Saturday, October 25, 2014
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

Nurses take initiative to improve patient care

By
From page WMD14 | March 16, 2014 |

FAIRFIELD — Does listening to music make it easier for an intensive care patient to be weaned from a mechanical ventilator? Does having a mom hold her newborn when he or she receives injections reduce the baby’s stress and pain?

The answer is “yes” to both questions, proven by evidence-based practice studies completed by three NorthBay Medical Center registered nurses who have made a difference in the hospital’s care practices.

The nurses, Maureen Allain, Barbara Abeling and Autumn Thacker, did their research through the Evidence-Based Practice Fellowship Program sponsored by NorthBay Healthcare.

Allain, a nurse in the Intensive Care Unit, knew that music could have a positive healing influence on patients’ lives. Brain function physically changes in response to music and studies show that music with steady, slow and repetitive low-pitched rhythms exerts a hypnotic effect that can reduce anxiety and aid relaxation. Music can also reduce the patient’s need for sedative drugs, leading to a quicker recovery.

Allain planned an evidence-based practice project to discover whether music could also help patients relax when they are being weaned from mechanical ventilation – one of the most frequently used treatments in the ICU. Despite the lifesaving nature of mechanical ventilation, it is stressful for patients and they are often sedated while intubated. Studies have demonstrated that the continuous use of sedation can delay weaning the patient from mechanical ventilation, which in turn increases hospital stays and hospital care costs.

“Currently our practice to remove patients from ventilators is to perform a ‘sedation vacation,’ ” Allain said. “We wake the patient and have them perform breathing exercises in an attempt to wean and remove them from the ventilator. This process can lead to anxiety for the patient, which ultimately contributes to the patient failing the weaning process and remaining on the ventilator for a longer period of time.”

Allain’s project included all mechanically intubated patients that met the criteria for weaning. Half of the group – the intervention group – listened to music through disposable headphones, while the other half – the control group – were weaned in the usual manner with no music. The number of patient’s extubated without music was 33 percent, while 58 percent were extubated with music.

“The study proved that the use of music therapy during the weaning process can lead to decreased ICU days and a decreased incidence of ventilator-acquired pneumonia,” Allain said. “The use of music also increases patient satisfaction during the ventilator weaning process.”

Labor and Delivery nurses Barbara Abeling and Autumn Thacker set out to study Kangaroo Care, or skin-to-skin contact, between mother and baby when treating mild to moderate pain in the newborn.

They narrowed their study to full-term, well newborns receiving injections in the first two hours of life. Hospital practice was for infants to receive their routine injections while under a radiant warmer with no pain management provided. Since research indicates that untreated pain in newborns can have long-lasting detrimental effects, they decided to determine if babies held skin-to-skin by their moms when they received injections showed less pain and recovered quicker than babies placed alone under a warmer.

“This may seem obvious, but we use evidence to prove a new practice works,” Abeling said. “And our research evidence proved that babies held skin-to-skin experience less pain overall, and they also appear to recover from the painful stimuli more quickly.”

Their research helped change the practice for how newborns receive injections at NorthBay Medical Center.

The nurses earned an Excellence in Research Award when they presented their research study at the Association of Women’s Health and Neonatal Nurses national conference last June.

“Everyone at the conference loved our study because they are all struggling with the same practice changes,” Abeling said. “Since the conference we have heard from other nurses who want to change the practice at their hospitals.”

Marilyn Ranson is a public relations specialist with NorthBay Healthcare.

Marilyn Ranson

LEAVE A COMMENT

Discussion | No comments

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

.

Solano News

 
 
Fall Harvest Festival brings children back to school

By Susan Hiland | From Page: A3 | Gallery

 
Optimist Club brings youth together for Halloween golf

By Amy Maginnis-Honey | From Page: A3

 
Cut-a-thon to help fight cancer, abuse

By Susan Hiland | From Page: A3

 
School board candidates forum set next week

By Susan Winlow | From Page: A4

 
Staying active may prolong your life

By Scott Anderson | From Page: B8

 
Suisun City police log: Oct. 23, 2014

By Susan Hiland | From Page: A9

.

US / World

Suspect arrested in death of 2 California deputies

By The Associated Press | From Page: A1, 5 Comments

 
KC-10 from Travis lands in Houston, smoke in cockpit

By The Associated Press | From Page: A3, 1 Comment

Reagan astrologer, Joan Quigley, dies at 87

By The Associated Press | From Page: A4, 2 Comments

 
Jury says castrated sex offender should be freed

By The Associated Press | From Page: A4

Remains belong to missing Virginia student

By The Associated Press | From Page: A5

 
Dallas nurse receives thanks, hug from Obama

By The Associated Press | From Page: A5, 14 Comments

School gunman was Homecoming prince, students say

By The Associated Press | From Page: A5, 2 Comments

 
Lava creeps toward road on Hawaii’s Big Island

By The Associated Press | From Page: A5

NY, NJ order Ebola quarantine for doctors, others

By The Associated Press | From Page: A9

 
Gunman in Canada attack complained about mosque

By The Associated Press | From Page: A10

Egypt declares emergency in northern Sinai

By The Associated Press | From Page: A10

 
Militant group said to be using chlorine bombs

By The Associated Press | From Page: A10, 1 Comment

Putin accuses US of undermining global stability

By The Associated Press | From Page: A10, 1 Comment

 
.

Opinion

SEIU shouldn’t own Board of Supervisors

By Letter to the Editor | From Page: A8, 7 Comments

 
Vote, and make a difference

By Letter to the Editor | From Page: A8, 4 Comments

Yes on Measure A

By Letter to the Editor | From Page: A8, 4 Comments

 
Spering best choice for county supervisor

By Daily Republic | From Page: A8, 8 Comments

Return Garamendi to Congress

By Daily Republic | From Page: A8, 27 Comments

 
Editorial Cartoons: Oct. 25, 2014

By Daily Republic Syndicated Content | From Page: A8

.

Living

Today in History: Oct. 25, 2014

By The Associated Press | From Page: A2

 
Community Calendar: Oct. 25, 2014

By Susan Hiland | From Page: A2

Horoscopes: Oct. 25, 2014

By Holiday Mathis | From Page: A7

 
My mother-in-law wants me to convert to Catholicism, but I don’t want to

By Kathy Mitchell and Marcy Sugar | From Page: A7

Hello Kitty turning 40, and the birthday bash will be ‘supercute’

By Mcclatchy-Tribune News Service | From Page: B8

 
.

Entertainment

TVGrid

By Daily Republic Syndicated Content | From Page: B9

 
TLC cancels its ‘Honey Boo Boo’ series

By The Associated Press | From Page: B9, 3 Comments

P.D. James’ riff on Jane Austen comes to TV

By The Associated Press | From Page: B9

 
.

Sports

Hamilton helps Vanden sink Vallejo, 35-0

By Nick DeCicco | From Page: B1

 
Vintage rolls past Armijo, 55-8

By Mike Corpos | From Page: B1

Mustangs fall flat in rout by Wildcats

By Marcus Lomtong | From Page: B1, 4 Comments

 
Royals beat Giants 3-2 for 2-1 World Series lead

By The Associated Press | From Page: B1 | Gallery

Vargas to take on Vogelsong in Game 4 of Series

By The Associated Press | From Page: B1 | Gallery

 
Falcons hang with Wolves in 34-8 setback

By Paul Farmer | From Page: B1, 1 Comment | Gallery

Henley’s putting gets him lead at Sea Island

By The Associated Press | From Page: B2

 
Judge halts New Jersey’s sports betting plan

By The Associated Press | From Page: B2

Joe Maddon exercises opt-out, won’t return to Rays

By The Associated Press | From Page: B2

 
Jamie McMurray bests Chase drivers to win pole

By The Associated Press | From Page: B2 | Gallery

Attorney: NFL, Ravens not helping union in Rice probe

By The Associated Press | From Page: B2

 
SCC women’s soccer team falls to Mendocino 3-1

By Daily Republic staff | From Page: B2

Unfazed, 49ers coach Jim Harbaugh doing it his way

By The Associated Press | From Page: B2

 
Lloyd leads US women past Mexico 3-0

By The Associated Press | From Page: B2

Raiders’ Woodley, Young expected to be placed on IR

By The Associated Press | From Page: B2

 
This date in sports history for Saturday, Oct. 25, 2014

By The Associated Press | From Page: B3

 
.

Business

US official: Auto safety agency under review

By The Associated Press | From Page: B4

 
Ford profit falls in third quarter on truck costs

By The Associated Press | From Page: B4

Procter & Gamble taking out its batteries

By The Associated Press | From Page: B4

 
UPS expects double-digit surge in Dec shipments

By The Associated Press | From Page: B4

US new-home sales close to flat in September

By The Associated Press | From Page: B4

 
.

Obituaries

Mark Dean Lindsay

By Nancy Green | From Page: A4, 1 Comment

 
.

Comics

Peanuts

By Daily Republic Syndicated Content | From Page: A6

 
Pickles

By Daily Republic Syndicated Content | From Page: A6

Beetle Bailey

By Daily Republic Syndicated Content | From Page: A6

 
B.C.

By Daily Republic Syndicated Content | From Page: A6

Dilbert

By Daily Republic Syndicated Content | From Page: A6

 
Get Fuzzy

By Daily Republic Syndicated Content | From Page: A6

Rose is Rose

By Daily Republic Syndicated Content | From Page: A6

 
Garfield

By Daily Republic Syndicated Content | From Page: A6

Baldo

By Daily Republic Syndicated Content | From Page: A6

 
Baby Blues

By Daily Republic Syndicated Content | From Page: A6

Frank and Ernest

By Daily Republic Syndicated Content | From Page: A6

 
Sally Forth

By Daily Republic Syndicated Content | From Page: A6

Wizard of Id

By Daily Republic Syndicated Content | From Page: A6

 
Blondie

By Daily Republic Syndicated Content | From Page: A6

Zits

By Daily Republic Syndicated Content | From Page: A6

 
For Better or Worse

By Daily Republic Syndicated Content | From Page: A6

Cryptoquote

By Daily Republic Syndicated Content | From Page: A7

 
Crossword

By Daily Republic Syndicated Content | From Page: A7

Bridge

By Daily Republic Syndicated Content | From Page: A7

 
Sudoku

By Daily Republic Syndicated Content | From Page: A7

Word Sleuth

By Daily Republic Syndicated Content | From Page: A7

 
.

Home Seller 10/25/14

Real estate transactions for Oct. 25, 2014

By Daily Republic | From Page: HSR2