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Book Nursing Care of Newborn Infants with Neonatal Abstinence Syndrome  Increasing Knowledge Through Education

Download or read book Nursing Care of Newborn Infants with Neonatal Abstinence Syndrome Increasing Knowledge Through Education written by Jeanne Franza and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Neonatal Abstinence Syndrome (NAS) is a multisystem disorder that occurs in newborns after birth when the mother has been taking addictive drugs, usually opiates, during pregnancy. These infants experience withdrawal symptoms and require prolonged hospital stays. When and infant with NAS requires treatment with medication, the length of stay is greatly prolonged due to the need to slowly taper the medication before discharge. Patrick et al. (2012) found that the incidence of NAS increased from 1.2 per 1000 live births in 2000 to 3.39 per 1000 live births in 2009, and the mean hospital cost for an infant with NAS increased from $39,400 in 2000 to $53,4000 in 2009. NAS has become a costly epidemic. Nurses who care for these infants require specialized knowledge. The RNs and APRNs in a community hospital expressed uncertainty regarding assigning Finnegan scores, which indicate the level of withdrawal symptoms. Many of these nurses were very experienced but had not had recent education focused on NAS or addiction, or experience in addiction medicine or behavioral health. The nurses required tools to be able to establish a therapeutic relationship with mothers who have addiction issues. A recently updated clinical practice guideline was in place, but education had not been provided to the RNs and APRNs regarding the updated guideline for the care of these infants, achieving accuracy in Finnegan scoring, or the establishment of a therapeutic relationship with the mother. The purpose of this evidence-based practice change was to increase nurses' knowledge in the care of these infants and their mothers. The plan included an educational program consisting of three parts; a PPT presentation on NAS, an interactive DVD session to achieve reliability in Finnegan scoring, and journal club style discussions focused on establishing a therapeutic relationship with mothers who have addiction issues. A pre/post test survey was done to measure increase in knowledge. All participants showed an increase in knowledge, with a change in score of 36.21%, well over the 10% increase benchmark. This change represents 71.92% growth. This outcome is statistically significant. The RNs and APRNs also overwhelmingly agreed in the program evaluations that they had increased confidence in their ability to care for infants and communicate effectively with their mothers, as a result of the educational program. The outcome of this project supports the provision of education focused on NAS for RNs and APRNs who care for these infants and their mothers. " -- Abstract.

Book Neonatal Nursing  A Global Perspective

Download or read book Neonatal Nursing A Global Perspective written by Julia Petty and published by Springer Nature. This book was released on 2022-04-22 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook is written in line with the Council of International Neonatal Nurses, Inc. (COINN) vision for global unity for neonatal nursing. The core values and goals of COINN are based on excellence and advocacy for high quality newborn care, as well as respecting diversity by integrating cultural norms and values among the care of newborns and their families. The book promotes neonatal nursing as a global speciality through evidence, research, and education of neonatal nurses; and offers key examples of the millennium goals and global outcomes, as well as variations in outcomes for babies. The first part focuses on global perspectives of neonatal nursing from different continents aligning with the World Health Organizations’ global regions: (The Americas -USA, Canada and South America-, Western Pacific region -Australia and New Zealand-, European region -UK and Europe-, African region, South-East Asia and Eastern Mediterranean region. For each region, education and competencies, challenges and opportunities, research and evidence-based practice (EBP) as well as practice regulations are described. The second part elaborates on key topics for neonatal nursing across the globe, such as the continuity of neonatal care in the community, patient and family centered care in neonatal settings, sleep and brain development, the fundamental care needs of the neonate and family and global perspectives on hypothermia, hypoglycaemia and hypoxia. Written in a formal academic but reader style, using key literature and evidence, this textbook enables an understanding from a large audience with academic levels and experience, both staff and students, bedside nurses, advanced practice nurses, midwifes and allied professionals. In addition, first person story based reflective narrative are interspersed throughout the book to capture the perspectives of nurses, staff and parents, in the form of vignettes. This textbook is aimed at neonatal nurses across the world as well as current and aspiring students in this field.

Book Interprofessional Healthcare Provider Education on Neonatal Abstinence Syndrome

Download or read book Interprofessional Healthcare Provider Education on Neonatal Abstinence Syndrome written by Mary L. Puchalski and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The rapidly increasing incidence of Neonatal Abstinence Syndrome (NAS) in the U.S. has been identified as a national healthcare crisis. An evidence-based practice change project, "Interprofessional Healthcare Provider Education on NAS" (IHPEN) was designed to implement a protocol to increase consistency in treatment for infants with NAS and provision of healthcare provider education to increase knowledge regarding NAS, as well as sensitivity to the signs and symptoms of withdrawal. The target population included all healthcare providers in the Neonatal Intensive Care Unit and Mother/Baby Unit of a large, urban, not-for-profit perinatal center. The project was developed in response to a need for an organized, structured, systematic, and collaborative approach to assessment and treatment. This need was based on the following observations: (a) increasing numbers of patients admitted to the NICU who were diagnosed with NAS, (b) long lengths of stay for infants with NAS, (c) an inconsistent approach to the pharmacologic treatment and weaning of medications because of a lack of a protocol for infants with NAS, (d) frustration expressed by all neonatal healthcare providers as how to "best" handle infants with NAS, and (e) a need for staff education on the topic of NAS. 141 healthcare providers participated in the educational intervention. 32% of the participants reached the benchmarked level of improvement of 10% from pretest to posttest, and 53% percent of the participants improved their pretest to posttest score. A paired-sample t-test was conducted to compare the differences in pretest and posttest score and found to be significant pretest (p = 0.000164). Thus, the outcomes of this evidence-based educational intervention supported the importance of providing comprehensive, interprofessional training on the assessment and treatment of infants with NAS in order to enhance healthcare provider knowledge." -- Abstract.

Book Developing Training to Address Neonatal Nurse Knowledge  Practice  and Perceived Attitude for Neonatal Abstinence Syndrome

Download or read book Developing Training to Address Neonatal Nurse Knowledge Practice and Perceived Attitude for Neonatal Abstinence Syndrome written by and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.

Book Implementation of an Inter observer Reliability Program Using Finnegan Neonatal Abstinence Scoring Tool to Improve Nurses  Consistency in Withdrawal Assessments

Download or read book Implementation of an Inter observer Reliability Program Using Finnegan Neonatal Abstinence Scoring Tool to Improve Nurses Consistency in Withdrawal Assessments written by Elnora Cokley and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There has been an increasing incidence of infants being born with neonatal abstinence syndrome (NAS) secondary to exposure of maternal drug use, particularly opioids. Most of these neonates require pharmacological treatment to manage their withdrawal symptoms therefore increasing their length of hospitalization anywhere from one week to several months. Nurses routinely perform assessments on the severity of the infant's withdrawal using clinical assessment tools to provide scores that help direct the management of these neonates. This highlights the importance of the consistency between the nurses in utilizing these assessment tools to help guide non-pharmacological interventions and pharmacological treatment in infants with NAS and decreasing the length of hospital stay. The objective of this paper is to improve the management of infants with NAS by implementing standardized evidence-based practice guidelines and education around NAS, the Finnegan Neonatal Abstinence Scoring Tool, and the inter-observer reliability program to increase accuracy in withdrawal assessments. The inter-observer reliability program will provide the education and skill set required to provide accurate and consistent assessment scores using the FNAST and for managing these neonates. A literature search and critical review was performed using eighteen articles that supported the establishment of practice guidelines, inter-observer reliability, and education to improve the management and care of infants with NAS. This approach will provide nurses the skill and knowledge needed to consistently and accurately assess neonates for signs and symptoms of withdrawal to guide the management of these infants and therefore possibly lead to a reduction in length of hospital stay.

Book Neonatal Abstinence Syndrome

Download or read book Neonatal Abstinence Syndrome written by Cynthia Woods and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Abstinence Syndrome (NAS) is a condition affecting neonates who have been exposed to illicit or prescription drugs while in the womb. NAS, also known as newborn withdrawal syndrome, is a serious concern as the incidence of drug abuse in pregnancy is increasing, with a corresponding rise in infant withdrawal cases. The symptoms of NAS range from excessive crying and irritability to seizures and death; the average hospital stay is from one week to several months, depending upon the gravity of the symptoms. There is a lack of evidence-based practices and standardized protocols to guide the management of care for these babies. Nonpharmacological nursing interventions, in addition to pharmacological treatments, are vital in the care of these infants. Non-pharmacological nursing interventions have been shown to decrease the severity of neonatal abstinence syndrome and reduce the amount of days in the hospital. Non-pharmacological treatments include: providing a quiet, dimly lit environment; swaddling; the use of pacifiers; holding the infant vertically when rocking; rubbing the baby instead of patting; kangaroo mother care; breastfeeding; and encouraging the rooming in of mother and child whenever feasibly possible. Establishing standardized nursing intervention protocols and providing appropriate training for the nursing staff are effective ways to treat NAS infants resulting in the positive outcome of decreased days in the hospital.

Book Clinical Simulations for the Advanced Practice Nurse

Download or read book Clinical Simulations for the Advanced Practice Nurse written by Celeste M. Alfes, DNP, MSN, RN, CNE, CHSE-A, FAAN and published by Springer Publishing Company. This book was released on 2020-03-19 with total page 637 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides high-quality, comprehensive simulation scenarios for APRNs This invaluable resource is the first simulation guide designed specifically to support the training and evaluation of advanced practice nursing students, novice nurse practitioners, and advanced practice nurses transitioning to new fields. This book provides a method and foundation to transform graduate nursing education to competency-based clinical evaluation, empowering programs with standardized templates and interprofessional education options for each scenario to advance graduate simulation education and research. This comprehensive guide delivers more than 50 comprehensive simulation scenarios, written by experienced APRNs, faculty, and simulation specialists. Scenarios are arranged by APRN specialty with applications for students, faculty, standardized patients, staff development, and simulation staff who prepare the advanced practice nurse and their interprofessional team for clinical practice. Not only is this text easy for faculty to use and implement, it also includes several levels of application and offers strategies for adapting scenarios to an interprofessional setting. Each simulation is structured into a consistent template for ease of use, which includes a description, objectives, equipment needed, pre-briefing, debriefing, and interprofessional considerations. Additionally, each scenario includes a one-page download designed for the Simulation Team focusing on “what happens” in a particular scenario. These comprehensive simulations encompass a wide variety of physical health and mental health scenarios across the lifespan as well as telehealth, critical care transport, and retail scenarios. Three detailed sections dedicated to APRN students, faculty, and simulation staff provide timely topics and sound advice from recent graduates, faculty experts, and leaders in the simulation field. The section for students provides anticipatory guidance for novice practitioners on how best to prepare for formative and summative evaluations, standardized patient patientinteractions, high-stakes simulation testing, and interprofessional experiences. The section for faculty provides practical information on how to design engaging simulation experiences for the APRN, and suggestions on mapping the various modes of simulation experiences to various levels and competencies. A detailed section directed to the simulations team covers operations and management of the environment, personnel, equipment, and resources. Key Features: Provides 10 Objective Structured Clinical Examination (OSCE) standard scenarios for general advanced practice assessment Contains more than 50 comprehensive simulation scenarios, arranged by APRN specialty for formative, summative, and high-stakes testing and competency evaluations Consistent with INACSL and SSH Simulation Standards of Best Practice and NLN Simulation Theory by Pamela Jeffries Maps simulation experiences to APRN learner levels and AACN competencies Includes separate sections tailored towards APRN students, APRN faculty and staff development, and the simulation operational team Delineates and provides hyperlinks for suggested learner preparation and the most up-to-date references to support each scenario

Book Nursery and NICU Nurses Early Recognition of Neonatal Abstinence Syndrome

Download or read book Nursery and NICU Nurses Early Recognition of Neonatal Abstinence Syndrome written by Dora E. Martin and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Neonatal abstinence syndrome (NAS) is defined as the result of when a pregnant, substance-abusing woman gives birth to her infant. Once delivered, the infant is abruptly removed from the source of the addictive substance(s). NAS is an increasing health problem among infants born to drug-addicted mothers, and in one year alone, the United States had roughly 225,000 infants who were exposed to illicit substances. The nursery nurses who care for the NAS infants require very specific and unique set of skills. Therefore, it is imperative for nursery nurses to become skilled in the use the Finnegan Neonatal Abstinence Scoring Tool (FNAST) to identify and direct treatment of NAS. The target population included the nursery nurses at a Level-I hospital located in Southeast Texas, who had no formal assessment tools or guidelines to diagnose or treat infants with NAS. The intervention involved a pre/post-test, distribution of NAS/FNAST educational materials, and the implementation of standardized clinical guidelines, in which to start the treatment process on the infants. Post implementation, the nurses rated FNAST as useful, and it improved communication between nurses and doctors by using consistent identifying criteria from which to evaluate the infant with NAS. The purpose of this project was to evaluate the effectiveness of implementing clinical practice guidelines to help increase the identification of infants with NAS, by providing the nursery nurses with the FNAST, as a proven instrument. The outcome of this data exceeded the goal of 80%, with an actual increase of 92% in the levels of NAS recognition by neonatal nurses, and showed a gain of 100% compliance in using the new protocol. Key Words: Nursery nurses; Neonatal Abstinence Syndrome (NAS); Substance abusing pregnant women Finnegan Neonatal Abstinence Scoring Tool (FNAST);" -- Abstract.

Book Implications of Early Education of Mothers with Infants Born with Neonatal Abstinence Syndrome  NAS

Download or read book Implications of Early Education of Mothers with Infants Born with Neonatal Abstinence Syndrome NAS written by Noreen Kearney Beckett and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of infants being admitted to neonatal intensive care units (NICU) for treatment for Neonatal Abstinence Syndrome (NAS) has increased over the last 10 years(Alcoholism and Drug Abuse Weekly, 2012). There is evidence to support maternal involvement in the infants care, improves outcomes during the NICU admissions. Current models used in NICU's miss opportunities to improve the care of NAS infants. The purpose of this intervention is to improve the care of NAS infants (Jones, 2012) in NICU's, by educating at risk mothers early in pregnancy and supporting their involvement during the NICU admission (Armstrong, 2012). Development and dissemination of educational material would initiate the process. Evaluation of this intervention would look at length of stay to make predictions, whether early education of mothers decreased length of stay (Pritham, 2012). Next NICU's would have to consider the ability to change current practice models and environments and look for ways to increase mothers' involvement during the infants' admission (Mundy, 2010) (Young, 2013). The circumstances creating the NAS admission are often complicated, with many variables to consider in determining the success of the intervention. Having a child is a life changing moment, and may provide an opportunity to improve not only the life of the infants but also the life of the infant's opiate dependent mother. Changing current model could provide and environment that will increase attachment between mother and infant, decreasing days of treatment, and improving longer-term outcome for child (Marie-Mitchell, 2013).

Book Opioid Use Disorders in Pregnancy

Download or read book Opioid Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.

Book Merenstein   Gardner s Handbook of Neonatal Intensive Care   E Book

Download or read book Merenstein Gardner s Handbook of Neonatal Intensive Care E Book written by Sandra Lee Gardner and published by Elsevier Health Sciences. This book was released on 2015-04-10 with total page 1008 pages. Available in PDF, EPUB and Kindle. Book excerpt: Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations — all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient’s caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.

Book Merenstein   Gardner s Handbook of Neonatal Intensive Care

Download or read book Merenstein Gardner s Handbook of Neonatal Intensive Care written by Sandra Lee Gardner and published by Elsevier Health Sciences. This book was released on 2015-04-30 with total page 1136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Merenstein & Gardner's Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations - all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient's caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.

Book Comprehensive Neonatal Nursing Care

Download or read book Comprehensive Neonatal Nursing Care written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and published by Springer Publishing Company. This book was released on 2019-08-28 with total page 1038 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for the Fifth Edition: “This book provides a complete look at neonatal healthcare delivery...[It] includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and evidence-based practice dialogues provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars--Doody's Medical Reviews The sixth edition of this acclaimed neonatal nursing text is completely updated to encompass the most current research findings and strategies for providing cost-effective and evidence-based care. It continues to address neonatal care from a physiologic and pathophysiologic perspective, with a major emphasis on nursing management at the bedside and advanced practice level. It examines each neonatal body system and describes evidence-based interventions that assist in understanding the ‘why’ behind various clinical presentations. Integrative management is threaded throughout the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Case studies, evidence-based practice boxes, QSEN competencies, and online resources help to amplify and reinforce content. New to the Sixth Edition: New technologies including neonatal health care simulation Trauma-Informed Care Substantial revisions to the Neonatal Resuscitation Program Updates in Continuous Quality Improvement Emphasis on neuroprotective factors Emerging global trends Genomics and its relationship to precision health prevention of diseases Maternal-Fetal Units Neonatal Abstinence Syndrome and maternal drug use Leadership and cost management of the NICU Updates on neonatal care protocols and procedures, new treatments, and new trends in family-centered integrative developmental care New palliative care protocols Video clips regarding parental caregiving Parent perspectives on care Podcasts from experts in the field Highlighted callouts for Emergency Alert, Quality and Safety Issues, and Family Concerns Key Features: Complete physiologic and embryologic foundation of each neonatal body system The relevance of various diagnostic tests Integrates quality and safety as per QSEN competencies Case studies, evidence-based practice boxes, parent handouts, and online resources Authored by internationally reputed “mother” of neonatal nursing Parent Voices provide new perspective on neonatal care

Book Medications for Opioid Use Disorder Save Lives

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Book Neonatal Care for Nurses and Midwives

Download or read book Neonatal Care for Nurses and Midwives written by Victoria Kain and published by Elsevier Health Sciences. This book was released on 2022-11-08 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increased focus on international data, evidence-based research and exemplars for the principles of best practice New chapters Care of the normal newborn Care of the neonate with congenital abnormality Extensively revised content on neonatal nutrition and fluid management

Book Core Curriculum of Addictions Nursing

Download or read book Core Curriculum of Addictions Nursing written by Albert Rundio and published by Lippincott Williams & Wilkins. This book was released on 2015-08-10 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: An official publication of the International Nurses Society on Addictions (IntNSA), the Core Curriculum of Addictions Nursing provides a foundation for expertise in addications nursing, and helps nurses achieve success on the basic and advanced additions nursing certification examination. It serves as a valuable reference for nurses in all settings and practice areas, aiding with the development or expansion of knowledge of skills in caring for clients potentially or actually affected by addictive processes. The Core Curriculum advances evidence based addictions nursing practice, while supporting the mission of the IntNSA.