Date of Conferral

2017

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Oscar D. Lee

Abstract

The facility under study has had a traditional postpartum and nursery, with different nurses for the mother and baby. A decision was made to change the care model to couplet-care (CC). CC is an evidence-based care model that promotes newborn care at the mother's bedside. Establishing an education and implementation plan is important to the success of the transition. The purpose of this project was to develop an evidence-based education and implementation plan for CC implementation and to provide for staff barriers and pushback to change. The goals of the study were to identify an approach to implement evidence-based practice education that is efficient and sustainable. There is a paucity of literature available that describes how to plan and implement CC. However, Mercer's maternal role attainment provides ample evidence to support the nursing care model of CC. A survey was developed to determine the gaps in current knowledge of couplet-care. The survey was returned by 54% of the 67 staff nurses from the mother-baby unit. and revealed the need for definitions of CC, Family Centered Care, and the need to integrate role-playing into the education plan. Transformation theory is used to identify attitudes and biases to practice change that interfere with implementation. Reflective discussion was built into the education plan to assist with overcoming barriers to practice change. Using an evidence-based program plan for a nursing care model change may ease the transition of other mother-baby units to CC. CC provides an environment that supports healthy newborn attachment and subsequent healthy lifestyle.

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