Outcome of clinical nurse specialist-led hyperbilirubinemia screening of late preterm newborns. Clin Nurse Spec 2012;26(3):164-8
Date
04/17/2012Pubmed ID
22504474DOI
10.1097/NUR.0b013e3182506ad6Scopus ID
2-s2.0-84859895278 (requires institutional sign-in at Scopus site) 1 CitationAbstract
PURPOSE/OBJECTIVE: The purpose of this project was to implement universal screening of all late preterm newborns for hyperbilirubinemia in a level I newborn nursery. RATIONALE/BACKGROUND: Late preterm newborns have traditionally received the same level of care and monitoring as term newborns despite being at increased risk for morbidity and mortality.
DESCRIPTION OF THE PROJECT: An interdisciplinary clinical nurse specialist-led team guided by the Iowa Model of Evidence-Based Practice developed, piloted, and evaluated a standardized, coordinated approach to universal screening, assessment, and management of hyperbilirubinemia for late preterm newborns.
OUTCOMES: The readmission rate of late preterm newborns with hyperbilirubinemia in the 30 days after birth was reduced to zero, providing evidence of programmatic effectiveness.
INTERPRETATION/CONCLUSION: Universal screening of late preterm newborns for hyperbilirubinemia significantly improved outcomes in this vulnerable population.
IMPLICATIONS: Detection of hyperbilirubinemia through universal screening of late preterm newborns is recommended in newborn nurseries.
Author List
Nelson L, Doering JJ, Anderson M, Kelly LAuthor
Jennifer Doering PhD Associate Professor in the Nursing department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
HumansHyperbilirubinemia
Infant, Newborn
Infant, Premature
Neonatal Screening
Pilot Projects
Specialties, Nursing
