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Strategies to Successfully Implement an Eat, Sleep, Console Protocol.

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    MCN. the American Journal of Maternal Child Nursing
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    Summary
    This summary is machine-generated.

    The Eat, Sleep, Console approach empowers mothers to treat neonatal opioid withdrawal syndrome (NOWS) through nonpharmacologic methods. This method improves infant care, reduces hospital stays, and lowers costs.

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    Area of Science:

    • Neonatal care
    • Pharmacology
    • Maternal-infant health

    Background:

    • Neonatal opioid withdrawal syndrome (NOWS) is increasing, with rates rising from 4.0 to 7.3 per 1,000 births between 2010 and 2017.
    • Traditional assessments for NOWS often exclude maternal input, potentially leading to increased pharmacotherapy.
    • Existing assessment tools, like the Finnegan tool, can be subjective and time-consuming for nurses.

    Purpose of the Study:

    • To introduce the Eat, Sleep, Console (ESC) approach as a mother-centered, nonpharmacologic intervention for NOWS.
    • To highlight the benefits of the ESC approach, including improved maternal confidence and mother/infant dyad care.
    • To provide strategies for implementing the ESC protocol in clinical settings.

    Main Methods:

    • The ESC approach involves mothers in nonpharmacologic interventions to manage NOWS symptoms.
    • It emphasizes collaboration between mothers and nurses, making assessments less subjective and faster.
    • Implementation strategies include a stepwise approach and a clinical nursing maternal education protocol.

    Main Results:

    • Facilities using the ESC approach have reported reduced infant hospital stays and decreased pharmacotherapy use.
    • The ESC method has led to lower associated medical costs and improved breastfeeding rates.
    • Enhanced nurse-mother interactions and improved mother/infant dyad care are key outcomes.

    Conclusions:

    • The ESC approach offers an effective, nonpharmacologic alternative for managing NOWS.
    • Successful implementation requires a structured, stepwise plan and comprehensive stakeholder preparation.
    • Further development and broader adoption of the ESC protocol can significantly improve neonatal care outcomes.