The Nurse Champion Model for Advancing Newborn Screening of Critical Congenital Heart Disease

Farner, Rachael; Livingston, Judith; Rubio, Suwanna A.; Gutiérrez, María Victoria; Gong, Alice

doi:10.1111/1552-6909.12474

Cited by 9 publications

(11 citation statements)

References 17 publications

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“…The Texas Pulse Oximetry Project (TxPOP) team collectively reviewed the literature on CCHD NBS to direct program planning. [7][8][9][10][11][12] Fifteen hospitals in South Texas were invited to participate in TxPOP. These hospitals represented rural, suburban, and large metropolitan hospitals, with varied resources and populations.…”

Section: Methodsmentioning

confidence: 99%

Texas Pulse Oximetry Project: A Multicenter Educational and Quality Improvement Project for Implementation of Critical Congenital Heart Disease Screening Using Pulse Oximetry

et al. 2017

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Critical congenital heart disease (CCHD) is a leading cause of death in infants. Newborn screening (NBS) by pulse oximetry allows early identification of CCHD in asymptomatic newborns. To improve readiness of hospital neonatal birthing facilities for mandatory screening in Texas, an educational and quality improvement (QI) project was piloted to identify an implementation strategy for CCHD NBS in a range of birthing hospitals. Thirteen Texas hospitals implemented standardized CCHD screening by pulse oximetry. An educational program was devised and a tool kit was created to facilitate education and implementation. Newborn nursery nurses' knowledge was assessed using a pre- and posttest instrument. The nurses' knowledge assessment improved from 71 to 92.5% ( < 0.0001). Of 11,322 asymptomatic newborns screened after 24 hours of age, 11 had a positive screen, with 1 confirmed case of CCHD. Pulse oximetry CCHD NBS had sensitivity of 100%, specificity of 99.91%, false-positive rate of 0.088%, positive predictive value of 9.09%, and negative predictive value of 100%. Our educational program, including a tool kit, QI processes, and standardized pulse oximetry CCHD NBS, is applicable for a range of hospital birthing facilities and may facilitate wide-scale implementation, thereby improving newborn health.

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Section: Methodsmentioning

confidence: 99%

Texas Pulse Oximetry Project: A Multicenter Educational and Quality Improvement Project for Implementation of Critical Congenital Heart Disease Screening Using Pulse Oximetry

et al. 2017

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“…Eğitimde kalbin yapısı, fetal, neonatal ve yetişkin dolaşım sistemi farlılıkları, Patent duktus arteriosusun önemi, duktus kaynaklı kalp hastalıkları ve KKH hakkında bilgi verilir. (15,23,24) Eğitimlere servis sorumlu hemşiresi, uygulamayı yapacak ve yardım edecek olan hemşireler katılır. Eğitimlerde genel hemşirelik ve bakım politikaları, prosedürleri gözden geçirilmeli, kliniğe özel tarama protokolü oluşturulmalıdır.…”

Section: Uygulama Ve Hemşirelik Bakımıunclassified

“…Aileye bilgiler önce sözlü olarak anlatılır ayrıca ellerine yazılı bir broşür olarak da verilmelidir. (15,23) Testin başarısı; kullanılan aletin özelliğine, eğitilmiş personel, ölçümlerin tarama programı protokolüne uygun yapılmasına bağlıdır. Ölçümler yenidoğan uyanık fakat sakin olduğunda yapılmalı, hareketli ya da ağlıyor, solunumu düzensiz olduğunda, beslenme sırasında ve uyurken (apne nöbetleri olabileceğinden) uygulama yapılmamalıdır.…”

Section: Uygulama Ve Hemşirelik Bakımıunclassified

The Use of Pulse Oximetry in Defining Critical Congenital Heart Diseases and the Role of Midwife-Nurse

Dolgun¹

2019

HEAD

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Konjenital kalp hastalıkları, yenidoğanda en sık rastlanan doğumsal anomali grubunu oluştururlar ve 1000 canlı doğumda 8-12 arasında görülür. Konjenital kalp hastalığı olan çocukların yaklaşık 1/4'ü kritik konjenital kalp hastasıdır. Sağlıklı yenidoğanlarda rutin muayene ile kritik konjenital kalp hastalıklarının %50'den azı sapta¬nabilmektedir. Bu nedeenle, sağlıklı olduğu ve eve gönderilmesi düşünülen tüm yenidoğanlarda; kritik konjenital kalp hastalıklarının pulse oksimetre ile taramasının yapılması önerilmektedir. Yöntemin ucuz, güvenilir, hızlı, non-invaziv ve etkinliğinin kanıtlanmış olması önemlidir. Bu çalışmada, hastanede, anne yanında izlenen yenidoğanlarda; doğumdan sonra 24-48 saat içinde, kritik konjenital kalp hastalığı olasılığının belirlemesinde; pulse oksimetre kullanımının önemi ve uygulamada ebe-hemşirelerin rolü üzerinde durulacaktır.

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“…Projects should include the use of nurse, physician, or administrative champions as invaluable resources who can facilitate peer education and encourage implementation of QI projects through close personal connections to their colleagues. Farner et al 12 described champions as "advocates of new ideas or projects for which they feel personal ownership" and they reported an "enhanced sense of collaboration and coordination of care" among nursing staff members when nurse champions were used as leaders.…”

Section: Be Brutally Honest About Available Time and Resourcesmentioning

confidence: 99%

Making It Meaningful: Finding Quality Improvement Projects Worthy of Your Time, Effort, and Expertise

Stausmire

Ulrich

2015

Critical Care Nurse

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This article is the second of a 4-part quality improvement resource series for critical care nurses interested in implementing system process or performance improvement projects. The article is a brainstorming session on paper, written to assist nurses and managers in identifying possible quality improvement projects that are meaningful to them and will make a real difference in their critical care units. Every unit and institution has its own unique mix of resources, culture, physical environment, patient population, technology, documentation processes, health care providers, and multiple other factors. Thus specific patient care and safety challenges must be identified and prioritized individually for quality improvement by each unit. Projects also must be manageable and within the scope of time, effort, and expertise available-no quality improvement project is "too small" if it is applicable to your critical care area and will improve outcomes. A s the nurse manager of the trauma intensive care unit, you have just received the most recent patient satisfaction scores, and they are still below the preferred institutional benchmark. The lowest scoring items are (1) staff effort to include patients/families in decisions about treatment, (2) how well nurses kept patients/family informed, and (3) the amount of attention paid to the patient's special or personal needs. At the next team meeting, you invite your staff to offer suggestions on how to improve satisfaction scores. A lively discussion erupts, with some nurses recommending a research project and others a quality improvement (QI) project. Using published guidelines, 1 the group decides to use current evidence-based knowledge and best practices applicable to their patient population that will address the identified deficiencies (QI) versus trying to generate new knowledge or This article has been designated for CE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:1. Describe how to determine process improvement priorities 2. Review the use of process improvement methods that will work for your facility 3. Review patient safety strategies and initiatives endorsed by the Agency for Healthcare Research and Quality to prevent harm

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The Nurse Champion Model for Advancing Newborn Screening of Critical Congenital Heart Disease

Cited by 9 publications

References 17 publications

Texas Pulse Oximetry Project: A Multicenter Educational and Quality Improvement Project for Implementation of Critical Congenital Heart Disease Screening Using Pulse Oximetry

Texas Pulse Oximetry Project: A Multicenter Educational and Quality Improvement Project for Implementation of Critical Congenital Heart Disease Screening Using Pulse Oximetry

The Use of Pulse Oximetry in Defining Critical Congenital Heart Diseases and the Role of Midwife-Nurse

Making It Meaningful: Finding Quality Improvement Projects Worthy of Your Time, Effort, and Expertise

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