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 - 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 -