Improving Golden Hour Care Coordination: Using Defined Roles to Improve Nurse Confidence and Care Coordination of Neonates Following Admission.
Julena Ardern, Brooke Hayward, Alain C Vandal and 3 others
PMID 37310073WHAT IT FOUND
Color-coded lanyards defining team roles during neonatal admissions reduced time to radiography by 14.4 minutes and IVN by 27.7 minutes.
Nurses reported greater confidence and clarity, but no significant improvements in infant health outcomes were found.
Key findings
01Lanyard use reduced time to commencement of IVN by 27.7 minutes and time to radiography by 14.4 minutes compared to historical controls.
02No significant differences were found in infant health outcomes between the intervention and control groups.
0389% of post-intervention survey respondents found the lanyards helpful or extremely helpful for supporting nurse confidence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was nonrandomized and used historical controls, which introduces potential bias from changes in practice or patient mix over time. Data collection for key outcomes like time to line insertion and hypothermia was incomplete or unavailable for the control group. Only 18 pre- and post-survey responses could be matched, limiting the ability to track individual changes in confidence. Lanyards were not used consistently; 9 of 72 eligible admissions did not use them, and uptake was affected by staffing shortages and high acuity. The short intervention period may not have allowed for long-term behavioral change or impact on slower-developing health outcomes.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not assume that faster admission processes translate to better infant health. The study showed significant time savings but no significant improvement in clinical outcomes like hypothermia or adverse events.