• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Prevention of Newborn Hypoglycemia Algorithm

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Parajon_NewbornHypoglycemia_20 ...
    Size:
    3.718Mb
    Format:
    PDF
    Download
    Author
    Parajon, Cecilia M.
    Advisor
    Hoffman, Ann G.
    Date
    2019-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Abstract
    Background: Newborns at a higher risk for developing hypoglycemia are defined as newborns born small or large for gestational age, late-preterm (34-36 and 6/7 weeks gestation), those born to mothers with diabetes and any newborn exhibiting clinical signs of hypoglycemia. Identified newborns are monitored and often fed formula to stabilize their blood glucose level. Many mothers plan to breastfeed exclusively, but when formula is fed to their newborns exclusive and long-term breastfeeding is decreased. Applying the Baby-Friendly Hospital Initiative interventions like skin to skin care, frequent breastfeeding and feeding hand expressed colostrum to the at-risk newborns may prevent hypoglycemia, stabilize the glucose levels, lessen formula supplementation, and increase exclusive breastfeeding rate. The Prevention of Newborn Hypoglycemia Algorithm supports the AAP Screening and Management of Postnatal Glucose Homeostasis Algorithm, the Academy of Breastfeeding Medicine and the Baby Friendly guidelines to prevent and reduce newborn hypoglycemia and related formula use, increase breastfeeding rates and thereby improve delivery of care. Local Problem: The community hospital was initiating the process of becoming a Baby Friendly Hospital and recognized that their use of formula to manage hypoglycemia in at-risk newborns was very high and sought to decrease its use and consequently increase breastfeeding rates. The hospital currently uses an algorithm based on the AAP Hypoglycemia Algorithm that does not incorporate some of the Baby Friendly interventions. There are inconsistencies of the management in the care of the at-risk newborns. Interventions: The purpose of this quality improvement project was to implement and evaluate the effectiveness of the Prevention of Hypoglycemia Algorithm for the at-risk newborns in a community hospital. The implementation included instruction and guidance of the nursing staff in the components and the use of the algorithm. The use of the algorithm was assessed in the overall and the at-risk number of newborns that were ever and exclusively breastfed during the intervention period. At the end of the implementation, the nurses evaluated the usability of the algorithm with the Algorithm Usability Questionnaire. Results: Overall the ever-breastfeeding rate increased slightly but the exclusive breastfeeding rate dropped. During the intervention, all of the at-risk newborns were managed with parts of the algorithm and 100% breastfed some of the feedings. The exclusively breastfeeding rate was 67% in the first month and 20% the second month. There was a 70% staff approval for ease of use of the algorithm. Conclusions: All at-risk newborns breastfed for some of the feedings in the hospital during the intervention. There was an increase in the awareness of at-risk newborn hypoglycemia prevention and the use of the algorithm recommendations for all newborns. The algorithm served as a prompt to apply the Baby Friendly interventions while preventing hypoglycemia, managing the blood glucose levels, lessen formula supplementation and preserving the newborns breastfeeding abilities. The Algorithm remained posted on the nursing unit to assist this practice change to manage the at-risk newborns and help the hospital become a Baby-Friendly designated facility.
    Keyword
    Baby-Friendly Hospital Initiative (BFHI)
    Prevention of Hypoglycemia Algorithm
    Breast Feeding
    Hypoglycemia
    Infant, Newborn
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/9493
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.