Date of Conferral

2018

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Eric Anderson

Abstract

Parents in the neonatal intensive care unit (NICU) whose term or preterm infants are receiving nasal continuous positive airway pressure (NCPAP) experience stress. They often worry about being able to hold their child and possible complications of NCPAP, such as nasal deformities and compromised organ function. Lacking standard educational programming to provide parents information that they need to understand the care their infant is receiving, parents experience unnecessary stress that affects their capacity to care for their infants. A review of the literature suggested family-centered educational programs are able to decrease stress and increase parental confidence. The purpose of this project was to develop a family-centered education program focused on the education of parents of infants on NCPAP in the NICU, including materials needed to implement and evaluate the program. Stetler's evidence-based practice model was used to guide this project. Kolcaba's midrange comfort theory served as a theoretical framework with which to conceptualize care. Evidence was collected in a systematic review of published peer-reviewed journal articles. The Johns Hopkins Nursing evidence-based appraisal tool was used to evaluate relevant articles. Extracted data were reviewed by the advisory project team in order to be utilized for project development. The curriculum, supporting handouts for participants, and implementation and evaluation plans were developed and were provided to the institution as a complete solution to the practice problem. The project may promote positive social change for caregivers, patients, and patients' families by enhancing outcomes such as improved infant behavior, increased parental emotional well-being, and increased caregiver satisfaction.

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