TY - JOUR
T1 - A Kangaroo Care Pathway for NICU Staff and Families
T2 - The Proof Is in the Pouch
AU - Stadd, Karen
AU - Diehl, Beth
AU - Yenokyan, Gayane
AU - Aucott, Susan W.
AU - Harris-Haman, Pamela A.
AU - Zukowsky, Ksenia
N1 - Publisher Copyright:
© 2020 National Association of Neonatal Nurses.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Background: Kangaroo care (KC) improves bonding and neonatal health outcomes worldwide. However, concerns for patient safety, interrupted workflow, and parent readiness continued to impede KC in a level IV neonatal intensive care unit (NICU). Its current policy did not recommend using more than 1 staff member during patient transfer. In addition, NICU staff and parents lacked skills training and education regarding the feasibility of routine KC. Purpose: A KC pathway was developed and integrated within a multifaceted, champion-based, simulated educational training program for NICU staff and families to promote earlier and more frequent KC by increasing their knowledge and comfort with this practice. Methods: Patient data collected before and after the study determined the frequency, timing, and mode of respiratory support during KC. Pre-and posttest surveys evaluated nurses' knowledge and comfort level with KC. Results: The frequency of KC occurred 2.4 times more after the intervention. The percentage of KC episodes for intubated patients nearly doubled. The posttest survey scores for nursing knowledge and comfort level also markedly improved. Implications for Practice: The KC pathway ameliorated feelings of discomfort by depicting criteria and instructions for safe practice. Multidisciplinary champions were invaluable in assisting the nursing staff with patient transfer during KC. Implications for Research: More dose-response studies are needed to maximize the clinical benefits of KC in developed countries.
AB - Background: Kangaroo care (KC) improves bonding and neonatal health outcomes worldwide. However, concerns for patient safety, interrupted workflow, and parent readiness continued to impede KC in a level IV neonatal intensive care unit (NICU). Its current policy did not recommend using more than 1 staff member during patient transfer. In addition, NICU staff and parents lacked skills training and education regarding the feasibility of routine KC. Purpose: A KC pathway was developed and integrated within a multifaceted, champion-based, simulated educational training program for NICU staff and families to promote earlier and more frequent KC by increasing their knowledge and comfort with this practice. Methods: Patient data collected before and after the study determined the frequency, timing, and mode of respiratory support during KC. Pre-and posttest surveys evaluated nurses' knowledge and comfort level with KC. Results: The frequency of KC occurred 2.4 times more after the intervention. The percentage of KC episodes for intubated patients nearly doubled. The posttest survey scores for nursing knowledge and comfort level also markedly improved. Implications for Practice: The KC pathway ameliorated feelings of discomfort by depicting criteria and instructions for safe practice. Multidisciplinary champions were invaluable in assisting the nursing staff with patient transfer during KC. Implications for Research: More dose-response studies are needed to maximize the clinical benefits of KC in developed countries.
KW - NICU
KW - family-centered care
KW - kangaroo care
KW - skin-To-skin care
UR - http://www.scopus.com/inward/record.url?scp=85078508541&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078508541&partnerID=8YFLogxK
U2 - 10.1097/ANC.0000000000000667
DO - 10.1097/ANC.0000000000000667
M3 - Article
C2 - 31764210
AN - SCOPUS:85078508541
SN - 1536-0903
VL - 20
SP - 14
EP - 24
JO - Advances in Neonatal Care
JF - Advances in Neonatal Care
IS - 1
ER -