Outcomes of extremely low birth weight infants in the NICU after initiation of a two-team care model

Shilpi Chabra, Thomas P. Strandjord, Eric S Peeples

Research output: Contribution to journalArticle

Abstract

Neonatal nurse practitioners (NNP)have an increasing and continuous presence in most neonatal intensive care units (NICUs); a presence which has at times been perceived as at odds with the training and development of pediatric residents and neonatal fellows. This is a single-center cohort study of infants born at ≤1000 g and ≤28 weeks of gestation cared for by either a team consisting of residents and a fellow (R/F)or consisting of NNPs (NP). Groups were compared by Student's t-test or chi-square, and associations estimated by logistic regression. There were no differences in primary outcomes between the teams except for a lower incidence of severe retinopathy of prematurity (ROP)in babies on the R/F team compared to the NNP team. In this first post-duty hours cohort, clinical outcomes between the teams were similar. These data suggest that either model can be safely utilized within a level 3 NICU.

Original languageEnglish (US)
JournalJournal of Neonatal Nursing
DOIs
StatePublished - Jan 1 2019

Fingerprint

Extremely Low Birth Weight Infant
Nurse Practitioners
Neonatal Intensive Care Units
Retinopathy of Prematurity
Chi-Square Distribution
Cohort Studies
Logistic Models
Pediatrics
Students
Pregnancy
Incidence
Neonatal Nurses

Keywords

  • Fellow
  • Neonatal nurse practitioner
  • Non-invasive positive pressure ventilation
  • Resident
  • Retinopathy of prematurity

ASJC Scopus subject areas

  • Maternity and Midwifery

Cite this

Outcomes of extremely low birth weight infants in the NICU after initiation of a two-team care model. / Chabra, Shilpi; Strandjord, Thomas P.; Peeples, Eric S.

In: Journal of Neonatal Nursing, 01.01.2019.

Research output: Contribution to journalArticle

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