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Targeted Neonatal Echocardiography Performed by Nurse Practitioners in the NICU: Attitudes and Perceptions of the Healthcare Team.
- Source :
- Advances in Neonatal Care (Lippincott Williams & Wilkins); Jun2024, Vol. 24 Issue 3, p277-284, 8p
- Publication Year :
- 2024
-
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]
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 15360903
- Volume :
- 24
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Advances in Neonatal Care (Lippincott Williams & Wilkins)
- Publication Type :
- Academic Journal
- Accession number :
- 177985244
- Full Text :
- https://doi.org/10.1097/ANC.0000000000001129