Providing more effective kangaroo care during the COVID-19 pandemic: A quality improvement project in a Lebanese neonatal intensive care unit
نویسندگان
چکیده
Abstract Background Kangaroo care has become the standard in caring for preterm infants; however, its application still faces many barriers due to insufficient staff or parental education participation and most recently visitation restrictions after COVID-19 pandemic. Methods This quality improvement project (QIP) took place a tertiary center’s neonatal intensive unit Lebanon from September 2018 March 2021. It aimed increase kangaroo practice maternal milk use among admitted infants. Nurses parents received hands-on training about skin-to-skin contact. Nurses’ parents’ knowledge, attitude, behavior toward were evaluated pre- post-intervention. Balancing measures included hypothermia, central line infection, catheter dislodgement, babies being dropped. during QIP cycles documented. Results A total of 143 infants period 105 (73%) ≤34 weeks gestation. By end QIP, increased 2.5 7 h per infant stay (from median 45 min session 60 session). Infants receiving more than five sessions had higher (71.3% vs. 52.8%; P = 0.002) growth velocity (12.1 2.0 g/kg/day; < 0.001). Parents’ perceived frequency performing care–related tasks improved significantly (P 0.005) compared before QIP. Thirty-seven 44 participating nurses reported transferring ventilated 0.049). Conclusion successfully resource-limited environment, despite restrictions. More work is needed ensure sustainability replicability.
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ژورنال
عنوان ژورنال: IJQHC communications
سال: 2023
ISSN: ['2634-5293']
DOI: https://doi.org/10.1093/ijcoms/lyad002