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Implementation of Cue-Based Feeding to Improve Preterm Infant Feeding Outcomes and Promote Parents' Involvement

Tesi Thomas, Rebecca Goodman, Ani Jacob

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |March 11, 2021
    PubMed

    Insights

    Implementing cue-based feeding for preterm infants significantly reduced the time to full oral feedings and length of hospital stay. This approach also enhanced parental involvement and led to cost savings for the institution.

    Area of Science:

    • Neonatal care
    • Pediatric nutrition
    • Quality improvement in healthcare

    Background:

    • Preterm infants often face challenges with oral feeding, impacting their length of stay and requiring specialized interventions.
    • Parental involvement is crucial for successful feeding outcomes in the neonatal intensive care unit (NICU).

    Purpose of the Study:

    • To implement cue-based feeding strategies for preterm infants.
    • To evaluate the impact of cue-based feeding on time to achieve full oral feedings.
    • To assess changes in length of stay and parental involvement in the feeding process.

    Main Methods:

    • A quality improvement project utilizing a pre-post evidence-based practice implementation design.
    • Staff education and training were conducted to implement cue-based feeding.
    • Retrospective review of medical records for preterm infants (23 0/7 to 31 6/7 weeks gestational age) before and after implementation.

    Main Results:

    • For infants 23-27 weeks gestation, cue-based feeding decreased time to full oral feedings by 7 days and length of stay by 4.4 days.
    • Parental involvement in feeding increased by 80% for younger preterm infants and 49% for older preterm infants.
    • Overall, cue-based feeding led to a reduction in length of stay, resulting in an institutional cost saving of $103,950 annually.

    Conclusions:

    • Cue-based feeding is an effective strategy for improving feeding outcomes in preterm infants.
    • Implementation of cue-based feeding reduces time to full oral feedings and length of stay.
    • This approach enhances parental involvement and generates significant cost savings for healthcare institutions.
    Abstract

    Keywords:
    cue-based feedingevidence-based practicelength of stayneonatal intensive care unitpreterm feedingpreterm infant

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