부산대학교 도서관

Further study Although outcomes following implementation of the ESC care approach, inclusive of the ESC Care Tool, appear promising and initial accounts suggest that it is safe, we need to rigorously study this care approach to show safety, efficacy, and generalizability of its use in the care of infants with NOWS. If the infant has a second consecutive "Yes" for any ESC item (or "3" for "Consoling Support Needed") on the ESC Care Tool (or other significant concerns are present), despite maximal non-pharmacologic care, the care team will conduct a "Full-Care Team Huddle" to determine if: 1) the "Yes" is due to NOWS and 2) the infant needs pharmacologic treatment. The protocol study team will use these tools to evaluate how consistent each nurse is in her/his evaluation of infant symptoms, recommendations for the care team huddle, as described by the ESC Care Tool, and implementation of the ESC Care Tool (inclusive of non-pharmacologic care interventions). Educational modules will include an introduction and overview of the ESC care approach, education on trauma informed care and bias, and a general review on caring for infants with NOWS and the importance of non-pharmacologic care. ESC care approach Intervention After delivery or transfer to the site, the care team will initiate non-pharmacologic care for NOWS, as detailed in the ESC training materials, and non-pharmacologic care will remain in place for the full duration of the infant's management for NOWS. [Extracted from the article]