Integrated Review of the Assessment of Newborns With Neonatal Abstinence Syndrome.
Sharon G Casavant, Taylor Meegan, Mollie Fleming and 3 others
PMID 34116058WHAT IT FOUND
In five studies, newborns assessed by nurses using Eat, Sleep, Console had shorter stays and lower medication use.
Finnegan accuracy improved after training, but most studies were small.
Key findings
01Five studies found shorter length of stay when the Eat, Sleep, Console approach was used.
02Three studies found fewer newborns with NAS required medication when the Eat, Sleep, Console approach was used.
03After a single-session withdrawal-assessment program for nurses, twice as many participants scored a standardized video accurately.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Most included studies had small samples; only 11 studies had more than 100 participants. The included studies differed in focus and methodology, limiting generalizability. Only English-language studies were included. Many included studies were descriptive cohort or quasi-experimental without randomization or a control group. Finnegan scoring is subjective, and preterm newborns may not show the same symptom responses as term newborns.
Declared interests
The authors reported no conflicts of interest or relevant financial relationships.
The easy way to misread this
Do not conclude that Eat, Sleep, Console alone caused shorter stays and less medication. The review did not pool the studies, and only 11 included studies had more than 100 participants. The included studies also used different assessment thresholds, medication choices and weaning protocols.