ABSTRACT
Trauma-informed care (TIC) has been described to apply to several groups of traumatized patient/families in the NICU. Trauma is multidimensional, including physical and psychological injuries with long-term effects on well-being and function. A newborn experiences the best outcomes when the mother also experiences the best outcomes. Thus, the TIC approach is applicable to the care of the infant with neonatal abstinence syndrome (NAS) and mother. Organizational adoption of this model is likely to provide a supportive and therapeutic environment for the infant with NAS and family.
Subject(s)
Neonatal Abstinence Syndrome , Substance-Related Disorders , Female , Humans , Infant , Infant, Newborn , Intensive Care Units, Neonatal , Mothers , Neonatal Abstinence Syndrome/diagnosis , Neonatal Abstinence Syndrome/therapy , Substance-Related Disorders/therapyABSTRACT
PURPOSE: Describe an evidence-based process (EBP) to promote early skin-to-skin care (SSC) intervention and increase mother's-own-milk (MOM) feedings at discharge among extremely low birth weight (ELBW) infants. DESIGN: This EBP aimed to address the following clinical question: Among ELBW infants, does early SSC &#ξ2264;16 days of life (DOL), compared to SSC >16 DOL, result in more infants receiving MOM feedings at discharge? SAMPLE: A retrospective chart review of 199 ELBW infants. MAIN OUTCOME VARIABLE: Early SSC intervention among ELBW infants and MOM at discharge. RESULTS: Early SSC intervention increased from 46 to 73 percent among ELBW infants over the EBP period. Frequency of SSC intervention was associated with year of EBP and MOM at discharge (p = <.05). ELBW infants in the early SSC intervention group received more MOM at discharge.
