2.50
Hdl Handle:
http://hdl.handle.net/10755/201586
Type:
Presentation
Title:
Babies and Mothers: Skin-to-Skin Immediately After Birth
Abstract:
(41st Biennial Convention) Background:  Placing mothers and infants skin-to-skin immediately after birth improves bonding, temperature and blood sugar stability, and breastfeeding initiation (Ferber &  Makhoul [2004], Moore et. al. [2009]). Skin-to-skin contact remains difficult to integrate into the task-focused nursing culture at Mercy San Juan Hospital in California, where approximately 2,700 births occur annually. Activities/ Evaluation Methods: The quality improvement method  used at this hospital was MAP-IT:  Mobilize:  An interdisciplinary project leadership team was formed and sustained. The team included  the birth center nurse manager, educator, Neonatal Resuscitation team respiratory therapist, and a lactation consultant.  Assess: Skin-to-skin frequency and RN practices and knowledge were assessed  pre-, during- and post-implementation.  Frequency of timed skin-to-skin contact was recorded in patients’ electronic health records. Plan: The team developed a plan with short and long-term objectives summarized using a logic model. Implementation: Nursing and respiratory staff members were educated about benefits of mother/ infant skin-to-skin contact, strategies to implement the practice, and the process for accurate documentation. Track: Monthly data were evaluated and project adjustments made. Graphs provided visual information to staff and leadership about the steady improvement in accurate documentation and rates of skin-to- skin contact. Results:  Accurate skin-to-skin documentation increased from 40% to 90% over a 6-month period.  Skin-to-skin contact for 30 minutes or more increased from 58% to 83%.  Other benefits included development of the author’s ability to lead quality improvement I initiatives. Conclusions:  A multidisciplinary team with a comprehensive plan and sustained focus led to more frequent  skin-to-skin contact. Next Steps: Sustaining improvements and expansion of the project to reduce separation during the inpatient hospital stay are planned.  
Keywords:
Implementation; Quality improvement; Skin to skin
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBabies and Mothers: Skin-to-Skin Immediately After Birthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201586-
dc.description.abstract(41st Biennial Convention) Background:  Placing mothers and infants skin-to-skin immediately after birth improves bonding, temperature and blood sugar stability, and breastfeeding initiation (Ferber &  Makhoul [2004], Moore et. al. [2009]). Skin-to-skin contact remains difficult to integrate into the task-focused nursing culture at Mercy San Juan Hospital in California, where approximately 2,700 births occur annually. Activities/ Evaluation Methods: The quality improvement method  used at this hospital was MAP-IT:  Mobilize:  An interdisciplinary project leadership team was formed and sustained. The team included  the birth center nurse manager, educator, Neonatal Resuscitation team respiratory therapist, and a lactation consultant.  Assess: Skin-to-skin frequency and RN practices and knowledge were assessed  pre-, during- and post-implementation.  Frequency of timed skin-to-skin contact was recorded in patients’ electronic health records. Plan: The team developed a plan with short and long-term objectives summarized using a logic model. Implementation: Nursing and respiratory staff members were educated about benefits of mother/ infant skin-to-skin contact, strategies to implement the practice, and the process for accurate documentation. Track: Monthly data were evaluated and project adjustments made. Graphs provided visual information to staff and leadership about the steady improvement in accurate documentation and rates of skin-to- skin contact. Results:  Accurate skin-to-skin documentation increased from 40% to 90% over a 6-month period.  Skin-to-skin contact for 30 minutes or more increased from 58% to 83%.  Other benefits included development of the author’s ability to lead quality improvement I initiatives. Conclusions:  A multidisciplinary team with a comprehensive plan and sustained focus led to more frequent  skin-to-skin contact. Next Steps: Sustaining improvements and expansion of the project to reduce separation during the inpatient hospital stay are planned.  en_GB
dc.subjectImplementationen_GB
dc.subjectQuality improvementen_GB
dc.subjectSkin to skinen_GB
dc.date.available2012-01-11T10:41:39Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:41:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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