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Neonatal Abstinence Syndrome: Exploring Nurses' Attitudes, Knowledge, and Practice.

Rachael Romisher¹, Deanna Hill, Xiaomei Cong

¹University of Connecticut, School of Nursing, Storrs (Ms Romisher and Dr Cong); and Connecticut Children's Medical Center, Neonatal Intensive Care Unit, Hartford (Ms Hill).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses

|January 24, 2018

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Neonatal nurses face challenges caring for infants with neonatal abstinence syndrome (NAS). This study highlights inconsistent practices and the need for improved education and support for nurses managing NAS care.

Area of Science:

Neonatal Nursing
Pediatric Healthcare
Substance Abuse Treatment

Background:

Opioid abuse is increasing, leading to a rise in neonatal abstinence syndrome (NAS).
Caring for infants with NAS presents significant challenges for neonatal nurses and their families.
There is a growing need to understand the experiences of nurses caring for this vulnerable population.

Purpose of the Study:

To explore the attitudes and practice trends of nurses caring for infants with NAS.
To identify knowledge gaps related to NAS care among nursing professionals.
To assess nurses' perspectives on the care environment and mother-infant interactions.

Main Methods:

A cross-sectional survey using a researcher-developed questionnaire was administered.

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The survey included Likert-scale questions, a case study, and open-ended questions assessing attitudes, knowledge, and practice.

Participants were nurses, including advanced practice nurses and nurse leaders, attending a regional neonatal nursing conference.

Main Results:

Fifty-four nurses responded, primarily white, female, bachelor's-prepared individuals.
Nurses expressed concerns about care settings and desired partnerships with mothers.
A lack of standardized and consistent practices in NAS care was reported, with key themes including environmental issues, mother-infant relationships, and care inconsistency.

Conclusions:

Further research is essential to understand the effects of NAS on healthcare providers.
Targeted education programs are needed to enhance nurses' skills and knowledge in managing NAS.
Standardizing care protocols and improving the care environment are crucial for optimal NAS management.