Date of Conferral

2022

Degree

Ph.D.

School

Public Health

Advisor

Clarence Schumaker

Abstract

The opioid epidemic in the United States has increased opioid use in women of reproductive age, leading to in utero exposure causing withdrawal symptoms in newborns known as neonatal opioid withdrawal syndrome (NOWS). State perinatal quality collaboratives (SPQCs) have been used in hospitals with quality initiatives (QIs) to improve standardization for NOWS; however, there remains a gap in knowledge in interventions to support the mother-infant dyad such as infant massage. This general qualitative research study explored the process and experiences of implementing infant massage as a standard practice for NOWS to inform national, state, and local policy. Participants in the study included two registered nurses (RNs) and nine occupational therapists (OTs) who care for infants with NOWS in birthing hospitals and use infant massage as a nonpharmacological intervention. Data collection was virtual interviews following a semi-structured interview protocol. Data analysis followed the framework approach using transcripts and the ATLAS. ti computer-assisted qualitative data analysis software to identify reoccurring themes. Six themes emerged, including a family-centered individualized nonpharmacological approach and a core certified team to drive culture change are necessary to standardize infant massage as a nonpharmacological intervention for NOWS. Standardizing care for NOWS that supports the mother-infant dyad beginning at birth may create positive social change by decreasing admittance to NICUs, LOS, separation, healthcare provider stigma, and variability in care while increasing parental empowerment, and supporting bonding, reducing utilization of social services and healthcare systems while improving overall outcomes for a vulnerable population.

Download

Share

 
COinS