The Relationship Between Apgar Scores and Cord Blood Acid-Base Analysis in Newborns at Birth

2.50
Hdl Handle:
http://hdl.handle.net/10755/147774
Type:
Presentation
Title:
The Relationship Between Apgar Scores and Cord Blood Acid-Base Analysis in Newborns at Birth
Abstract:
The Relationship Between Apgar Scores and Cord Blood Acid-Base Analysis in Newborns at Birth
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Presti, Coral A., RNC, MSN, CCOB
P.I. Institution Name:Norwalk Community College
Title:Assistant Professor of Nursing
Purpose: To determine if a relationship exists between cord blood acid-base analysis and Apgar scores in term- and post-term newborns at birth. Sample: A convenience sample of 978 from 2,397 archival records where both a cord blood acid-base analysis and Apgar scores were performed on each term- and post-term newborn. Conceptual Framework and Literature Review: All aspects of patient care is carefully examined in light of cost. Nursing must drive the decisions that effect costs. The Resource-Driven Model looks at quality and quantity. It assumes the nurse's time and resources are finite and the nurse must plan within constraints of accessible and available manpower, supplies, and equipment. The policy to obtain a cord blood sample at every delivery is costly and puts staff at risk for blood and body fluid exposure. The cord blood value is not used to make clinical decisions pertaining to the resuscitation of the newborn. The literature review focused on the concept of best practice, umbilical cord blood acid-base analysis, and role of the nurse manager. Method: A Pearson's product-moment correlation between these three measures, cord blood acid-base analysis and the Apgar scores at one- and five-minute intervals was used. Findings: Significant and direct relationships between cord blood acid-base analysis and the Apgar scores at one- and five- minute intervals suggesting that newborns scored at approximately the same level on the respective measures. Conclusion: Nurse Managers have an expanded role that includes all personnel and their specific roles, as well as unit resources. Policies that affect unit costs and staff time and staff safety become their concern. Evidenced-based ?best-practice? research can and does support the nurse manager in maintaining only policies that have improved patient outcomes as there goal.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationship Between Apgar Scores and Cord Blood Acid-Base Analysis in Newborns at Birthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147774-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationship Between Apgar Scores and Cord Blood Acid-Base Analysis in Newborns at Birth</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Presti, Coral A., RNC, MSN, CCOB</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Norwalk Community College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cpresti@comcast.net</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To determine if a relationship exists between cord blood acid-base analysis and Apgar scores in term- and post-term newborns at birth. Sample: A convenience sample of 978 from 2,397 archival records where both a cord blood acid-base analysis and Apgar scores were performed on each term- and post-term newborn. Conceptual Framework and Literature Review: All aspects of patient care is carefully examined in light of cost. Nursing must drive the decisions that effect costs. The Resource-Driven Model looks at quality and quantity. It assumes the nurse's time and resources are finite and the nurse must plan within constraints of accessible and available manpower, supplies, and equipment. The policy to obtain a cord blood sample at every delivery is costly and puts staff at risk for blood and body fluid exposure. The cord blood value is not used to make clinical decisions pertaining to the resuscitation of the newborn. The literature review focused on the concept of best practice, umbilical cord blood acid-base analysis, and role of the nurse manager. Method: A Pearson's product-moment correlation between these three measures, cord blood acid-base analysis and the Apgar scores at one- and five-minute intervals was used. Findings: Significant and direct relationships between cord blood acid-base analysis and the Apgar scores at one- and five- minute intervals suggesting that newborns scored at approximately the same level on the respective measures. Conclusion: Nurse Managers have an expanded role that includes all personnel and their specific roles, as well as unit resources. Policies that affect unit costs and staff time and staff safety become their concern. Evidenced-based ?best-practice? research can and does support the nurse manager in maintaining only policies that have improved patient outcomes as there goal.</td></tr></table>en_GB
dc.date.available2011-10-26T09:36:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:36:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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