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Implementation of a Golden Hour Protocol for Extremely Premature Infants

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개인저자Croop, Sarah E. W.
단체저자명The University of North Carolina at Chapel Hill. Nursing.
서명/저자사항Implementation of a Golden Hour Protocol for Extremely Premature Infants.
발행사항[S.l.] : The University of North Carolina at Chapel Hill., 2018
발행사항Ann Arbor : ProQuest Dissertations & Theses, 2018
형태사항71 p.
소장본 주기School code: 0153.
ISBN9780438063211
일반주기 Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Adviser: Suzanne Thoyre.
요약Extremely premature (EP) infants are fragile, susceptible to rapidly developing hypothermia and hypoglycemia, and face substantial risk of long-term morbidity and mortality. Golden Hour protocols (GHP) bundle and standardize evidence-based pract
요약Cyclical plan-do-study-act quality improvement (QI) methodology was utilized. Data were collected on inborn infants < 27 weeks' gestation (2012-2017) over 3 phases
요약A systematic approach to care of EP infants in the first hour of life resulted in improved short-term outcomes. Significant differences were observed in minutes to completion of GHP care [median (Q1,Q3) 110 (89,138) vs 111 (94,135) vs 92(74,129)
요약Evaluation of long-term morbidity and mortality did not reveal significant differences. However, there was an increase in the number of infants resuscitated and admitted at the cusp of viability (22 and 23 weeks gestation) over the three phases
요약Additional studies, larger sample sizes, and consistent analysis of long-term morbidities would provide greater insight into the impact of GHP. Ongoing QI should focus on sustaining achieved improvements, continuing to improve time to completion
일반주제명Nursing.
Medicine.
Obstetrics.
언어영어
기본자료 저록Dissertation Abstracts International79-10B(E).
Dissertation Abstract International
대출바로가기http://www.riss.kr/pdu/ddodLink.do?id=T14997416

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