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Applying the plan-do-study-act model to increase the use of kangaroo care
Reetta Stikes1, Denise Barbier
1Center for Women and Infants, University of Louisville Hospital, Louisville, KY 40202, USA. junest@ulh.org
Journal of Nursing Management
|January 24, 2013
Summary
Kangaroo care participation in neonatal intensive care units increased by 31% after implementing the Plan-Do-Study-Act Model. This quality improvement initiative successfully reduced perceived barriers and enhanced mother-infant bonding.
Area of Science:
- Neonatal Nursing
- Quality Improvement Science
- Maternal-Infant Bonding
Background:
- Preterm birth often leads to maternal-infant separation, potentially disrupting bonding.
- Neonatal intensive care units (NICUs) can implement strategies to support parental relationships.
- Kangaroo care, a skin-to-skin method, improves infant outcomes and the mother-infant relationship but is inconsistently used in NICUs.
Purpose of the Study:
- To increase the rate of kangaroo care participation in a level III NICU.
- To overcome barriers to consistent kangaroo care implementation.
Main Methods:
- The Plan-Do-Study-Act (PDSA) Model was utilized as a continuous quality improvement framework.
- Educational interventions were planned and implemented.
- Surveys were developed to identify and address barriers to kangaroo care.
Main Results:
- Kangaroo care utilization increased by 31% within four months of project implementation.
- Staff surveys indicated a reduction in perceived barriers to kangaroo care.
Conclusions:
- The PDSA Model effectively increased kangaroo care use in the NICU setting.
- The PDSA framework supports learning, reflection, and validation for implementing innovative nursing practices.
- This approach can promote the consistent application of evidence-based practices in nursing management.
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