Running head: NURSES ROLE IN NEONATAL ABSTINENCE SYNDROME1The Role of the Neonatal Nurse in Neonatal Abstinence Syndrome Madeleine OffenhauserGNUR-501: Evidence-based Communication Dr. Sandra Horton Indiana Wesleyan University September 16, 2018
NURSES ROLE NEONATAL ABSTINENCES SYNDROMEMaddie Offenhauser 3.4 Literature Critique My area of expertise is neonates. This paper will discuss the role of the neonatal nurse in neonatal abstinence syndrome. Admissions to the neonatal intensive care unit for infants diagnosed with neonatal abstinence syndrome have been at a steady increase for the past 10 years. Infants diagnosed with neonatal abstinence syndrome require highly demanding care. Diagnosing and managing the care of these infants is difficult due to the wide range of symptomsand severity that infants present; the lack of an exact treatment regimen for the diagnosis also poses a problem. Ethical concerns arise around the stigma created about substance abuse disorders, which plays a part in the care received. This literature critique presents the different roles a neonatal nurse must take on to provide the best quality of care for such a vulnerable population. Article One“Intraprofessional Excellence in Nursing: Collaborative Strategies for Neonatal Abstinence Syndrome,” was written by Teague, Jnah, and Newberry. This article was published in Neonatal Networkin 2015 in volume 34, issue 6, on pages 320-328. Neonatal abstinence syndrome is an increasing public health concern, especially for neonatal intensive care units, thatis costing the health care system millions of dollars. The authors of this article discuss how the initiation of a standardized neonatal abstinence syndrome care bundle is the solution to the neonatal abstinence syndrome epidemic. The aim of this study was to find the key elements required to create a successful care bundle. These elements were found through evidence-based practice and nursing-driven metrics.The article points out the large role neonatal nurses play in the quality improvement of the management of infants with neonatal abstinence syndrome. There are several strengths indicated2
NURSES ROLE NEONATAL ABSTINENCES SYNDROMEin this article. One strength was the appropriateness for this study, neonatal abstinence syndromeis on a continual rise due to the opioid epidemic our country is currently experiencing. Another strength of this article was evidence-based practice was used to identify the key elements of a successful care bundle. One limitation of this study was the lack of investigation of the risks and benefits to outpatient management of neonatal abstinence syndrome. This article conveys an unbiased approach. The elements of successful care bundles are crucial in the care plans of infants suffering from neonatal abstinence syndrome. This article fits the needs of my clinical expertise paper because it identifies key elements of nursing practice necessary to provide the
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