Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Nursing Implementation

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

Nursing Clinical Information System

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

Integrated Healthcare System

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...

Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Long term follow-up from the Barrett's esophagus screening trial 3 (BEST3) demonstrates high negative predictive value of capsule-sponge-Trefoil-factor-3 (TFF3) test for esophageal adenocarcinoma.

Gastroenterology·2026

Same author

Clinical Triage of Individuals With Warning Symptoms of Imminent Cardiac Arrest.

Circulation. Arrhythmia and electrophysiology·2026

Same author

Antenatal Corticosteroid Exposure in Late Preterm Infants: Clinical Considerations in Diabetic Mothers.

Cureus·2026

Same author

Exploring Ambient Artificial Intelligence to Enhance Learning and Feedback During Operating Room-to-Intensive Care Unit Handoffs: Co-Design and Simulation Study.

JMIR medical education·2026

Same author

Intraoperative Cardiac Events During Pediatric Cardiac Magnetic Resonance Imaging Under Anesthesia: A Retrospective Cohort Study.

Paediatric anaesthesia·2026

Same author

Preoperative Cannabis Use and Postoperative Delirium in Older Adults Undergoing Major Noncardiac Surgery.

Anesthesiology open·2026

Search research articles

Related Experiment Videos

Implementing the Eat, Sleep, Console (ESC) Model in a Small Safety-Net Hospital: A Phased Quality Improvement

Manali Ghadiali¹, Esther S Kim², Adam Freeman³

¹Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, USA.

|July 11, 2026

Summary

Transitioning from the Finnegan Neonatal Abstinence Scoring System (FNASS) to Eat, Sleep, Console (ESC) for neonatal opioid withdrawal syndrome (NOWS) significantly reduced hospital stays and medication use. This approach also improved maternal-infant bonding in a safety-net hospital setting.

Keywords:

eat-sleep-console finnegan scoring implementation science length of stay maternal-infant bonding neonatal opioid withdrawal syndrome nicu utilization non‑pharmacologic care quality improvement safety‑net hospital

Related Experiment Videos

Area of Science:

Neonatal care
Pharmacology
Quality improvement initiatives

Background:

Rising opioid use in pregnancy leads to increased neonatal opioid withdrawal syndrome (NOWS).
Traditional Finnegan Neonatal Abstinence Scoring System (FNASS) management results in prolonged hospitalizations and reduced maternal-infant bonding.
Function-based models like Eat, Sleep, Console (ESC) offer a non-pharmacologic approach to NOWS care.

Purpose of the Study:

To transition from FNASS to ESC management for NOWS.
To evaluate the clinical outcomes of ESC implementation in a small safety-net hospital.
To assess the impact on length of stay, medication use, NICU utilization, and maternal-infant bonding.

Main Methods:

A single-center quality improvement initiative over 2.5 years.
Phased implementation of the Eat, Sleep, Console (ESC) model.
Comparison of clinical outcomes between infants managed with FNASS (n=24) and ESC (n=12).

Main Results:

ESC implementation was associated with significantly shorter median length of stay (3.5 vs. 16.5 days).
Reduced days on pharmacologic treatment (0 vs. 11.5 days) and fewer NICU days (0 vs. 13.5 days) were observed with ESC.
Infants in the ESC group showed improved maternal-infant bonding (100% vs. 14.6% hospitalization time).

Conclusions:

Transitioning to ESC care for NOWS is feasible and beneficial in resource-limited settings.
ESC implementation leads to reduced pharmacologic treatment, shorter hospitalizations, and decreased NICU utilization.
The ESC model supports improved maternal-infant bonding and offers a scalable framework for equitable NOWS care.