Background: In 2020, the rate of newborns diagnosed with neonatal abstinence syndrome (NAS) in the United States was 6.3 for every 1000 newborn hospitalizations. Resources used to care for this population, particularly NICU beds, are being overwhelmed. In 2020, the state of Ohio saw a rate of 9.5 newborns with NAS for every 1000 newborn hospitalizations. Purpose: To determine if using the Eat, Sleep, Console (ESC) model of care to guide management of neonates with NAS instead of the Finnegan Scale would reduce the number of admissions of neonates diagnosed with NAS to the neonatal intensive care unit (NICU). Methods: The PDSA (Plan, Do, Study, Act) method was used in the planning and implementation of this pilot quality improvement project. Education regarding the ESC model of care was provided to the Mother/Infant Unit (MIU), with ongoing education and resources provided and readily available on the unit. Results: Fifteen neonates were managed with ESC. Of the 5 who would have been admitted to the NICU for pharmacological treatment if Finnegan Scores were the determining factor for admission, 2 were discharged home from the MIU having been managed with ESC. Implications for practice and research: The use of the ESC model of care can be a useful tool in the management and assessment of neonates with NAS. Resource allocation for care of this population must be assessed to provide optimal non-pharmacological interventions.

Allison Zara Kelly

Gail A Bagwell

Penni Coates-Huffman

Advances in Neonatal Care

ADVANCES IN NEONATAL CARE 对其发表的原创研究和临床实践文章采取了独特而动态的方法。解决每天面临的实践挑战——每年在二级和三级新生儿重症监护病房照顾 40,000 多名低出生体重婴儿——该杂志促进循证护理并改善最小患者及其家人的结果。同行评审的社论包括独特而详细的视觉和教学辅助工具，例如家庭教学工具箱、从研究到实践、培养临床专业知识和在线功能。每期都提供印刷和在线格式的继续教育 (CE) 文章。

Advances in Neonatal Care takes a unique and dynamic approach to publishing original research and clinical practice articles. The journal addresses the daily practical challenges faced in neonatal intensive care units, caring for over 40,000 low birth weight infants each year. By promoting evidence-based care, it aims to improve outcomes for these vulnerable patients and their families. Peer-reviewed editorials include unique and detailed visual and educational aids, such as family teaching toolkits, translation from research to practice, development of clinical expertise, and online features. Each issue provides continuing education (CE) articles in both print and online formats.

《Advances in Neonatal Care》采用独特而动态的方法，发表原创研究和临床实践文章。该杂志专注于解决新生儿重症监护病房中每天面临的实践挑战，每年照顾超过40,000名低出生体重婴儿。通过促进循证护理，该杂志致力于改善这些脆弱患者及其家庭的结果。同行评审的社论中包含独特而详细的视觉和教学辅助工具，例如家庭教学工具箱、从研究到实践的转化、临床专业知识的培养以及在线功能。每期杂志还提供印刷和在线格式的继续教育（CE）文章。

Category	Quartile
医学	4
医学, 护理	3

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