_format | MEDLINE/PubMed |
spelling | pubmed-81296052021-05-18 Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit Donoho, Kelsey Fossa, Mallory Dabagh, Sarah Caliboso, Menchie Lotstein, Debra Nair, Srikumar J Perinatol Quality Improvement Article OBJECTIVE: Compassionate extubation (CE) can be stressful for staff and families in the neonatal intensive care unit (NICU). Our quality improvement initiative developed and implemented a novel symptom management and family support checklist and post-debriefing template to improve team communication and staff support. STUDY DESIGN: An interprofessional team performed a needs assessment, determined key drivers and intervention steps, and implemented changes using Plan-Do-Study-Act cycles. Outcomes included nursing perception of good communication with the medical team, nursing assessment of patient comfort after CE, and frequency of post-event debrief. Outcomes were analyzed using time series design with 12 months baseline data and 6 months post-implementation monitoring. RESULT: Eighteen events were studied. Respondents endorsing “good” communication with the medical team increased by 60%, and debrief participation rate improved by 96%. CONCLUSION: Implementation of a CE checklist and post-event debriefing sheet was associated with increased rate of debriefs and improved team communication. Nature Publishing Group US 2021-05-18 2021 /pmc/articles/PMC8129605/ /pubmed/34006968 http://dx.doi.org/10.1038/s41372-021-01085-8 Text en © The Author(s), under exclusive licence to Springer Nature America, Inc. 2021 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 Donoho, Kelsey Fossa, Mallory Dabagh, Sarah Caliboso, Menchie Lotstein, Debra Nair, Srikumar Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title | Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title_full | Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title_fullStr | Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title_full_unstemmed | Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title_short | Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
title_sort | compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit |
topic | Quality Improvement Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129605/ https://www.ncbi.nlm.nih.gov/pubmed/34006968 http://dx.doi.org/10.1038/s41372-021-01085-8 |
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