The effect of thermoregulation quality improvement initiatives on the admission temperature of premature/very low birth-weight infants in neonatal intensive care units: A systematic review.
Body Temperature
/ physiology
Body Temperature Regulation
Critical Care Nursing
/ standards
Female
Humans
Hypothermia
/ nursing
Infant
Infant, Newborn
Infant, Premature
/ physiology
Infant, Very Low Birth Weight
/ physiology
Intensive Care Units, Neonatal
/ standards
Male
Neonatal Nursing
/ standards
Patient Admission
/ standards
Practice Guidelines as Topic
Quality Improvement
/ standards
premature infant
quality improvement
quality initiative
temperature
thermoregulation
very low birth-weight infant
Journal
Journal for specialists in pediatric nursing : JSPN
ISSN: 1744-6155
Titre abrégé: J Spec Pediatr Nurs
Pays: United States
ID NLM: 101142025
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
03
10
2019
revised:
12
12
2019
accepted:
16
12
2019
pubmed:
8
1
2020
medline:
30
6
2021
entrez:
8
1
2020
Statut:
ppublish
Résumé
The purpose of this review was to ascertain the impact of thermoregulation quality improvement initiatives (QIs) on the admission temperatures of premature/very-low-birth-weight infants in neonatal intensive care units (NICUs). A systematic search of databases Cumulative Index to Nursing and Allied Health Literature, Medline, Embase, and the Cochrane library was carried out. Specific inclusion and exclusion criteria were adhered to, with no publication date limitations added. The chosen studies were examined for quality, data were extracted and analysed, before a narrative synthesis was performed. The last search occurred on January 7, 2019, with PRISMA flow diagrams completed for identified studies. Ten studies of varying methodology design were included in this review. Variations of thermoregulation interventions were included in the 10 studies. Nevertheless, all of them demonstrated that admission temperature rates can be significantly improved by implementing a thermoregulation QI. The multidisciplinary team and ongoing education were seen as much needed components to the overall sustainability, and continuing success of the QI's. This systematic review determines that thermoregulation QIs can positively impact the admission temperatures of premature/very-low-birth-weight infants in the NICU. Prevention of hypothermia is aimed at reducing the risks of developing major neonatal morbidities. The pooling of the results from the 10 studies helps in the sharing of outcome measures and thus, improving quantitative synthesis. More frequent monitoring of the axillary temperature would help in preventing hypothermia and hyperthermia occurring. Ongoing education and staff training are essential for managing thermoregulation successfully. Examining the compliance rates to such quality initiatives, and the variations in interventions would benefit from further research to ensure better standardisation of clinical practice.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12286Informations de copyright
© 2020 Wiley Periodicals, Inc.
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