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DOI
https://doi.org/10.63853/JZYE7318
Description
QUALITY IMPROVEMENT
Background: Plan- Problem: Decrease in Neonatal Thermoregulation Compliance (0% in January 2024 to 10-33% in April to December 2024) and Staff comfort level (1- 5 Level) in caring for patients with Neonatal thermoregulation issues and equipment use. Background: In December 2024, the capacity of this pediatric hospital expanded from 72 to 212 beds with more neonate admissions. For effective compliance, the executive leaders decided in January 2025 to train the same group of nurses and cohort neonate admission in a single acute care unit. Goal: Increase in Neonatal Thermoregulation Compliance (above 90% goal) and Staff comfort level (4-5 level) in caring for patients with Neonatal thermoregulation issues and equipment use by the end of Q2 2025 in an acute care setting.
Methodology: Do – Implementation of RN superusers to do a 1 on 1 hands-on training with nurses and to provide additional support post training. The creation of Neonatal Binder that includes Tip sheet and resources about neonatal thermoregulation and equipment use. Training Plan and Execution – Superuser training (1week- 3rd week of January 2025) with 4 identified superusers (2 days and 2 nights) then all staff 1 on 1 training (1 month-February 2025). Study / Measure the result- Neonatal compliance data: May 2025 – 97%, June – 95% Pre and post survey – Staff Comfort level in caring for Neonates - Comfort levels improved from a 1- to 5-point range prior to training to a 4- to 5-point range post-training. Identified issues during implementation: Insufficient superusers, resulting in some shifts without superuser support for staff members. Several aspects of the guidelines are ambiguous or unclear.
Outcomes: Act- Cohorting neonates and having a group of nurses who care for neonates that receive hands on training can increase compliance. The team strives to standardize the procedure after achieving the intended improvement. This entails adding more super-users, annual staff training, updating the neonatal resource binder, and incorporating the change into regular operations. Outcome- Increase in Neonatal Thermoregulation Compliance (above 90% goal) and Staff comfort level (4-5 level) in caring for patients with Neonatal thermoregulation issues and equipment use by the end of June 2025 in an acute care setting.
Publication Date
11-24-2025
Disciplines
Pediatric Nursing
Recommended Citation
Estoya, Gene Mae; Dela Cruz, Rose; and Lathrop, Deb, "Oh, my Baby! A QI Initiative to Improve Neonatal Thermoregulation Compliance via Nurse-Led Training and Development of a Resource Binder" (2025). 2025. 34.
https://scholarlycollection.childrens.com/nursing-anf2025/34
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