@article{00b8a5b0969e4303836acf3ae24b7af7,
title = "Feasibility and Acceptability of a Neonatal Project ECHO (NeoECHO) as a Dissemination and Implementation Strategy to Prevent Necrotizing Enterocolitis",
abstract = "Background: Caregivers in the neonatal intensive care unit (NICU) often determine care practices in silos, although access to learning communities can improve quality. Project ECHO, a telehealth–delivered mentoring intervention, provides specialists{\textquoteright} expertise but not in the NICU until now. Necrotizing enterocolitis (NEC) prevention and timely recognition is one area where specialist support and engaging with a learning community could improve outcomes. NEC-Zero is one care bundle that aims to improve care quality by providing tools to implement NEC prevention in family-engaged ways. Aims: To examine the feasibility and acceptability of NeoECHO to disseminate NEC-Zero education and describe the intentions of internal facilitators (IFs) and clinicians to initiate quality improvement changes. Methods: This was a convergent mixed-methods study. Our team delivered the first neonatal adaptation of Project ECHO called “NeoECHO” to leverage facilitation as an implementation strategy to disseminate NEC-Zero evidence and support practice change. Results: Six IFs and seven NICUs participated. All units and IFs that began the series finished it. Of the 261 session attendees, 206 (79%) study evaluations were completed. Of those who completed evaluations, 89 (100%) completed at least one session and 29 (33%) completed three or more. Satisfaction was high. Participants appreciated the engaged and accessible format to learn from experts using real case examples and didactic sessions. Individuals and IFs reported intentions to adopt evidence based on NeoECHO. Linking Evidence to Action: NeoECHO was an acceptable and feasible way to engage under-resourced NICUs and share NEC-Zero evidence and tools. More research is needed to examine the impact of NeoECHO on care processes and patient outcomes.",
keywords = "education, enterocolitis, feasibility studies, implementation science, infant, necrotizing, newborn, professional, program evaluation, social facilitation",
author = "Gephart, {Sheila M.} and Katherine Newnam and Alyssa Weiss and Christina Wyles and Kimberly Shea",
note = "Funding Information: NeoECHO was supported by the Lawrence B. Emmons Foundation research grant at the University of Arizona College of Nursing. Dr. Gephart also received research training support from the Agency for Healthcare Research and Quality (K08HS022908). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ. We wish to thank all who participated in the NeoECHO intervention and the outstanding internal facilitators who led the charge in their units. We also acknowledge the expertise and professionalism of the Arizona Telemedicine Program team, especially Pete Yonsetto, whose technology support was instrumental to the success of the initiative. We thank Dr. Weinstein and Kris Erps for building and supporting the telehealth infrastructure to deliver NeoECHO at the University of Arizona. Funding Information: NeoECHO was supported by the Lawrence B. Emmons Foundation research grant at the University of Arizona College of Nursing. Dr. Gephart also received research training support from the Agency for Healthcare Research and Quality (K08HS022908). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ. We wish to thank all who participated in the NeoECHO intervention and the outstanding internal facilitators who led the charge in their units. We also acknowledge the expertise and professionalism of the Arizona Telemedicine Program team, especially Pete Yonsetto, whose technology support was instrumental to the success of the initiative. We thank Dr. Weinstein and Kris Erps for building and supporting the telehealth infrastructure to deliver NeoECHO at the University of Arizona. Publisher Copyright: {\textcopyright} 2021 Sigma Theta Tau International.",
year = "2021",
month = dec,
doi = "10.1111/wvn.12529",
language = "English (US)",
volume = "18",
pages = "361--370",
journal = "Worldviews on Evidence-Based Nursing",
issn = "1545-102X",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "6",
}