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Translation into Practice: Dextrose Gel Treatment for Neonatal Hypoglycemia to Reduce NICU Admissions and Increase Breastfeeding Exclusivity
journal contribution
posted on 2023-05-29, 04:48 authored by Joanne WatsonJoanne Watson, Wendy MoulsdaleBackgroundOral dextrose gel is an evidence-based treatment that has been shown to reduce NICU admissions and support exclusive breastfeeding.PurposeWe summarize a knowledge translation project to introduce dextrose 40 percent oral gel to treat hypoglycemia or hyperglycemia. Implementation took place during the months of May, June, and July 2017.ResultsThrough chart audit, rates for NICU admissions and exclusive breastfeeding were measured for a three-month period before implementation and the three-month period after implementation.There were 234 doses indicated, 128 doses given, 93 doses missed, and 13 doses declined by parents in the first three months of implementation. Admission rates to the NICU for the groups audited were 13 percent in 2016 and 6 percent in 2017.Principles of knowledge translation were used to successfully introduce this change. Centers providing maternal newborn care should consider similar projects to enable introduction.
History
Journal
NEONATAL NETWORKVolume
39Pagination
57-65Location
United StatesPublisher DOI
ISSN
0730-0832eISSN
1539-2880Language
EnglishPublication classification
C1.1 Refereed article in a scholarly journalIssue
2Publisher
SPRINGER PUBLISHING COUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineNursinghypoglycemiadextrose 40 percent oral gelNICU admissionKnowledge to Action FrameworkfeedingmetabolicASSOCIATIONMANAGEMENTBABIESBIRTHAdministration, OralAdultBreast FeedingCurriculumEducation, Nursing, ContinuingFemaleGlucoseHumansHyperglycemiaHypoglycemiaInfant, NewbornInfant, Newborn, DiseasesIntensive Care Units, NeonatalMaleMiddle AgedNeonatal NursingNurses, NeonatalPatient AdmissionPractice Guidelines as TopicInfant MortalityPediatricNursing not elsewhere classified
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