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Phone: (843) 722-7550
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9 a.m. - 6 p.m.
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Wando Mount Pleasant Library
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9 a.m. - 6 p.m.
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Targeted Neonatal Echocardiography Performed by Nurse Practitioners in the NICU: Attitudes and Perceptions of the Healthcare Team.
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- Author(s): Larocque, Jill; Pepper, Dawn; Vetland, Carla; Mallinson, Sara; Hyderi, Abbas; Hornberger, Lisa K.; Kumaran, Kumar
- Source:
Advances in Neonatal Care (Lippincott Williams & Wilkins); Jun2024, Vol. 24 Issue 3, p277-284, 8p- Subject Terms:
HEALTH services accessibility; NURSES; CORPORATE culture; OCCUPATIONAL roles; QUALITATIVE research; FOCUS groups; NEONATAL intensive care units; INTERVIEWING; NEONATAL intensive care; PHYSICIANS' attitudes; HEMODYNAMICS; JUDGMENT sampling; DECISION making; PATIENT-centered care; RESEARCH methodology; ABILITY; MEMORY; INTERPERSONAL relations; POINT-of-care testing; ECHOCARDIOGRAPHY; TRAINING; CHILDREN - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Targeted neonatal echocardiography (TNE) and hemodynamic consultation have typically been performed by physicians. The Stollery Children's Hospital neonatal intensive care unit (NICU) expanded their TNE training program to include neonatal nurse practitioners (NNPs), the first in North America. Purpose: This study examines the thoughts and perceptions of clinicians about the incorporation of NNPs providing TNE and hemodynamic consultation and investigates key facilitators and challenges for consideration when planning future training, expansion of service in Edmonton, or beyond. Methods: In this descriptive study using qualitative methodology, purposive sampling was used to invite NICU clinicians to participate. Using a semistructured topic guide, a focus group and 2 individual interviews were conducted. Results: Participants were supportive of NNPs. Advantages included increased access to service, acquisition and retention of skills, provision of patient-centered care, and leveraged interpersonal relationships in the decision-making process. Key aspects of program expansion included climate and culture of the NICU, presence of adequate patient volume, and resources to support training. Implications for Practice and Research: Support across disciplines and the collaborative working nature of the NICU are key factors in the success of the program's development and implementation. Benefits of having NNPs on the TNE team were clearly expressed. Benefits to the health system included rapid access to hemodynamic information allowing for care based on specific pathophysiology and additional local capacity to perform TNE and reducing demand on other trained providers. Additional research could consider parental views of NNPs performing TNE and hemodynamic consultation as well as the accuracy of diagnosis between the NNPs and physician group. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Advances in Neonatal Care (Lippincott Williams & Wilkins) is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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