title: Quality improvement for neonatal nurses, part II: using a PDSA quality improvement cycle approach to implement an oral feeding progression guideline for premature infants.
abstract: The development of clinical practice guidelines involving multiple health care providers presents a challenge in the neonatal intensive care unit (NICU). Implementation and evaluation of the guideline is as important as the development of the guideline itself. We explored the use of a quality improvement approach in the implementation of a feeding framework. A Plan-Do-Study-Act (PDSA) quality improvement cycle model was used to implement and evaluate a stepwise oral infant feeding guideline with emphasis on parent and care provider satisfaction. Three PDSA cycles were conducted, with each cycle resulting in modifications to use of the framework and development of knowledge translation and parent education techniques and tools. A PDSA cycle approach can be used effectively in guideline implementation and evaluation involving multidisciplinary health care professionals. This is Part II of a two-part series. Part I introduced the concept of quality improvement and tools for advancing practice changes.
authors: University of Victoria, 4th Floor HSD, Box 1700 Victoria, BC V8W 2Y2, Canada. lenoram@uvic.ca
authors: Lenora
authors: L
authors: Marcellus
authors: Adele
authors: A
authors: Harrison
authors: Kathleen
authors: K
authors: Mackinnon
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001903:Bottle Feeding; D001942:Breast Feeding; D004750:Enteral Nutrition / Q000379:methods / Q000592:standards*; D017144:Focus Groups; D006801:Humans; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal / Q000379:methods / Q000592:standards*; D017283:Neonatal Nursing / Q000379:methods / Q000458:organization & administration / Q000592:standards*; D010290:Parents / Q000193:education; D017410:Practice Guidelines as Topic; D011368:Professional-Family Relations; D015397:Program Evaluation; D058996:Quality Improvement / Q000458:organization & administration*; D011795:Surveys and Questionnaires