Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit.
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ABSTRACT: Objective
Compassionate extubation (CE) can be stressful for staff and families in the neonatal intensive care unit (NICU). Our quality improvement initiative developed and implemented a novel symptom management and family support checklist and post-debriefing template to improve team communication and staff support.Study design
An interprofessional team performed a needs assessment, determined key drivers and intervention steps, and implemented changes using Plan-Do-Study-Act cycles. Outcomes included nursing perception of good communication with the medical team, nursing assessment of patient comfort after CE, and frequency of post-event debrief. Outcomes were analyzed using time series design with 12 months baseline data and 6 months post-implementation monitoring.Result
Eighteen events were studied. Respondents endorsing "good" communication with the medical team increased by 60%, and debrief participation rate improved by 96%.Conclusion
Implementation of a CE checklist and post-event debriefing sheet was associated with increased rate of debriefs and improved team communication.
SUBMITTER: Donoho K
PROVIDER: S-EPMC8129605 | biostudies-literature | 2021 Sep
REPOSITORIES: biostudies-literature
Publications
Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit.
Donoho Kelsey K Fossa Mallory M Dabagh Sarah S Caliboso Menchie M Lotstein Debra D Nair Srikumar S
Journal of perinatology : official journal of the California Perinatal Association 20210518 9
<h4>Objective</h4>Compassionate extubation (CE) can be stressful for staff and families in the neonatal intensive care unit (NICU). Our quality improvement initiative developed and implemented a novel symptom management and family support checklist and post-debriefing template to improve team communication and staff support.<h4>Study design</h4>An interprofessional team performed a needs assessment, determined key drivers and intervention steps, and implemented changes using Plan-Do-Study-Act cy ...[more]
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