The S.T.A.B.L.E.® Program

Kendall, Alta B.; Scott, Patricia A.; Karlsen, Kristine

doi:10.1097/jpn.0b013e31825277d4

Journal of Perinatal &Amp; Neonatal Nursing

2012

DOI: 10.1097/jpn.0b013e31825277d4

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The S.T.A.B.L.E.® Program

Alta B. Kendall

Patricia A. Scott

Kristine Karlsen

Abstract: First released in 1996, the S.T.A.B.L.E.® Program has provided evidence-based education in the postresuscitation and pretransport stabilization care of sick newborns to more than a quarter million multidisciplinary perinatal healthcare team members from around the world. The program, aimed at preventing the leading causes of neonatal mortality, continues to be the subject of published peer-reviewed research and is periodically updated to ensure relevancy and inclusion of current best evidence. S.T.A.B.L.E. is … Show more

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Cited by 6 publications

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Periviability

Cypher

Foglia²

2020

Journal of Perinatal &Amp; Neonatal Nursing

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One of the most complex clinical problems in obstetrics and neonatology is caring for pregnant women at the threshold of viability. Births near viability boundaries are grave events that carry a high prevalence of neonatal death or an increased potential for severe lifelong complications and disabilities among those who survive. Compared with several decades ago, premature infants receiving neonatal care by today's standards have better outcomes than those born in other eras. However, preterm labor at periviability represents a more complex counseling and management challenge. Although preterm birth incidence between 200/7 and 256/7 weeks has remained unchanged, survival rates at earlier gestational ages have increased as perinatal and neonatal specialties have become more adept at caring for this at-risk population. Women face difficult choices about obstetric and neonatal interventions in light of uncertainties around survival and outcomes. This article reviews current neonatal statistics in reference to short- and long-term outcomes, key concepts in obstetric clinical management of an anticipated periviable birth, and counseling guidance to ensure shared-decision making.

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Periviability

Cypher

Foglia²

2020

Journal of Perinatal &Amp; Neonatal Nursing

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Critical care nursing role in low and lower middle-income settings: a scoping review

et al. 2022

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ObjectivesA scoping review was conducted to answer the question: How is critical care nursing (CCN) performed in low-income countries and lower middle-income countries (LICs/LMICs)?DesignScoping review guided by the JBI Manual for Evidence Synthesis.Data sourcesSix electronic databases and five web-based resources were systematically searched to identify relevant literature published between 2010 and April 2021.Review methodsThe search results received two-stage screening: (1) title and abstract (2) full-text screening. For sources of evidence to progress, agreement needed to be reached by two reviewers. Data were extracted and cross-checked. Data were analysed, sorted by themes and mapped to region and country.ResultsLiterature was reported across five georegions. Nurses with a range formal and informal training were identified as providing critical care. Availability of staff was frequently reported as a problem. No reports provided a comprehensive description of CCN in LICs/LMICs. However, a variety of nursing practices and non-clinical responsibilities were highlighted. Availability of equipment to fulfil the nursing role was widely discussed. Perceptions of inadequate resourcing were common. Undergraduate and postgraduate-level preparation was poorly described but frequently reported. The delivery of short format critical care courses was more fully described. There were reports of educational evaluation, especially regarding internationally supported initiatives.ConclusionsDespite commonalities, CCN is unique to regional and socioeconomic contexts. Nurses work within a complex team, yet the structure and skill levels of such teams will vary according to patient population, resources and treatments available. Therefore, a universal definition of the CCN role in LIC/LMIC health systems is likely unhelpful. Research to elucidate current assets, capacity and needs of nurses providing critical care in specific LIC/LMIC contexts is needed. Outputs from such research would be invaluable in supporting contextually appropriate capacity development programmes.

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Effect Analysis of In-Hospital Transfer Care Based on STABLE Technology in Critically Ill Newborns

Pei

Jiang

2022

Evidence-Based Complementary and Alternative Medicine

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Purpose. Analysis of the effectiveness of in-hospital transfer care based on the STABLE (sugar and safe care, temperature, airway, blood pressure, lab work, emotional support) technique in critically ill neonates. Methods. Retrospective analysis of the case data of 180 critically ill neonates transferred to the NICU (neonatal intensive care unit) via the delivery room (operating room) in our hospital from April 2020 to December 2021. Of which, 88 newborns from April 2020 to February 2021 were resuscitated by conventional resuscitation and then transferred to the NICU by the nurses in the delivery room (operating room) through the green channel, and they were recorded as the control group; and 92 newborns from March to December 2021 were transferred to the NICU by the NICU transfer nurses who arrived at the delivery room (operating room) earlier and used the in-hospital transfer care based on STABLE technology, and they were recorded as the intervention group. The indicators to be assessed were the execution pass rate in the simulated assessment of the transfer emergency procedure for both groups of transporters, execution times of the various subprocesses during the transfer procedure for both groups of transporters, accidents in transit, and blood glucose, blood pressure, body temperature, respiration, blood gas indicators, and family satisfaction of children in both groups after transfer. Results. The total execution pass rate for transporters was higher in the intervention group than in the control group ( P < 0.05 ). The execution times of the various subprocesses during the transfer procedure of transporters were shorter in the intervention group than in the control group ( P < 0.05 ). The incidence of accidents in transit was lower in the intervention group than in the control group ( P < 0.05 ). After transfer, the blood glucose, blood pressure, body temperature, respiratory, and blood gas indicators of the children in the intervention group were all more stable than those in the control group ( P < 0.05 ). The satisfaction of the families of the children in the intervention group was higher than that of the control group ( P < 0.05 ). Conclusion. The implementation of transfer care based on STABLE technology for newborns in urgent need of in-hospital transfer can effectively improve the comprehensive quality and emergency response ability of transfer nurses and shorten the in-hospital transfer time, and the incidence of adverse reactions during the transfer of children is less, the vital signs are stable, and the satisfaction of family members is high, which is of promotion value.

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The S.T.A.B.L.E.® Program

Cited by 6 publications

References 30 publications

Periviability

Periviability

Critical care nursing role in low and lower middle-income settings: a scoping review

Effect Analysis of In-Hospital Transfer Care Based on STABLE Technology in Critically Ill Newborns

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