Implementation of the Eat, Sleep, and Console Model of Care: A Quality Improvement Project.

Abstract

A Southeastern, 741-bed acute care, Magnet designated teaching hospital and level III B NICU identified assessment and treatment concerns for Neonatal Opioid Withdrawal Syndrome (NOWS). In March 2020, a quality improvement project led to a multidisciplinary team formation to determine the effectiveness of the Eat, Sleep, Console (ESC) model of care in reducing the length of treatment (LOT) and length of stay (LOS) for neonates experiencing NOWS rather than use of the Finnegan Neonatal Abstinence Syndrome Scoring tool. The results concluded a decrease in the average LOT from 19.2 to 2.5 days and the average LOS from 23.9 to 9.3 days for those admitted directly into the ESC model of care on postpartum vs previous direct admission to the NICU. A group samples t-test showed there was a statistically significant decrease in LOS for ESC patients (p < .001) and LOT for ESC patients (p <001).

• Authors: Chelsie Ober, Linda Bloom, Nicholas Obiri
• Journal: Neonatal network : NN (Neonatal Netw) Vol. 42 Issue 6 Pg. 320-328 (Nov 01 2023) ISSN: 1539-2880 [Electronic] United States
• PMID: 38000800 (Publication Type: Journal Article)
• Copyright: © Copyright 2023 Springer Publishing Company, LLC.

Chemical References

• Analgesics, Opioid

Topics

• Infant, Newborn
• Female
• Humans
• Analgesics, Opioid (therapeutic use)
• Quality Improvement
• Length of Stay
• Neonatal Abstinence Syndrome (drug therapy)