title: A Novel Neonatal Feeding Intolerance and Necrotizing Enterocolitis Risk-Scoring Tool Is Easy to Use and Valued by Nursing Staff.
abstract: BACKGROUND
  Preterm infants are at increased risk of developing feeding intolerance and necrotizing enterocolitis. Comprehensive, targeted nursing assessments can evaluate the risk for and identify early signs of these conditions in an effort to prevent their destructive sequela.
  
  
  OBJECTIVE
  While the long-term goal is to develop a validated risk-scoring tool for the prediction of feeding intolerance and necrotizing enterocolitis, the objective of the preliminary phase presented here is to assess the ease of use and nurses' attitudes toward a novel feeding intolerance and necrotizing enterocolitis risk-scoring tool.
  
  
  METHODS
  A novel risk-scoring nursing tool was implemented in a University of Illinois-affiliated 48-bed level III neonatal intensive care unit. Data were collected from the electronic medical record of all preterm infants with parental consent during the initial 6-month study period. Scoring accuracy (accuracy of selection of risk factors based on electronic medical record data), ease of use, and nurses' attitudes toward the tool were assessed at the study site and by evaluators at a national neonatal nursing conference.
  
  
  RESULTS
  Fourteen nurses scored 166 tools on the 63 enrolled infants. Sixteen tools (9.6%) contained errors. Mean study site tool ease of use was 8.1 (SD: 2.2) on a 10-point scale. Ninety percent of conference evaluators agreed/strongly agreed that the tool addressed important knowledge gaps.
  
  
  CONCLUSIONS
  The tool is easy to use and valued by nurses. Following validation, widespread implementation is expected to be a clinically feasible means to improve infant clinical outcomes for minimal time and financial cost.
  
  
  CONCLUSIONS
  Tool validation and refinement based on nursing feedback will improve its broad applicability and predictive utility.
authors.affiliation: Division of Nutritional Sciences (Drs Naberhuis and Tappenden) and Department of Food Science and Human Nutrition (Dr Tappenden), University of Illinois at Urbana-Champaign, Urbana; and Neonatal Intensive Care Unit, Carle Foundation Hospital, Urbana, Illinois (Ms Wetzel).
authors.forename: Jane
authors.initials: J
authors.lastname: Naberhuis
authors.forename: Christine
authors.initials: C
authors.lastname: Wetzel
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Tappenden
mesh_terms: D020345:Enterocolitis, Necrotizing / Q000451:nursing*; D019959:Feeding and Eating Disorders of Childhood / Q000451:nursing*; D006801:Humans; D007087:Illinois; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000451:nursing*; D007363:Intensive Care Units, Neonatal; D017283:Neonatal Nursing; D009730:Nursing Assessment; D015203:Reproducibility of Results; D018570:Risk Assessment