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Implementation of a Golden Hour Protocol for Extremely Premature Infants
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Implementation of a Golden Hour Protocol for Extremely Premature Infants. |
| 개인저자 | Croop, Sarah E. W. |
| 단체저자명 | The University of North Carolina at Chapel Hill. Nursing. |
| 발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2018. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2018. |
| 형태사항 | 71 p. |
| 기본자료 저록 | Dissertation Abstracts International 79-10B(E). Dissertation Abstract International |
| ISBN | 9780438063211 |
| 학위논문주기 | Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2018. |
| 일반주기 |
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Adviser: Suzanne Thoyre. |
| 요약 | Extremely premature (EP) infants are fragile, susceptible to rapidly developing hypothermia and hypoglycemia, and face substantial risk of long-term morbidity and mortality. Golden Hour protocols (GHP) bundle and standardize evidence-based pract |
| 요약 | Cyclical plan-do-study-act quality improvement (QI) methodology was utilized. Data were collected on inborn infants < 27 weeks' gestation (2012-2017) over 3 phases |
| 요약 | A systematic approach to care of EP infants in the first hour of life resulted in improved short-term outcomes. Significant differences were observed in minutes to completion of GHP care [median (Q1,Q3) 110 (89,138) vs 111 (94,135) vs 92(74,129) |
| 요약 | Evaluation of long-term morbidity and mortality did not reveal significant differences. However, there was an increase in the number of infants resuscitated and admitted at the cusp of viability (22 and 23 weeks gestation) over the three phases |
| 요약 | Additional studies, larger sample sizes, and consistent analysis of long-term morbidities would provide greater insight into the impact of GHP. Ongoing QI should focus on sustaining achieved improvements, continuing to improve time to completion |
| 일반주제명 | Nursing. Medicine. Obstetrics. |
| 언어 | 영어 |
| 바로가기 | 
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