Implementation of research evidence into practice can be challenging in areas such as the neonatal intensive care unit (NICU), where the environment is complex and rapidly changing and caregiving goals have shifted from simply infant survival to supporting positive long-term neurodevelopmental outcomes. Clinical nurse specialists (CNS) are ideally positioned to use research to obtain new knowledge, innovations, and improvements in care as part of an interdisciplinary team. The authors describe the role of the CNS in changing NICU culture around feeding infants, an important and frequent nursing activity, with the Magnet® model as the framework for change.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and Families
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The role of relationship-based developmentally supportive newborn intensive care in strengthening outcome of preterm infants.Seminars in Perinatology. 1997; 21: 178-189
- Magnet Recognition Program®.(Retrieved July 28, 2011, from)http://www.nursecredentialing.org/MagnetDate: 2011
- Using organizational assessment surveys for improvement in neonatal intensive care.Pediatrics. 2003; 111: e419-e425
- National validation of the NAPPCNS clinical nurse specialist core competencies.Journal of Nursing Scholarship. 2009; 41: 193-201
- Educating nurses: A call for radical transformation.1st ed. Jossey-Bass, San Francisco, CA2010
- The synergy model and the role of clinical nurse specialists in a multihospital system.Am J Crit Care. 2002; 11: 436-446
- An evaluation of the nursing practice environment and successful change management using the new generation Magnet model.J Nurs Manag. 2010; 18: 326-331
- Three approaches to qualitative content analysis.Qualitative Health Research. 2005; 15: 1277-1288
- Bridging the divide: A survey of nurses' opinions regarding barriers to, and facilitators of, research utilization in the practice setting.J Clin Nurs. 2004; 13: 304-315
- Beyond the BARRIERS Scale: Commonly reported barriers to research use.J Nurs Adm. 2006; 36: 189-199
- Feeding abilities in neonates with congenital heart disease: A retrospective study.Journal of Perinatology. 2009; 29: 112-118
- Nipple feeding premature infants in the neonatal intensive-care unit: Factors and decisions.J Obstet Gynecol Neonatal Nurs. 1994; 23: 105-112
Lefaiver, C. A., Lawlor-Klean, P., Welling, R., Smith, J., Waszak, L., & Micek, W. T. (2009). Using evidence to improve care for the vulnerable neonatal population. Nurs Clin North Am, 44, 131–144, xii.
- Getting evidence into practice: The meaning of ‘context’.J Adv Nurs. 2002; 38: 94-104
- Innovative strategies for feeding and nutrition in infants with congenitally malformed hearts.Cardiology of the Young. 2009; 19: 90-95
- Implementing potentially better practices for improving family-centered care in neonatal intensive care units: Successes and challenges.Pediatrics. 2003; 111: e450-e460
- Sustaining excellence: Clinical nurse specialist practice and Magnet designation.Clincal Nurse Specialist. 2010; 24: 252-259
- CNS core competencies.(Retrieved September 28, 2011, from)http://www.nacns.org/Date: 2011
- Organizational change strategies for evidence-based practice.Journal of Nursing Administration. 2007; 37: 552-557
- NIDCAP: New controversial evidence for its effectiveness.Pediatrics. 2009; 124: 1213-1215
- Feeding skill performance in premature infants during the first year.Early Human Development. 2007; 83: 293-305
- Organizational culture and leadership.4th ed. San Francisco, Jossey-Bass2010
- Beyond the Magnet award: The ANCC Magnet program as the framework for culture change.Journal of Nursing Adminstration. 2003; 33: 522-531
- A general inductive approach for analyzing qualitative evaluation data.American Journal of Evaluation. 2006; 27: 237-246
- Mothers' ideas about their role in feeding their high-risk infants.Journal of Obstetrics and Gynecological Neonatal Nursing. 2000; 29: 613-624
- The early feeding skills assessment for preterm infants.Neonatal Network. 2005; 24: 7-16
Published online: January 09, 2012
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.