Early Initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Reduces Length of Stay: A Quality Improvement Project.

Infants born at ≤ 32 weeks gestation are at risk of developmental delays. Review of the literature indicates NIDCAP improves parental satisfaction, minimizes developmental delays, and decreases length of stay, thus reducing cost of hospitalization. Half (50.6%) of the infants admitted to this 84-bed...

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Publicado en:Journal of Pediatric Nursing Vol. 32; pp. 59 - 64
Autores principales: Moody, Cheryl, Callahan, Tiffany J., Aldrich, Heather, Gance-Cleveland, Bonnie, Sables-Baus, Sharon
Formato: research Journal Article
Publicado: W B Saunders Jan/Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2017
      vid: 32
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        10.1016/j.pedn.2016.11.001
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        atl: Early Initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Reduces Length of Stay: A Quality Improvement Project.
      aug:
        au:
          Moody, Cheryl
          Callahan, Tiffany J.
          Aldrich, Heather
          Gance-Cleveland, Bonnie
          Sables-Baus, Sharon
        affil: Rocky Mountain Hospital for Children at Presbyterian/St. Luke's Medical Center, 1719 East 19th Avenue, Denver, CO 80218, United States
      sug:
        subj:
          Developmental Disabilities Prevention and Control
          Early Childhood Intervention
          Infant Development
          Length of Stay
          Quality Improvement
          Human
          Infant, Newborn
          Quality of Health Care
          Descriptive Statistics
          Patient Discharge
          Infant, Premature
          Infant, Hospitalized
          Hospitalization Economics
          Parents
          Infant, Newborn: birth-1 month
      ab: Infants born at ≤ 32 weeks gestation are at risk of developmental delays. Review of the literature indicates NIDCAP improves parental satisfaction, minimizes developmental delays, and decreases length of stay, thus reducing cost of hospitalization. Half (50.6%) of the infants admitted to this 84-bed Level IV Neonatal Intensive Care Unit (NICU) with a gestational age of ≤ 32 weeks were referred for NIDCAP. The specific aims of this quality improvement project were to 1) compare the age at discharge for infants meeting inclusion criteria enrolled in NIDCAP with the age at discharge for those eligible infants not enrolled in NIDCAP; and 2) investigate the timing of initiation of NIDCAP (e.g., within six days of admission) on age at discharge. During the 12 month period of data collection, infants enrolled in NIDCAP ( M = 27.85 weeks, SD = 1.86) were 2.02 weeks younger than those not enrolled in NIDCAP ( M = 29.87 weeks, SD = 2.49), and were 2.32 weeks older at discharge ( M = 38.28 weeks, SD = 5.10) than those not enrolled in NIDCAP ( M = 35.96 weeks, SD = 5.60). Infants who enrolled within 6 days of admission were discharged an average of 25 days sooner ( p = 0.055), and at a younger post-menstrual age (by 3.33 weeks on average), than those enrolled later ( p = 0.027).
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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