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020 ▼a 9780438063211
035 ▼a (MiAaPQ)AAI10787758
035 ▼a (MiAaPQ)unc:17638
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 248032
0820 ▼a 610.73
1001 ▼a Croop, Sarah E. W.
24510 ▼a Implementation of a Golden Hour Protocol for Extremely Premature Infants.
260 ▼a [S.l.] : ▼b The University of North Carolina at Chapel Hill., ▼c 2018
260 1 ▼a Ann Arbor : ▼b ProQuest Dissertations & Theses, ▼c 2018
300 ▼a 71 p.
500 ▼a Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
500 ▼a Adviser: Suzanne Thoyre.
5021 ▼a Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2018.
520 ▼a Extremely 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
520 ▼a Cyclical plan-do-study-act quality improvement (QI) methodology was utilized. Data were collected on inborn infants < 27 weeks' gestation (2012-2017) over 3 phases
520 ▼a A 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)
520 ▼a Evaluation 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
520 ▼a Additional 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
590 ▼a School code: 0153.
650 4 ▼a Nursing.
650 4 ▼a Medicine.
650 4 ▼a Obstetrics.
690 ▼a 0569
690 ▼a 0564
690 ▼a 0380
71020 ▼a The University of North Carolina at Chapel Hill. ▼b Nursing.
7730 ▼t Dissertation Abstracts International ▼g 79-10B(E).
773 ▼t Dissertation Abstract International
790 ▼a 0153
791 ▼a D.N.P.
792 ▼a 2018
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997416 ▼n KERIS
980 ▼a 201812 ▼f 2019
990 ▼a 관리자