Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens.
Elizangela Sant'Anna da Silva, Cândida Caniçali Primo, Sarah Gimbel and 3 others
PMID 37493725WHAT IT FOUND
Implementing a Golden Hour protocol for premature newborns increased care record completeness and reduced hypothermia rates.
Team training was the main facilitator, while lack of knowledge and poor adherence from other sectors were key barriers to sustained use.
Key findings
01Post-implementation data showed a reduction in hypothermia on admission and increased glucose monitoring compared to the initial diagnosis.
02Training was identified as the primary facilitator for protocol implementation, while team adherence and lack of knowledge were the most cited barriers.
03The study was limited by the inability to directly compare pre- and post-intervention data due to differing patient profiles and record completeness.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Pre- and post-implementation patient groups differed in profile, preventing direct statistical comparison of outcomes. The study did not measure full compliance with every protocol action, only general improvements. The protocol was not validated with patient or family preferences. The COVID-19 pandemic disrupted training coverage and team adherence.
Declared interests
Supported by Fundação de Apoio à Pesquisa e Inovação do Espírito Santo (FAPES).
The easy way to misread this
Do not interpret the reported reductions in hypothermia and improved glucose monitoring as definitive proof of efficacy. The study notes that the pre- and post-intervention groups had different patient profiles and record completeness, making direct comparison impossible.