Implementation and Evaluation of the Eat, Sleep, Console Model of Care for Babies Diagnosed with Neonatal Abstinence Syndrome: A Scoping Review Protocol
DOI:
https://doi.org/10.15273/hpj.v3i4.11513Keywords:
Nursing-Models, Neonatal-Nursing, Knowledge, Systematic Review, Evaluation, Implementation, Health ResearchAbstract
Introduction: Infants diagnosed with neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome (NOWS) constitute a growing population in Canada. In most facilities, an outdated model of care is used to guide the care and assessment of babies diagnosed with NAS. Challenges with this outdated model have prompted the transition to a novel approach to care, the Eat, Sleep, Console model. Despite this promising intervention to improve patient and health system outcomes, little is known on how to effectively implement and evaluate the model in clinical practice. Objectives: We will conduct a scoping review to address the question, “How has the Eat, Sleep, Console model been implemented and evaluated in practice?”. Methods: We will follow the JBI methodology for scoping reviews and Arksey and O’Malley’s scoping review framework. Reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Published and unpublished literature will be included in the review. The following databases and grey literature will be searched: MEDLINE, Embase, CINAHL, PsycInfo, Google Scholar, and websites identified in a Google website search. Two independent reviewers will screen literature and extract data based on predetermined eligibility criteria and data extraction tools. We will narratively describe quantitative data, along with completing an inductive thematic analysis of qualitative findings. Furthermore, we will conduct a directed content analysis of qualitative findings using the COM-B model of behaviour and RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework. We anticipate findings will be used to support future implementation of the Eat, Sleep, Console model into clinical practice, including subsequent evaluation of implementation.
References
Anbalagan, S., & Mendez, M. D. (2021, July 22). Neonatal abstinence syndrome. In StatPearls. StatPearls Publishing. Retrieved August 29, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK551498/
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Aromataris, E., & Munn, Z. (Eds.). (2020). JBI manual for evidence synthesis. https://doi.org/10.46658/JBIMES-20-01
Bick, D., & Graham, I. D. (Eds.). (2010). Evaluating the impact of implementing evidence-based practice. Wiley-Blackwell.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Canadian Agency for Drugs and Technologies in Health. (2019, April). Grey matters: A practical tool for searching health-related grey literature. Retrieved September 13, 2022, from https://www.cadth.ca/grey-matters-practical-tool-searching-health-related-grey-literature
Cane, J., O’Connor, D., & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, 7, Article 37. https://doi.org/10.1186/1748-5908-7-37
Cleveland, L. M., & Bonugli, R. (2014). Experiences of mothers of infants with neonatal abstinence syndrome in the neonatal intensive care unit. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(3), 318–329. https://doi.org/10.1111/1552-6909.12306
Craig, P., & Petticrew, M. (2013). Developing and evaluating complex interventions: Reflections on the 2008 MRC guidance. International Journal of Nursing Studies, 50(5), 585–587. https://doi.org/10.1016/j.ijnurstu.2012.09.009
Curran, M., Holt, C., Arciero, M., Quinlan, J., Cox, D., & Craig, A. (2020). Proxy Finnegan component scores for Eat, Sleep, Console in a cohort of opioid-exposed neonates. Hospital Pediatrics, 10(12), 1053–1058. https://doi.org/10.1542/hpeds.2020-0190
Dodds, D., Koch, K., Buitrago-Mogollon, T., & Horstmann, S. (2019). Successful implementation of the Eat Sleep Console model of care for infants with NAS in a community hospital. Hospital Pediatrics, 9(8), 632–638. https://doi.org/10.1542/hpeds.2019-0086
Filteau, J., Coo, H., & Dow, K. (2018). Trends in incidence of neonatal abstinence syndrome in Canada and associated healthcare resource utilization. Drug and Alcohol Dependence, 185, 313–321. https://doi.org/10.1016/j.drugalcdep.2017.12.019
Glasgow, R. E., Harden, S. M., Gaglio, B., Rabin, B., Smith, M. L., Porter, G. C., Ory, M. G., & Estabrooks, P. A. (2019). RE-AIM planning and evaluation framework: Adapting to new science and practice with a 20-year review. Frontiers in Public Health, 7, Article 64. https://doi.org/10.3389/fpubh.2019.00064
Glowacki, K., Weatherson, K., & Faulkner, G. (2019). Barriers and facilitators to health care providers’ promotion of physical activity for individuals with mental illness: A scoping review. Mental Health and Physical Activity, 16, 152–168. https://doi.org/10.1016/j.mhpa.2018.10.006
Godin, K., Stapleton, J., Kirkpatrick, S. I., Hanning, R. M., & Leatherdale, S. T. (2015). Applying systematic review search methods to the grey literature: A case study examining guidelines for school-based breakfast programs in Canada. Systematic Reviews, 4, Article 138. https://doi.org/10.1186/s13643-015-0125-0
Gomez-Pomar, E., & Finnegan, L. P. (2018). The epidemic of neonatal abstinence syndrome, historical references of its origins, assessment, and management. Frontiers in Pediatrics, 6, Article 33. https://doi.org/10.3389/fped.2018.00033
Grossman, M. R., Berkwitt, A. K., Osborn, R. R., Xu, Y., Esserman, D. A., Shapiro, E. D., & Bizzarro, M. J. (2017). An initiative to improve the quality of care of infants with neonatal abstinence syndrome. Pediatrics, 139(6), Article e20163360. https://doi.org/10.1542/peds.2016-3360
Grossman, M. R., Lipshaw, M. J., Osborn, R. R., & Berkwitt, A. K. (2018). A novel approach to assessing infants with neonatal abstinence syndrome. Hospital Pediatrics, 8(1), 1–6. https://doi.org/10.1542/hpeds.2017-0128
Grossman, M. R., Osborn, R. R., & Berkwitt, A. K. (2017). Neonatal abstinence syndrome: Time for a reappraisal. Hospital Pediatrics, 7(2), 115–116. https://doi.org/10.1542/hpeds.2016-0119
Harrison, M. B., & Graham, I. D. (2021). Knowledge translation in nursing and healthcare: A roadmap to evidence-informed practice. Wiley-Blackwell.
Holmes, A. V., Atwood, E. C., Whalen, B., Beliveau, J., Jarvis, J. D., Matulis, J. C., & Ralston, S. L. (2016). Rooming-in to treat neonatal abstinence syndrome: Improved family-centered care at lower cost. Pediatrics, 137(6), Article e20152929. https://doi.org/10.1542/peds.2015-2929
Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687
Jabbour, M., Newton, A. S., Johnson, D., & Curran, J. A. (2018). Defining barriers and enablers for clinical pathway implementation in complex clinical settings. Implementation Science, 13, Article 139. https://doi.org/10.1186/s13012-018-0832-8
Jansson, L. M., & Patrick, S. W. (2019). Neonatal abstinence syndrome. Pediatric Clinics of North America, 66(2), 353–367. https://doi.org/10.1016/j.pcl.2018.12.006
Kingsley, C., & Patel, S. (2017). Patient-reported outcome measures and patient-reported experience measures. BJA Education, 17(4), 137–144. https://doi.org/10.1093/bjaed/mkw060
Lacaze-Masmonteil, T., & O’Flaherty, P. (2018). Managing infants born to mothers who have used opioids during pregnancy. Paediatrics & Child Health, 23(3), 220–226. https://doi.org/10.1093/pch/pxx199
Limbani, F., Goudge, J., Joshi, R., Maar, M. A., Miranda, J. J., Oldenburg, B., Parker, G., Pesantes, M. A., Riddell, M. A., Salam, A., Trieu, K., Thrift, A. G., Van Olmen, J., Vedanthan, R., Webster, R., Yeates, K., Webster, J., & the Global Alliance for Chronic Diseases, Process Evaluation Working Group. (2019). Process evaluation in the field: Global learnings from seven implementation research hypertension projects in low-and middle-income countries. BMC Public Health, 19, Article 953. https://doi.org/10.1186/s12889-019-7261-8
McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). PRESS peer review of electronic search strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40–46. https://doi.org/10.1016/j.jclinepi.2016.01.021
Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6, Article 42. https://doi.org/10.1186/1748-5908-6-42
Nyström, M. E., Strehlenert, H., Hansson, J., & Hasson, H. (2014). Strategies to facilitate implementation and sustainability of large system transformations: A case study of a national program for improving quality of care for elderly people. BMC Health Services Research, 14, Article 401. https://doi.org/10.1186/1472-6963-14-401
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Peters, M. D. J., Godfrey, C. M., McInerney, P., Baldini Soares, C., Khalil, H., & Parker, D. (2015). The Joanna Briggs Institute reviewers’ manual 2015: Methodology for JBI scoping reviews. The Joanna Briggs Institute.
Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., & Munn, Z. (2023). Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/JBIES-22-00123
Proctor, E. K., Powell, B. J., & McMillen, J. C. (2013). Implementation strategies: Recommendations for specifying and reporting. Implementation Science, 8, Article 139. https://doi.org/10.1186/1748-5908-8-139
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76. https://doi.org/10.1007/s10488-010-0319-7
Schiff, D. M., & Grossman, M. R. (2019). Beyond the Finnegan scoring system: Novel assessment and diagnostic techniques for the opioid-exposed infant. Seminars in Fetal & Neonatal Medicine, 24(2), 115–120. https://doi.org/10.1016 /j.siny.2019.01.003
Singh, R., & Davis, J. M. (2021). Escaping the Finnegan – Is it time? Seminars in Fetal & Neonatal Medicine, 26(3), Article 101218. https://doi.org/10.1016/j.siny.2021.101218
Stone, R. (2015). Pregnant women and substance use: Fear, stigma, and barriers to care. Health & Justice, 3, Article 2. https://doi.org/10.1186/s40352-015-0015-5
Surr, C. A., Parveen, S., Smith, S. J., Drury, M., Sass, C., Burden, S., & Oyebode, J. (2020). The barriers and facilitators to implementing dementia education and training in health and social care services: A mixed-methods study. BMC Health Services Research, 20, Article 512. https://doi.org/10.1186/s12913-020-05382-4
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
University of Waterloo. (n.d.). Definition of a health outcome. Retrieved September 11, 2022, from https://uwaterloo.ca/ research/office-research-ethics/research-human-participants/pre-submission-and-training/human-research-guidelines-and-policies-alphabetical-list/definition-health-outcome
Wachman, E. M., Grossman, M., Schiff, D. M., Philipp, B. L., Minear, S., Hutton, E., Saia, K., Nikita, F., Khattab, A., Nolin, A., Alvarez, C., Barry, K., Combs, G., Stickney, D., Driscoll, J., Humphreys, R., Burke, J., Farrell, C., Shrestha, H., & Whalen, B. L. (2018). Quality improvement initiative to improve inpatient outcomes for neonatal abstinence syndrome. Journal of Perinatology, 38(8), 1114–1122. https://doi.org/10.1038/s41372-018-0109-8
Waltz, T. J., Powell, B. J., Matthieu, M. M., Damschroder, L. J., Chinman, M. J., Smith, J. L., Proctor, E. K., & Kirchner, J. E. (2015). Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: Results from the Expert Recommendations for Implementing Change (ERIC) study. Implementation Science, 10, Article 109. https://doi.org/10.1186/s13012-015-0295-0
Winkelman, T. N. A., Villapiano, N., Kozhimannil, K. B., Davis, M. M., & Patrick, S. W. (2018). Incidence and costs of neonatal abstinence syndrome among infants with Medicaid: 2004–2014. Pediatrics, 141(4), Article e20173520. https://doi.org/10.1542/peds.2017-3520
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Sarah Madeline Gallant, Morgan MacNeil, Joyce Al-Rassi, Cynthia Mann, Allyson Falconer, Rebecca McLeod, Megan Aston, Christine Cassidy
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal aims to reduce barriers to publishing and sharing research and inequalities to accessing information.This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. The open-access nature of the journal means that there will be no charge for authors or readers to use the journal. The journal has a Creative Commons Attribution Non-Commercial (CCBYNC) attribution which allows the author (and others) to share and distribute their full-text article in other public domains, such as Google Scholar or Research Gate.