2.50
Hdl Handle:
http://hdl.handle.net/10755/163153
Category:
Abstract
Type:
Presentation
Title:
Economic Impact of a Near-Term Infant Pathway
Author(s):
Neff, Brenda; Fetzer, Susan; Fernald, Virginia; Veprauskas, Diane; Miller, Mary Beth
Author Details:
Brenda Neff, RN, BSN, Southern New Hampshire Medical Center, Nashua, New Hampshire, USA, email: Brenda.Neff@snhmc.org; Susan Fetzer, RN, PHD; Virginia Fernald, RN; Diane Veprauskas, RN; Mary Beth Miller, RN
Abstract:
Purpose: Near-term infants (NTI) that are born during the 35th and 36th week of gestation have significantly more medical problems and increased medical costs compared to full term infants. Based on the American Academy of Pediatrics (2004) guidelines for prevention and management of complications a nurse-led NTI pathway was developed to provide a consistent approach to the care of these often unrecognized at-risk infants. Six clinical outcomes of NTI were identified to evaluate the effectiveness of the pathway: weight loss at discharge, need for phototherapy, hypoglycemia, readmission, NICU admission, and length of stay. A retrospective cohort analysis was conducted to determine the occurrence of changes in health status as a result of pathway implementation. Theoretical Framework: Donabedian's framework requires that identified outcomes be clearly linked with the process that caused the outcome. Methods (Design, Sample, Setting, Measures, Analysis): After obtaining IRB approval, medical records of NTIs born during the nine months prior to the implementation of the pathway and NTIs born during a nine month period, commencing four months after the implementation of the pathway were reviewed. Vaginally delivered and cesarean NTI were included in the review. A researcher developed data collection tool was developed to record abstracted information from the chart. Three trained data abstractors collected data. Fifty-one pre pathway NTIs and 54 pathway NTIs composed the cohorts for statistical analysis. Results: Findings indicated that pathway NTIs had a lower readmission rate and decreased mean length of stay compared to pre-pathway infants. Clinical outcomes were also effected but not statistically. Conclusions and Implications: By implementing a NTI pathway, greater attention was paid to the management and clinical progress indicators of these high risk infants with the potential for reducing mortality and morbidity. In addition to optimizing patient focused outcomes, nurse led protocols can have a substantial impact on the cost of care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEconomic Impact of a Near-Term Infant Pathwayen_GB
dc.contributor.authorNeff, Brendaen_US
dc.contributor.authorFetzer, Susanen_US
dc.contributor.authorFernald, Virginiaen_US
dc.contributor.authorVeprauskas, Dianeen_US
dc.contributor.authorMiller, Mary Bethen_US
dc.author.detailsBrenda Neff, RN, BSN, Southern New Hampshire Medical Center, Nashua, New Hampshire, USA, email: Brenda.Neff@snhmc.org; Susan Fetzer, RN, PHD; Virginia Fernald, RN; Diane Veprauskas, RN; Mary Beth Miller, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163153-
dc.description.abstractPurpose: Near-term infants (NTI) that are born during the 35th and 36th week of gestation have significantly more medical problems and increased medical costs compared to full term infants. Based on the American Academy of Pediatrics (2004) guidelines for prevention and management of complications a nurse-led NTI pathway was developed to provide a consistent approach to the care of these often unrecognized at-risk infants. Six clinical outcomes of NTI were identified to evaluate the effectiveness of the pathway: weight loss at discharge, need for phototherapy, hypoglycemia, readmission, NICU admission, and length of stay. A retrospective cohort analysis was conducted to determine the occurrence of changes in health status as a result of pathway implementation. Theoretical Framework: Donabedian's framework requires that identified outcomes be clearly linked with the process that caused the outcome. Methods (Design, Sample, Setting, Measures, Analysis): After obtaining IRB approval, medical records of NTIs born during the nine months prior to the implementation of the pathway and NTIs born during a nine month period, commencing four months after the implementation of the pathway were reviewed. Vaginally delivered and cesarean NTI were included in the review. A researcher developed data collection tool was developed to record abstracted information from the chart. Three trained data abstractors collected data. Fifty-one pre pathway NTIs and 54 pathway NTIs composed the cohorts for statistical analysis. Results: Findings indicated that pathway NTIs had a lower readmission rate and decreased mean length of stay compared to pre-pathway infants. Clinical outcomes were also effected but not statistically. Conclusions and Implications: By implementing a NTI pathway, greater attention was paid to the management and clinical progress indicators of these high risk infants with the potential for reducing mortality and morbidity. In addition to optimizing patient focused outcomes, nurse led protocols can have a substantial impact on the cost of care.en_GB
dc.date.available2011-10-27T11:02:18Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:18Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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