Use of evidence-based practice in the neonatal intensive care unit.
The process change described is an ongoing project in the HICN. Through this process we found that developmentally sensitive care can be accomplished as early as the time of birth by minimizing trauma to ELBW infants, keeping them nested with minimal handling. This also supports the goal for this population of minimizing cold stress and its effects. Gentle ventilation can be achieved in the delivery room by understanding physiology and the effects of ventilation on the ELBW lung tissue.
Pollock
Trudy R
TR
Hemby Intensive Care Nursery, Presbyterian Hospital, 200 Hawthorne Lane, Charlotte, NC 28204, USA. tpollock@carolina.rr.com
Franklin
Carol
C
D019317:Evidence-Based Medicine; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration / Q000592:standards*; D017283:Neonatal Nursing / Q000379:methods*; D009657:North Carolina; D011785:Quality Assurance, Health Care / Q000379:methods*