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Breastfeeding: An Evidence-Based Intervention for Neonatal Abstinence Syndrome
Opioid drug use during pregnancy is a national and local emergent concern. The state of Ohio has experienced a dramatic increase in neonates born with neonatal abstinence syndrome (NAS). NAS occurs after the neonate is born and no longer receives a supply of opioids from the mother. NAS occurs in approximately 55 to 94 percent of neonates exposed to opioids in utero and if left untreated can become life threatening. Nationally, an estimated $1.5 billion is spent annually for NAS treatment equating to $53,400 per infant hospitalized. Non-pharmacological supportive care measures such as breastfeeding can aid in managing NAS symptoms. The purpose of the evidence based practice improvement project (EBPIP) was to provide continuing education (CE) for maternal newborn care staff in Erie County Ohio on the national standards of care and recommended practice guidelines that encourage and support opioid dependent postpartum women in medication assisted treatment (MAT) programs to breastfeed their neonates. The goal of the project is to foster maternal decision making to breastfeed as a means to decrease the occurrence of NAS symptoms, decrease the need for pharmacological interventions, and decrease the length of stay (LOS) in an acute care hospital setting for affected neonates. The Model for Evidence-Based Practice Change was used to guide project implementation. The CE program titled Breastfeeding’s Role in Neonatal Abstinence Syndrome was presented to maternal newborn care staff (N= 133) of Erie County Ohio. The program provided education on NAS and the national standards and guidelines for breastfeeding and maternal substance use. A comparison of the pre and post questionnaire demonstrated gains in staff knowledge and comfort level regarding the implementation of breastfeeding guidelines for opioid dependent women in MAT. The use of standardized evidence-based guidelines ensures nonpharmacological treatments (such as breastfeeding) are supported for the neonate born to opioid dependent mothers who are participating in an MAT program....
Evidence-Based Pilot for Improved Antibiotic Prescribing
The nature and burden of inappropriate antibiotic prescribing for self-limiting respiratory tract infections (RTIs) in primary care settings, continues to pose great threats to public health. This high prevalence leads to ...
Evaluation of an Educational Video: What to Expect Your First Day of Chemotherapy
Background. Anxiety levels in patients diagnosed with cancer are high at the time of diagnosis. Most of these patients do not know what to expect the first day of chemotherapy treatment. This fear of the unknown can cause psychological distress or anxiety. Anxiety may lead to increased occurrences of side effects from cancer treatments, inability to retain information and overall decreased quality of life. Educational interventions may prove beneficial in this population. Video education is becoming more widely used due to advancements in technology. Objectives. The primary aim of this study was to evaluate the content of the educational video What to Expect Your First Day of Chemotherapy. The secondary aim was to identify additional information that would be identified as potential areas of concerns. That information would be important to address in another video or pamphlet. These newly created media guides would provide an informational reference for the chemotherapy naïve patients. Consequently, these media guides would have the potential to increase the knowledge of the patient and caregivers during medical treatments. Methods. The current study is a mixed methods pilot study that evaluated the content of the video What to Expect Your First Day of Chemotherapy. Prior to the evaluation, a video was designed and created by this researcher. During the planning phase of the video, a focus group was selected. These individuals were chosen based on their ability to provide information on what was important to for a chemotherapy naïve patient or caregiver to understand on the first day of chemotherapy. Following post-production, a post-viewing survey was designed and created. This survey was reviewed and approved by a clinical statistician. Similarly, a convenience sampling was used for the survey participants. As with the preproduction focus group, participants within the community were chosen based on common experiences. These included healthcare professionals or staff, former or current oncology patients and individuals who were directly involved with a friend or relative who had received chemotherapy. Findings. The results were overwhelmingly positive towards the video. Descriptive statistics indicate that the video answered the key questions. All 22 of the content related questions received mean scores greater than 4.0 based on the five-point Likert scale, (4.0 = agree). All 22 of the relevancy questions received mean scores of greater than 4.0 based on the five-point Likert Scale, (4.0 = relevant). Three open ended questions were asked to allow the participant to express and provide an opportunity to expand on their answers. ...
The Effectiveness of Newborn Safety Information and Acknowledgement in Preventing Inpatient Newborn Falls
Newborn falls can occur in the immediate postpartum period. The purpose of this capstone project was to evaluate the effectiveness of the Newborn Safety Information and Acknowledgement tool in impacting inpatient newborn ...
Qualitative Assessment of an Electronic Diabetes Education Tool for Burmese Immigrants
Providing preventative health education to refugee groups presents challenges due to language barriers, limited literacy, educational resources, and time constraints. Purpose: pilot an electronic audio-visual Burmese ...