Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome

Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug withdrawal symptoms that can affect the central nervous system and gastrointestinal and respiratory systems in the newborn when separated from the pl...

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Published in:Advances in neonatal care Vol. 14; no. 6; pp. 376 - 380
Main Authors: Casper, Tammy, Arbour, Megan
Format: Journal Article
Language:English
Published: United States by The National Association of Neonatal Nurses 01-12-2014
Subjects:
Evidence-Based Nursing
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Intensive Care, Neonatal - methods
Mother-Child Relations
Mothers
Neonatal Abstinence Syndrome - blood
Neonatal Abstinence Syndrome - nursing
Neonatal Abstinence Syndrome - therapy
Substance-Related Disorders - blood
Substance-Related Disorders - complications
United States
United States
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Abstract Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug withdrawal symptoms that can affect the central nervous system and gastrointestinal and respiratory systems in the newborn when separated from the placenta at birth. Infants with NAS often require a significant length of stay in the neonatal intensive care unit (NICU). Pharmacologic treatments and physician-directed interventions are well researched, but nursing-specific interventions and recommendations are lacking. A thorough review and analysis of the literature and interviews with neonatal experts guided the development of a nursing clinical practice guideline for infants with NAS in a level IV NICU. Recommended nursing-specific interventions include methods for maternal drug-use identification, initiation and timing of the Finnegan Scoring System to monitor withdrawal symptoms, and bedside interventions to lessen the drug-withdrawal symptoms in the newborn with NAS.
AbstractList Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug withdrawal symptoms that can affect the central nervous system and gastrointestinal and respiratory systems in the newborn when separated from the placenta at birth. Infants with NAS often require a significant length of stay in the neonatal intensive care unit (NICU). Pharmacologic treatments and physician-directed interventions are well researched, but nursing-specific interventions and recommendations are lacking. A thorough review and analysis of the literature and interviews with neonatal experts guided the development of a nursing clinical practice guideline for infants with NAS in a level IV NICU. Recommended nursing-specific interventions include methods for maternal drug-use identification, initiation and timing of the Finnegan Scoring System to monitor withdrawal symptoms, and bedside interventions to lessen the drug-withdrawal symptoms in the newborn with NAS.
Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug withdrawal symptoms that can affect the central nervous system and gastrointestinal and respiratory systems in the newborn when separated from the placenta at birth. Infants with NAS often require a significant length of stay in the neonatal intensive care unit (NICU). Pharmacologic treatments and physician-directed interventions are well researched, but nursing-specific interventions and recommendations are lacking. A thorough review and analysis of the literature and interviews with neonatal experts guided the development of a nursing clinical practice guideline for infants with NAS in a level IV NICU. Recommended nursing-specific interventions include methods for maternal drug-use identification, initiation and timing of the Finnegan Scoring System to monitor withdrawal symptoms, and bedside interventions to lessen the drug-withdrawal symptoms in the newborn with NAS. References
Author Casper, Tammy
Arbour, Megan
AuthorAffiliation Cincinnati Childrenʼs Hospital Medical Center (Dr Casper) and College of Nursing, University of Cincinnati (Drs Casper and Arbour), Ohio
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Snippet Neonatal abstinence syndrome (NAS) is a growing problem in the United States, related to increased maternal substance use and abuse, and a set of drug...
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SubjectTerms Evidence-Based Nursing
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Intensive Care, Neonatal - methods
Mother-Child Relations
Mothers
Neonatal Abstinence Syndrome - blood
Neonatal Abstinence Syndrome - nursing
Neonatal Abstinence Syndrome - therapy
Substance-Related Disorders - blood
Substance-Related Disorders - complications
United States
Title Evidence-Based Nurse-Driven Interventions for the Care of Newborns With Neonatal Abstinence Syndrome
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