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WHDL - 00015895
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Description / Abstract
Long-term in-utero exposure to opioids creates immediate withdrawal symptoms for the newborn upon delivery. Infants diagnosed with Neonatal Abstinence Syndrome (NAS) require extensive monitoring and highly-skilled care, resulting in longer length of stay (LOS) and immediate admittance to the neonatal intensive care unit (NICU). This project is a standardized approach for NICU nursing staff to implement evidence-based nursing interventions for infants with NAS, resulting in increased self-efficacy, improved knowledge about NAS, and reduced NAS admission stays. A literature review identified non-pharmacological nursing interventions presented to front-line nurses in a structured format increased optimal infant outcomes. Dorothea Orem’s self-care deficit theory and Hildegard Peplau’s theory of interpersonal relations guided this project. The Iowa model supported the implementation of the project. Motivational interviewing (MI) training that promotes reflective nursing practice and encourages non-judgmental interactions with NAS families was provided. A training NAS toolkit was developed based on the Indiana Perinatal Substance Use Practice Bundle and a pre and post-training assessment survey called The Assessment of Nursing Knowledge and Self-Efficacy Related to NAS (ANKS) as administered to determine baseline knowledge and an increase in self-efficacy and knowledge. Descriptive statistics and a repeated measures ANOVA were used to analyze the data. Both self-efficacy and knowledge levels improved. Self-efficacy scores improved by .85 points after training. The number of correct responses for knowledge questions increased post-training. Given the complexity of care of a NAS infant, specialized training for NICU nurses optimizes the chance for better neonatal outcomes.
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File Size Small - 2.8 MB
Degree AwardedDoctor of Nursing Practice
Awarding InstitutionIndiana Wesleyan University
Peer Reviewed?No
Collections With This Resource
DNP Scholarly Projects
16 Resources
- Medicine and Health Sciences
- English
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