Compassionate extubation protocol to improve team communication and support in the neonatal intensive care unit.

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.

Re

SUBMITTER: Donoho K 

PROVIDER: S-EPMC8129605 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature