Evidence map›Paper›PMID 34476305›Full record

ArticlePediatric quality & safety

Quality Improvement Initiative to Improve Healthcare Providers' Attitudes towards Mothers with Opioid Use Disorder.

Susan Ford, Leslie Clarke, Michele C Walsh, Pierce Kuhnell, Maurizio Macaluso, Moira Crowley, Richard McClead, Scott Wexelblatt, Carole Lannon, Heather C Kaplan

Open access · diamondAbstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Susan FordDepartment of Pediatrics, Division of Neonatology, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Leslie ClarkeDepartment of Pediatrics, Division of Neonatology, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Michele C WalshDepartment of Pediatrics, Division of Neonatology, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Pierce KuhnellDivision of Biostatistics and Epidemiology, Cincinnati Children's Medical Center, Cincinnati, Ohio.
Maurizio MacalusoDivision of Biostatistics and Epidemiology, Cincinnati Children's Medical Center, Cincinnati, Ohio.
Moira CrowleyDepartment of Pediatrics, Division of Neonatology, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Richard McCleadDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
Scott WexelblattJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Carole LannonJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Heather C KaplanJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Rainbow Babies & Children's Hospital · USChildren's Medical Center · USUniversity of Cincinnati Medical Center · USCase Western Reserve University · USCincinnati Children's Hospital Medical Center · USThe Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividuals with opioid use disorder often report feelings of shame and describe feeling judged negatively. These feelings are especially true for pregnant women with opioid use disorder. The Ohio Perinatal Quality Collaborative conducted a multimodal quality improvement initiative for infants born with Neonatal Abstinence Syndrome (NAS). An important component of the project was focused on improving staff attitudes toward mothers of infants with NAS.

methodsThe Ohio Perinatal Quality Collaborative implemented an education program for healthcare providers at 39 participating hospital units regarding opioid use as a chronic disease and principles of nonjudgmental, trauma-informed care. Healthcare providers partnered with the mother of infants with NAS in the care of the infant and connected with local community resources. This work was a subcomponent of an overall multimodal quality improvement project. Healthcare provider attitudes were measured with the "Attitude Measurement: Brief Scales" questionnaire anonymously, at 3 different time points throughout the project. Attitude change was measured by pretraining and posttraining scores. ANOVA methods were used to compare individual items and a summary score across the 3 surveys.

resultsSummary scores improved significantly from 18.99 at baseline (January-March 2014) to 19.94 (

conclusionsA nonjudgmental attitude toward mothers of infants with NAS is an important component of compassionate care. Improving healthcare provider attitudes can benefit a mother of an infant with NAS and help preserve the mother-infant dyad.

Identifiers

PMID34476305
PMCPMC8389895
OpenAlexW3198751269

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.