LDR | | 02591nmm uu200469 4500 |
001 | | 000000332508 |
005 | | 20240805170923 |
008 | | 181129s2018 |||||||||||||||||c||eng d |
020 | |
▼a 9780438063211 |
035 | |
▼a (MiAaPQ)AAI10787758 |
035 | |
▼a (MiAaPQ)unc:17638 |
040 | |
▼a MiAaPQ
▼c MiAaPQ
▼d 248032 |
082 | 0 |
▼a 610.73 |
100 | 1 |
▼a Croop, Sarah E. W. |
245 | 10 |
▼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. |
502 | 1 |
▼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 |
710 | 20 |
▼a The University of North Carolina at Chapel Hill.
▼b Nursing. |
773 | 0 |
▼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 |
856 | 40 |
▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997416
▼n KERIS |
980 | |
▼a 201812
▼f 2019 |
990 | |
▼a 관리자 |