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Download the full text: Poindexter,Natasha.Final DNP Paper (1)
study descriptionQuality Improvement
core topic(s)Early Literacy , Early Relational Health , Pediatric Primary Care , Reach Out and Read (ROR) , Shared Reading
Population CharacteristicsInfant/Newborn , Medical Providers , Neonatal/NICU
Exposures, Outcomes, OtherBrain/Neurocognitive , Implementation and Evaluation , Medical Training/Education , Parent-Provider Relationships/Interactions
metric(s)Reach Out and Read (ROR) Materials
objectivesThe research aimed to understand how NICUs function and identify the factors that either hinder or support the introduction of book programs.
outcomes evaluatedSurveys were conducted to gain insight into the operational dynamics of NICUs and identify barriers and facilitators to book program implementation.
settingPediatric primary care
methodsThe survey was sent out to 11 NICU points of contact, expecting these contacts to forward the survey to NICU staff members. Questionnaires were distributed to NICU facilities employing ROR, those utilizing extra book initiatives, and those that do not incorporate any book program.
sample sizeN=40 surveys completed by providers from 5 NICU sites
Early Literacy in the NICU Survey
resultsResults showed that bedside registered nurses (RNs) were the primary initiators of ROR enrollment and took on the majority of parent education responsibilities. Barriers that reduce the implementation of these early literacy book programs listed in order of how often they were reported included lack of knowledge within medical teams, cell phone use by families, how often the parent visits or how involved they are in the care, and lack of access to books in a foreign language.
conclusionsIt is recommended to establish a ROR unit committee to serve as a liaison role in the ROR implementation model. Enabling a committee of registered nurses (RNs) to assume this responsibility expands the scope of education. This allows for direct input on execution and ensures steady leadership even in the face of staff changes.
limitationsUnexpected departure of a project group member, who initially secured the project site, posed a significant limitation. This led to a reimagining of the project concept and site. Scheduling conflicts and personal commitments caused delays in obtaining guidance from university and ROR leadership. Another challenge was establishing rapport with NICU site contacts through email, which can be impersonal. It was difficult to convey the importance of survey data collection. Lack of tracking for individual survey responses made it impossible to identify their source. Additionally, crafting suitable survey questions for the NICU unit was tricky due to the group's lack of prior experience in that setting.