De La Calzada Iris Rainbow2

Bridging the Gap for Underdeveloped Preterm Infants from the Hospital to the Home IRIS LUANNE DE LA CALZADA, OTR/L DECEMBER 12, 2009

[object Object],[object Object],[object Object],Reference: P.R. Newswire. (2005, March 28). March of Dimes analysis finds direct health care costs for preemies nearly 15 times greater than full term babies. Retrieved on November 9, 2009 at website: http://wwwmarchofdimes.comaboutus/14458_15365.asp

[object Object],[object Object],[object Object],[object Object],[object Object],References: Raju, T., Higgins, R., Stark, A., Leveno, K. (2006). Optimizing care and outcome for late-preterm (near-term) infants: A summary of the workshop sponsored by the National Institutes of Child Health and Human Development. Pediatrics, 118(3), 1207-1214. The Henry J. Kaiser Foundation. Texas Births in 2006. Retrieved online on November 11, 2009 from website: http://www.statehealthfacts.org/profileind.isp?cat=2&sub=11&rgn=45

[object Object],[object Object],[object Object],[object Object],[object Object],Reference: United States Census for Brownsville, Texas. (n.d.). 2000 Brownsville, TX Demographics. Retrieved online on November 2, 2009 from website: http://brownsville.texas.com/demographics.html

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],References: Aucott, S., Donohue, P., Atkins, S., Allen, M. (2002). Neurodedvelopmental care in the NICU. Mental Retardation and Developmental Research Reviews, 8(4), 298-308. Fuchs, K. and Wapner, R. (2006). Elective cesarian section and induction and their impact on late preterm births. Clinics in Perinatology, 33(4), 793-801. Weiss, S. (2006). Origins of tactile vulnerability in high-risk infants. Advances in Neonatal Care, 6(1), 25-36.

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[object Object],[object Object],[object Object],[object Object],References: Velicer, W., Prochaska, J., Fava, J. Norman, G., Redding, C. (1998). Smoking cessation and stress management: Applications of the transtheroretical model of behavioral change. Homeostasis, 38, 216-233.

[object Object],ATTRIBUTE EXAMPLE RELATIVE ADVANTAGE The degree to which an innovation is perceived as better than the previous idea The Rainbow program would facilitate better lines of communication among medical and allied health professionals, as well as with parents of underdeveloped babies. COMPATIBILITY The degree to which an innovation is consistent with existing values, experiences and needs of the adopters The Rainbow Program is consistent with the needs of this underserved population in communities challenged by educational, health-related, and socio-economic needs. COMPLEXITY The degree to which an innovation is perceived to be difficult to understand or use The Rainbow Program will provide the necessary service (Occupational Therapy) to improve the process of discharge planning. There is already an existing discharge planning committee that exists within this facility where OT is also a part. The addition of patients from the NICU during this weekly meeting would be a minor adjustment.

Reference: U.S. Department of Health and Human Services. National Cancer Institute. Theory at a glance: A guide for health promotion practice. Retrieved on November 20, 2009 from website: http://moodle.embanet.com/ot/mod/assignment/view.php?id=17018 ATTRIBUTE EXAMPLE TRIALABILITY The degree to which an innovation may be tested or experimented with on a limited basis The Rainbow Program can be pilot tested for 2-3 months or one quarter of a year. Program will consist of staff in-services, hosting of continuing education courses in the facility. OBSERVABILITY The degree to which the outcomes of an innovation is visible to others Outcomes are measured through increase in patient satisfaction scores, perceived improvement in service quality based on a needs assessment survey among teenage mothers and parents of NICU babies, and increase in staff satisfaction scores in the NICU and Women’s Department. Scores would be posted in the hospital intranet system.

“ I am putting my bow in the clouds. It will be the sign of my covenant with the world.” – Genesis 9:13

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