TY - JOUR
AU - S. Conti
AU - J. Chin
AU - K. Kemble
AU - B. R. Witham
AU - K. Yoder
AU - A. Pattison
AU - Y. Zhang
A1 - 
AB - INTRODUCTION: Eat, Sleep, Console (ESC) is an effective approach for evaluating and managing neonatal opioid withdrawal syndrome (NOWS). The current standard, Finnegan Neonatal Abstinence Scoring System, requires waking neonates to assess NOWS and prioritizes pharmacotherapy treatment. However, ESC focuses on infants' abilities to function and cope with opioid withdrawal, prioritizes nonpharmacologic interventions, and emphasizes the crucial role of the parent-infant relationship. We created and delivered ESC training for perinatal and neonatal staff and clinicians across an urban academic health center. METHODS: We utilized the knowledge-to-action framework to guide project design and implementation. The training program consisted of 30- to 60-minute didactic sessions for neonatal and perinatal clinicians and staff on labor and delivery and neonatal intensive care units, an ESC algorithm for care, and pre- and posttraining surveys. RESULTS: We trained 254 participants (nurses, OB/GYN, and family medicine attending physicians and residents, neonatal advanced practice clinicians, midwives, social workers) through virtual educational sessions. Eighty-eight participants completed pre- or posttraining surveys, and 11 completed both surveys. Posttraining results demonstrated statistically significant improvement in self-rated preparedness to use nonpharmacologic interventions (mean score 3.91 vs. 4.64, pre- vs. posttraining paired surveys on 5-point scale [1 = strongly disagree, 5 = strongly agree]; p = .03; ). Pre/posttraining unpaired survey results indicated high levels of preparedness implementing ESC concepts. DISCUSSION: ESC education enhanced preparedness of birthing staff and clinicians to implement the nonpharmacologic ESC tool for management of NOWS. Coordinated, multidisciplinary education and collaboration support the successful implementation of ESC in clinical settings.
AD - Doctor of Nursing Practice Student, University of Washington School of Nursing.; Assistant Professor, Division of Complex Family Planning, Department of Obstetrics and Gynecology, University of Washington School of Medicine.; Associate Teaching Professor, Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing.; DNP Program Director, University of Washington School of Nursing; Associate Teaching Professor, Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing.; Assistant Professor, Department of Obstetrics and Gynecology, University of Washington School of Medicine.; Perinatal Clinical Nurse Specialist, University of Washington Medical Center-Northwest, Childbirth Center, University of Washington School of Medicine.; Associate Professor, Department of Family Medicine, University of Washington School of Medicine.
AN - 41869456
BT - MedEdPORTAL
C5 - HIT & Telehealth; Education & Workforce; Healthcare Disparities
DO - 10.15766/mep_2374-8265.11583
DP - NLM
ET - 20260319
JF - MedEdPORTAL
LA - eng
N2 - INTRODUCTION: Eat, Sleep, Console (ESC) is an effective approach for evaluating and managing neonatal opioid withdrawal syndrome (NOWS). The current standard, Finnegan Neonatal Abstinence Scoring System, requires waking neonates to assess NOWS and prioritizes pharmacotherapy treatment. However, ESC focuses on infants' abilities to function and cope with opioid withdrawal, prioritizes nonpharmacologic interventions, and emphasizes the crucial role of the parent-infant relationship. We created and delivered ESC training for perinatal and neonatal staff and clinicians across an urban academic health center. METHODS: We utilized the knowledge-to-action framework to guide project design and implementation. The training program consisted of 30- to 60-minute didactic sessions for neonatal and perinatal clinicians and staff on labor and delivery and neonatal intensive care units, an ESC algorithm for care, and pre- and posttraining surveys. RESULTS: We trained 254 participants (nurses, OB/GYN, and family medicine attending physicians and residents, neonatal advanced practice clinicians, midwives, social workers) through virtual educational sessions. Eighty-eight participants completed pre- or posttraining surveys, and 11 completed both surveys. Posttraining results demonstrated statistically significant improvement in self-rated preparedness to use nonpharmacologic interventions (mean score 3.91 vs. 4.64, pre- vs. posttraining paired surveys on 5-point scale [1 = strongly disagree, 5 = strongly agree]; p = .03; ). Pre/posttraining unpaired survey results indicated high levels of preparedness implementing ESC concepts. DISCUSSION: ESC education enhanced preparedness of birthing staff and clinicians to implement the nonpharmacologic ESC tool for management of NOWS. Coordinated, multidisciplinary education and collaboration support the successful implementation of ESC in clinical settings.
PY - 2026
SN - 2374-8265
SP - 11583
ST - Training and Integration of Eat, Sleep, Console Model for Infants and Families at an Urban Academic Health Center
T1 - Training and Integration of Eat, Sleep, Console Model for Infants and Families at an Urban Academic Health Center
T2 - MedEdPORTAL
TI - Training and Integration of Eat, Sleep, Console Model for Infants and Families at an Urban Academic Health Center
U1 - HIT & Telehealth; Education & Workforce; Healthcare Disparities
U3 - 10.15766/mep_2374-8265.11583
VL - 22
VO - 2374-8265
Y1 - 2026
ER -