RESUMO
PURPOSE: To assess the impact of a quality improvement (QI) project to increase nursing staff confidence in responding to neonatal emergencies. DESIGN: Mandatory neonatal emergency in situ scenarios done quarterly. SAMPLE: Bedside NICU nursing staff and the subset of NICU nurses that attend all high-risk deliveries and neonatal emergencies on the obstetrics unit. OUTCOME MEASURES: Confidence levels in responding to neonatal emergencies, demonstrating neonatal resuscitation skills, and communicating effectively during an emergency. RESULTS: Sixty-eight NICU nurses completed the pre- and postintervention surveys. Self-reported confidence levels increased in all areas measured. Overall, the percentage of nursing staff that reported confidence in being able to participate in a neonatal emergency increased from 48 percent to 77 percent.
Assuntos
Reanimação Cardiopulmonar/educação , Emergências/enfermagem , Enfermagem em Emergência/educação , Unidades de Terapia Intensiva Neonatal/organização & administração , Melhoria de Qualidade , Adulto , Competência Clínica , Feminino , Humanos , Recém-Nascido , Masculino , Medição de Risco , Inquéritos e QuestionáriosRESUMO
In response to changing needs of registered nurse orientees, the staff education committee in the Intermediate Special Care Nursery has implemented a phased orientation process. This phased process includes a mentoring experience postorientation to support a new nurse through the first year of employment. Since implementing the phased orientation process in the Intermediate Special Care Nursery, orientee satisfaction and preparation to practice have increased, and length of orientation has decreased.