Linda D Ruiz, Susan D McMahon, Leonard A Jason
The Role of Neighborhood Context and School Climate in School-Level Academic Achievement
American journal of community psychology
improve rates exclusive breastfeeding postpartum hospital stay implementing new role dedicated neonatal assessment nurse nan whose primary function neonatal care beginning immediately birth quality improvement project plandostudyact using evidencebased guidelines implementing nan role labor delivery department tertiary care teaching hospital southeastern united states breastfeeding exclusivity rates hospital range 50 registered nurses employed labordeliveryrecovery unit motherbaby unit nicu nan role implemented promote immediate skintoskin care ssc stable newborns vaginal cesarean birth nans competency evaluated beginning end education session pretestposttest skills validation used affirm readiness new role outcome measure breastfeeding exclusivity time discharge hospital ssc initiation duration immediately birth process measures twentyfive bedside registered nurses participated quality improvement project statistically significant difference pretest posttest scores p 001 indicating knowledge increase nurses met skills validation criteria rate ssc immediately vaginal birth increased 49 82 cesarean birth 33 63 breastfeeding exclusivity rate time discharge hospital increased 50 86 nan role provided transitional care bedside without separation mothers newborns innovative role without need hire new staff provided evidencebased care resulting improved ssc exclusivity breastfeeding discharge