TY - JOUR
T1 - Development of the NEC-Zero Toolkit
T2 - Supporting Reliable Implementation of Necrotizing Enterocolitis Prevention and Recognition
AU - Gephart, Sheila M.
AU - Newnam, Katherine
AU - Wyles, Christina
AU - Bethel, Claire
AU - Porter, Caroline
AU - Quinn, Megan Christine
AU - Canvasser, Jennifer
AU - Umberger, Erin
AU - Titler, Marita
N1 - Funding Information:
Dr. Gephart received support from the Robert Wood Johnson Foundation Nurse Faculty Scholars Program (72114), the Agency for Healthcare Research and Quality (AHRQ; K08HS022908), and the Pacific Southwest Region of the National Network of Libraries of Medicine (NNLM; NIH; UG4LM012341). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Robert Wood Johnson Foundation. We wish to thank all who participated in the NEC Symposium at Davis, California, in April 2017, including Dr. Rebecca Vartanian for their contributions and critique of the Avoiding NEC checklist. We also are thankful to the NEC-Zero working group for their formative work critiquing the evidence and implementation strategies for NEC prevention in 2015. They include Corrine Hanson, PhD, RD, LMNT; Christine M. Wetzel, MSN, RN, IBCLC; Michelle Fleiner, DNP, RNC-NIC, CCNS; Erin Umberger, M.Arch; Laura Martin, MMEd; Suma Rao, MD; Amit Agrawal, MD; Terri Marin, PhD, NNP-BC; Khaver Kirmani, MD; Jenny Quinn, MSN, RN, NNP-BC, MHA; Katherine Dudding, BSN, RNC-NIC; Tanya Clay, BS; Jason Sauberan, PharmD; Yael Eskenazi, BS, RN; Caroline Porter, BS, RN; Amy Msowoya, DNP, FNP-BC; Christina Wyles, MS, MLIS, RN; Melissa Ruiz, BS, RN;17 Shayla Vo; Kris Reber, MD; and Jennifer Duchon, MDCM, MPH. Thank you to Anthony Tolentino for formatting the checklist and David Celaya for his tireless work on the website.
Funding Information:
Dr. Gephart received support from the Robert Wood Johnson Foundation Nurse Faculty Scholars Program (72114), the Agency for Healthcare Research and Quality (AHRQ; K08HS022908), and the Pacific Southwest Region of the National Network of Libraries of Medicine (NNLM; NIH; UG4LM012341). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Robert Wood Johnson Foundation.
Publisher Copyright:
© Copyright 2020 Springer Publishing Company, LLC.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - The goal of the NEC-Zero project is to reduce the burden of necrotizing enterocolitis (NEC) by increasing access to evidence-based tools to help clinicians and parents integrate evidence into daily care. It involves (a) human milk feeding with prioritized mother's own milk; (b) use of a unit-adopted standardized feeding protocol; (c) a unit-adopted strategy for timely recognition that integrates risk awareness and a structured communication tool when symptoms develop; and (d) stewardship of empiric antibiotics and avoidance of antacids. A toolkit for caregivers and parents was developed to make implementation consistent. For clinicians the toolkit includes: the GutCheckNEC risk score, a structured communication tool, the “Avoiding NEC” checklist, and the NEC-Zero website. For parents, NEC-Zero tools include the website, three educational brochures in English and Spanish, and a collaborative care video produced with the NEC Society. This article describes the toolkit and how it has been accessed and used.
AB - The goal of the NEC-Zero project is to reduce the burden of necrotizing enterocolitis (NEC) by increasing access to evidence-based tools to help clinicians and parents integrate evidence into daily care. It involves (a) human milk feeding with prioritized mother's own milk; (b) use of a unit-adopted standardized feeding protocol; (c) a unit-adopted strategy for timely recognition that integrates risk awareness and a structured communication tool when symptoms develop; and (d) stewardship of empiric antibiotics and avoidance of antacids. A toolkit for caregivers and parents was developed to make implementation consistent. For clinicians the toolkit includes: the GutCheckNEC risk score, a structured communication tool, the “Avoiding NEC” checklist, and the NEC-Zero website. For parents, NEC-Zero tools include the website, three educational brochures in English and Spanish, and a collaborative care video produced with the NEC Society. This article describes the toolkit and how it has been accessed and used.
KW - family engagement
KW - necrotizing enterocolitis
KW - neonatal intensive care
KW - quality improvement toolkit
UR - http://www.scopus.com/inward/record.url?scp=85077690902&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077690902&partnerID=8YFLogxK
U2 - 10.1891/0730-0832.39.1.6
DO - 10.1891/0730-0832.39.1.6
M3 - Article
C2 - 31919288
AN - SCOPUS:85077690902
SN - 0730-0832
VL - 39
SP - 6
EP - 15
JO - Neonatal network : NN
JF - Neonatal network : NN
IS - 1
ER -