Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens.
Objective: describe the process of designing and implementing a care protocol for the first hour of life of premature newborns. Method: a participatory research study using an implementation science framework, the Consolidated Framework for Implementation Research (CFIR) was employed to determine dr...
| Published in: | Revista Latino-Americana de Enfermagem (RLAE) Vol. 31; pp. 1 - 12 |
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| Main Authors: | , , , , , |
| Format: | algorithm pictorial protocol research tables/charts Journal Article |
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Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo
2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175510104&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175510104 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15188345 YW1 jtl: Revista Latino-Americana de Enfermagem (RLAE) issn: 15188345 maglogo: N pubinfo: dt: 2023 vid: 31 pid: 49927 pub: Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo artinfo: ui: 175510104 175510104 175510104 10.1590/1518-8345.6627.3957 175510104 ppf: 1 ppct: 11 formats: tig: atl: Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens. aug: au: Sant'Anna da Silva, Elizangela Caniçali Primo, Cândida Gimbel, Sarah de Souza Almeida, Márcia Valéria Suely Oliveira, Norma Almeida Lima, Eliane de Fátima affil: Universidade Federal do Espírito Santo, Vitória, ES, Brazil sug: subj: Implementation Science Methods Infant, Premature Protocols Program Implementation Postnatal Period Human Infant, Newborn Structured Questionnaires Quantitative Studies Focus Groups Action Research Conceptual Framework Brazil Qualitative Studies Descriptive Statistics Content Analysis Multidisciplinary Care Team Hypothermia Prevention and Control Hypoglycemia Prevention and Control Infection Control Cardiopulmonary Physiology Quality Improvement Infant, Newborn: birth-1 month ab: Objective: describe the process of designing and implementing a care protocol for the first hour of life of premature newborns. Method: a participatory research study using an implementation science framework, the Consolidated Framework for Implementation Research (CFIR) was employed to determine drivers and facilitators of implementation success of the Golden Hour protocol for newborns at a large university hospital in southeastern Brazil. A multi-professional team, including first line providers and managers participated in six stages of quality improvement: situational diagnosis; protocol elaboration; training protocol implementation; barrier and facilitator assessment; and protocol monitoring and review. Qualitative and monitoring data collected across these six stages were analyzed using descriptive statistics and content analysis. Results: the institution's Golden Hour protocol was organized by the multi-professional team based on a collective and dialogical approach. The protocol prioritized the infant's cardiopulmonary stability, as well as prevention of hypothermia, hypoglycemia and infection. After four months of implementation, the care team was evaluated the protocol as a good quality intervention, necessary for the service, low-cost and not very complex. One suggested improvement recommended was to carry out refresher training to address staff turnover. Conclusion: implementation of the Golden Hour protocol introduced an appropriate and feasible neonatal care quality improvement process, which requires periodic refresher training to ensure greater adherence and better neonatal results. pubtype: Academic Journal doctype: algorithm pictorial protocol research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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