Implementation and Evaluation of the Eat, Sleep, Console Model of Care for Babies Diagnosed with Neonatal Abstinence Syndrome: A Scoping Review Protocol

Autores

  • Sarah Madeline Gallant Dalhousie University https://orcid.org/0000-0002-0932-2124
  • Morgan MacNeil Dalhousie University and IWK Health
  • Joyce Al-Rassi Dalhousie University
  • Cynthia Mann IWK Health
  • Allyson Falconer IWK Health
  • Rebecca McLeod IWK Health
  • Megan Aston Dalhousie University
  • Christine Cassidy Dalhousie University and IWK Health

DOI:

https://doi.org/10.15273/hpj.v3i4.11513

Palavras-chave:

Nursing-Models, Neonatal-Nursing, Knowledge, Systematic Review, Evaluation, Implementation, Health Research

Resumo

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 In most facilities, an outdated model of care is used to guide the care and assessment of babies diagnosed with NAS. Challenges with this outdated model have prompted the transition to a novel approach to care, the Eat, Sleep, Console model.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 Published and unpublished literature will be included in the review.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.

Biografias Autor

Sarah Madeline Gallant, Dalhousie University

PhD in Nursing Student

Morgan MacNeil, Dalhousie University and IWK Health

PhD in Nursing Student

Joyce Al-Rassi, Dalhousie University

Undergraduate Nursing Student

Cynthia Mann, IWK Health

Manager of Family Newborn Care Unit and Birth Unit at IWK Health

Allyson Falconer, IWK Health

Clinical Nurse Specialist on Family Newborn Care Unit

Rebecca McLeod, IWK Health

Operations Manager of Family Newborn Care Unit

Megan Aston, Dalhousie University

Professor, Associate Director Research and International Affairs, Director Centre for Transformative Nursing and Health Research CTNHR, School of Nursing Faculty of Health

Christine Cassidy, Dalhousie University and IWK Health

Assistant Professor, School of Nursing, Faculty of Health | Dalhousie University, Clinician Scientist | IWK Health

Referências

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

Publicado

2023-11-29

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