“Wait for Eight”: Improvement of Newborn Outcomes by the Implementation of Newborn Bath Delay
Article first published online: 14 JUN 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: 2012 Convention Proceedings
Volume 41, Issue s1, pages S46–S47, June 2012
How to Cite
Lipka, D. V. and Schulz, M. K. (2012), “Wait for Eight”: Improvement of Newborn Outcomes by the Implementation of Newborn Bath Delay. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: S46–S47. doi: 10.1111/j.1552-6909.2012.01360_27.x
- Issue published online: 14 JUN 2012
- Article first published online: 14 JUN 2012
- newborn bath delay;
Purpose for the Program
To improve newborn outcomes by implementing the evidence-based research to delay bathing the newborn.
To improve newborn outcomes, implementation of evidence-based research was initiated. Implementation of bath delay showed that regardless of gestational age, the incidence of newborns experiencing hypothermia and hypoglycemia during the transitional period was reduced by changing the focus of unnecessary interventions.
Implementation, Outcomes, and Evaluation
To review the current practice and identify the prioritization of the nursing task over the outcomes of bathing, the newborn, newborn care guidelines including revision of newborn order sets were established. Reference to evidence-based research and data collection post-implementation of guidelines were utilized. Multidisciplinary team actions involved evidence-based practice data regarding the effectiveness of newborn bath delay. Scripting to parents and families were created, which included the development of crib cards in order for clinical staff to facilitate the process change by direct hands-on education.
The description of the process from admission to discharge identified the value in bath delay related to skin-to-skin research. Global hospital staff education was initiated and staff were presented with advice to give to parents and families during newborn care education. The value of skin-to-skin care with transition, bonding, and breastfeeding was emphasized. Our efforts were validated by the improved outcomes of practice change of newborn bath delay, which resulted in increased patient satisfaction.
Implications for Nursing Practice
Historical review of newborn care delivery demonstrated that nursing has shown to place priority on the completion of nursing tasks over the outcomes related to the newborn transitional period. To improve newborn outcomes, implementation of evidence-based research was initiated to foster practice change. The research of skin-to-skin practice directly correlated the need to review newborn care and practices thereof. The need to review one such practice was the newborn bath. Recognition of the importance of an uninterrupted newborn transition resulted in positive newborn outcomes and patient satisfaction. Implementation of bath delay showed that regardless of gestational age, the incidence of newborns experiencing hypothermia and hypoglycemia during the transitional period was reduced by changing the focus of unnecessary interventions.