Enhancing Knowledge and Management of Neonatal Jaundice in the Pediatric Clinical Setting

Abstract

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to provide caregivers of newborns with evidence-based education in combination with a simplified neonatal jaundice handout to improve caregiver knowledge on neonatal jaundice and management in the primary care setting. Background: Neonatal jaundice is a common issue seen in newborns and one of the biggest causes for re-hospitalization post discharge from the hospital. Most neonatal jaundice is not harmful and can be managed at home. However, a lack of caregiver knowledge contributes to inappropriate management and recognition of symptoms in neonates. Providing evidence-based education on neonatal jaundice in the primary care setting has been shown to confidently increase caregiver knowledge and understanding regarding neonatal jaundice management. Methods: This quality improvement (QI) project was a single site, quantitaive study that focused on a one-group pretest-posttest design. Caregivers included were those coming in for a newborn visit, English speaking, and patients at Agave Pediatrics in Scottsdale, Arizona. A sample of 10 caregivers volunteered to participate in the study. The mean improvement percentage between the pretest and posttest questionnaires was measured to assess for an overall increase in knowledge using a simple t-test. Results: A pre-survey, educational session, post-survey and a neonatal jaundice handout were given to 10 caregivers of newborns who agreed to participate. There was a statistically significant (P<0.001) increase in caregiver knowledge and an increase in confidence in ability to identify jaundice after the education was provided to caregivers. Conclusion: The evidence-based educational intervention on neonatal jaundice was effective in increasing caregiver knowledge at Agave Pediatrics. The educational handout proved to be successful and can be used at this practice for future newborn visits.