Implementation and Evaluation of Transitioning Newborns at the Bedside Maternal-Child Leadership Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/602792
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Implementation and Evaluation of Transitioning Newborns at the Bedside Maternal-Child Leadership Project
Author(s):
Henderson, Shakira; Clayton, Sonya L.; Arterberry, Katheryn B.; Clayton, Sonya L.; Arterberry, Katheryn B.
Lead Author STTI Affiliation:
Beta Nu
Author Details:
Shakira Henderson, RNC-NIC, IBCLC, Shakiralh@baptisthealth.net; Sonya L. Clayton, RN, IBCLC, CCE; Katheryn B. Arterberry, RN, APRN, FNP-BC
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Traditionally, mothers and babies are separated after birth. However, strong evidence exists that immediate skin-to-skin contact after birth between mother and baby has positive outcomes for both mother and baby. Babies who transition with their mothers have better breastfeeding rates and mothers who transition with their babies are more satisfied with the birthing process. Nonetheless, nurses are challenged daily with promoting skin-to-skin, especially after a cesarean delivery. West Kendall Baptist Hospital embarked on a journey to implement a change process of transitioning all eligible newborns at the bedside.  The project was facilitated through the STTI Maternal-Child Health Leadership Academy.  Purpose: To implement and evaluate a Bedside Newborn Transition Initiative emphasizing Skin-to-Skin after Birth Maternal-Child Leadership Project Specific Aims To utilize leadership strategies to implement Bedside Newborn Transition emphasizing Skin-to-Skin after Birth Maternal-Child Leadership Project. To train all Labor and Delivery nurses to transition newborns at the bedside To transition all eligible newborns at the bedside To decrease separation time of couplets ( i.e. the mother/baby dyad.) To increase skin-to-skin initiation rates To maintain patient satisfaction scores at or above 95% To increase exclusive breastfeeding rates. Project Activities A unit-specific taskforce made of key stakeholders was developed and lead by the STTI Maternal-Child Leadership Academy Fellow. The taskforce over a 6-month period: Met monthly Completed training for all Labor and Delivery nurses on transitioning at the bedside Performed patient chart audits to monitor skin-to skin initiation rates, breastfeeding exclusivity rates, and separation times Tracked Satisfaction surveys of transitioning mothers. Evaluation Methods Staff Education Training data Monthly tracking of skin-to-skin initiation of all eligible newborns data Monthly tracking of transitions of all eligible newborns data Monthly Press Ganey patient satisfaction survey results Monthly tracking of exclusive breastfeeding rates. Results: Twenty-six Labor and Delivery nurses were trained and 338 patients were cared for during the 6-month period.  The number of infants transitioned at the bedside increased by 70%. The separation time of couplets decreased by 90%. The skin-to-skin initiation rates increased by 75%.  Exclusive breastfeeding rates increased by 55%. Mother satisfaction with bedside transition remained at the 95 th percentile. Conclusion:  Transitioning newborns at the bedside has a positive impact on skin-to-skin initiation rates, patient satisfaction, and exclusive breastfeeding rates. Skin-to-Skin after Birth Maternal-Child Leadership Project may be a promising approach to accomplishing newborn bedside transitioning.
Keywords:
Breastfeeding; Skin-to-Skin; Newborn Transition
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15MC1.8
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleImplementation and Evaluation of Transitioning Newborns at the Bedside Maternal-Child Leadership Projecten
dc.contributor.authorHenderson, Shakiraen
dc.contributor.authorClayton, Sonya L.en
dc.contributor.authorArterberry, Katheryn B.en
dc.contributor.authorClayton, Sonya L.en
dc.contributor.authorArterberry, Katheryn B.en
dc.contributor.departmentBeta Nuen
dc.author.detailsShakira Henderson, RNC-NIC, IBCLC, Shakiralh@baptisthealth.net; Sonya L. Clayton, RN, IBCLC, CCE; Katheryn B. Arterberry, RN, APRN, FNP-BCen
dc.identifier.urihttp://hdl.handle.net/10755/602792en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Traditionally, mothers and babies are separated after birth. However, strong evidence exists that immediate skin-to-skin contact after birth between mother and baby has positive outcomes for both mother and baby. Babies who transition with their mothers have better breastfeeding rates and mothers who transition with their babies are more satisfied with the birthing process. Nonetheless, nurses are challenged daily with promoting skin-to-skin, especially after a cesarean delivery. West Kendall Baptist Hospital embarked on a journey to implement a change process of transitioning all eligible newborns at the bedside.  The project was facilitated through the STTI Maternal-Child Health Leadership Academy.  Purpose: To implement and evaluate a Bedside Newborn Transition Initiative emphasizing Skin-to-Skin after Birth Maternal-Child Leadership Project Specific Aims To utilize leadership strategies to implement Bedside Newborn Transition emphasizing Skin-to-Skin after Birth Maternal-Child Leadership Project. To train all Labor and Delivery nurses to transition newborns at the bedside To transition all eligible newborns at the bedside To decrease separation time of couplets ( i.e. the mother/baby dyad.) To increase skin-to-skin initiation rates To maintain patient satisfaction scores at or above 95% To increase exclusive breastfeeding rates. Project Activities A unit-specific taskforce made of key stakeholders was developed and lead by the STTI Maternal-Child Leadership Academy Fellow. The taskforce over a 6-month period: Met monthly Completed training for all Labor and Delivery nurses on transitioning at the bedside Performed patient chart audits to monitor skin-to skin initiation rates, breastfeeding exclusivity rates, and separation times Tracked Satisfaction surveys of transitioning mothers. Evaluation Methods Staff Education Training data Monthly tracking of skin-to-skin initiation of all eligible newborns data Monthly tracking of transitions of all eligible newborns data Monthly Press Ganey patient satisfaction survey results Monthly tracking of exclusive breastfeeding rates. Results: Twenty-six Labor and Delivery nurses were trained and 338 patients were cared for during the 6-month period.  The number of infants transitioned at the bedside increased by 70%. The separation time of couplets decreased by 90%. The skin-to-skin initiation rates increased by 75%.  Exclusive breastfeeding rates increased by 55%. Mother satisfaction with bedside transition remained at the 95 th percentile. Conclusion:  Transitioning newborns at the bedside has a positive impact on skin-to-skin initiation rates, patient satisfaction, and exclusive breastfeeding rates. Skin-to-Skin after Birth Maternal-Child Leadership Project may be a promising approach to accomplishing newborn bedside transitioning.en
dc.subjectBreastfeedingen
dc.subjectSkin-to-Skinen
dc.subjectNewborn Transitionen
dc.date.available2016-03-21T16:36:51Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:36:51Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.