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Updated: Mar 24, 2026

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Training and Integration of Eat, Sleep, Console Model for Infants and Families at an Urban Academic Health Center

Sydney Conti1, Jennifer Chin2, Katherine Kemble3

  • 1Doctor of Nursing Practice Student, University of Washington School of Nursing.

Mededportal : the Journal of Teaching and Learning Resources
|March 23, 2026
PubMed

Insights

Eat, Sleep, Console (ESC) training improved staff preparedness for managing neonatal opioid withdrawal syndrome (NOWS) using nonpharmacologic methods. This approach prioritizes infant coping and the parent-infant bond over traditional scoring systems.

Area of Science:

  • Neonatal care
  • Pharmacology
  • Clinical education

Background:

  • Neonatal opioid withdrawal syndrome (NOWS) is often managed with the Finnegan Neonatal Abstinence Scoring System, which requires infant arousal and prioritizes medication.
  • The Eat, Sleep, Console (ESC) approach offers an alternative, focusing on infant function, nonpharmacologic interventions, and the parent-infant relationship.

Purpose of the Study:

  • To assess the effectiveness of Eat, Sleep, Console (ESC) training for healthcare professionals in managing neonatal opioid withdrawal syndrome (NOWS).
  • To evaluate the impact of ESC education on staff preparedness for implementing nonpharmacologic interventions.

Main Methods:

  • A knowledge-to-action framework guided the implementation of ESC training for perinatal and neonatal staff.
  • Training included didactic sessions, an ESC algorithm, and pre- and post-training surveys.
  • 254 participants were trained, with survey data collected from 88.

Main Results:

  • Post-training surveys showed a statistically significant improvement in self-rated preparedness to use nonpharmacologic interventions (p = .03).
  • Participants reported high levels of preparedness in implementing ESC concepts after the training.
  • The training enhanced staff readiness to utilize the ESC tool for NOWS management.

Conclusions:

  • ESC education effectively prepared clinicians to manage NOWS using nonpharmacologic strategies.
  • Multidisciplinary education and collaboration are key to successfully implementing ESC in clinical practice.
Abstract

Keywords:
Neonatal Opioid WithdrawalNeonatal-Perinatal MedicineOB/GYNSubstance Use Disorders

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