Joan Smith

St. Louis Children's Hospital

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Co-Authors

Roberta Pineda

University of Southern California

Ann Donze

St. Louis Children's Hospital

Beverly Brozanski

Washington University in St. Louis

Polly Kellner

University of Southern California

John Chuo

Children's Hospital of Philadelphia

Teresa Mingrone

Children's Hospital of Pittsburgh

Amit Mathur

Saint Louis University

Theresa R. Grover

University of Colorado Denver

Anthony J. Piazza

Children's Healthcare of Atlanta

Eugenia K. Pallotto

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Cooperative Institutions

Washington University in St. Louis

University of Washington

Health Services Research & Development

University of Pennsylvania

United States Department of Veterans Affairs

Harvard University

University of North Carolina at Chapel Hill

St. Louis Children's Hospital

Johns Hopkins University

University of California, Los Angeles

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Capabilities and resilience among people using homeless services

Housing Care and Support (2010)

Joan Smith

This article is based on a research study conducted for Crisis UK into capability and resilience among 87 people who used the Crisis Open Christmas Service (COC) in December 2006 and the Crisis Skylight/Learning Zone in Spitalfields. Both services are in London, UK. The study took a ‘capability’ approach, focusing on the values, interests and needs of people in the study as defined by them, and on the outcomes of formal and informal support. This article reports the range of capabilities and resilience among the people in the study, the different ways in which they used services, and the outcomes for them. Interviews were undertaken by co‐researchers who themselves had been homeless.

Resilience

10.5042/hcs.2010.0308

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Citations (9)

A Randomized-Controlled Trial Pilot Study Examining the Neurodevelopmental Effects of a 5-Week M Technique Intervention on Very Preterm Infants

Advances in Neonatal Care (2014)

Joan Smith Jacqueline M. McGrath Marco Brotto Terrie E. Inder

To systematically test the cumulative effect of the M Technique on infant neurodevelopment in hospitalized very preterm infants.

Repeated measures design

10.1097/anc.0000000000000093

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Citations (18)

Socio-demographic factors related to parent engagement in the NICU and the impact of the SENSE program

Early Human Development (2021)

Laura Whitehill Joan Smith Graham A. Colditz Tiffany Le Polly Kellner

Exploratory research

10.1016/j.earlhumdev.2021.105486

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Citations (18)

Ensuring Quality in the NICU

The Journal of Perinatal & Neonatal Nursing (2015)

Joan Smith Ann Donze Maggie Wolf Christopher D. Smyser Amit Mathur

Since the Institute of Medicine's landmark report To Err Is Human, extensive efforts to improve patient safety have been undertaken. However, wide-scale improvement has been limited, sporadic, and inconsistent. Implementation of evidence-based interventions remains a challenge, resulting in unwarranted variations in care. Three main categories of problems in healthcare delivery are defined as overuse, underuse, and misuse of medical services, resulting in inappropriate care, inefficiencies, and poor quality. Although broad acknowledgement that these categories of quality problems exist, there are limited standards for measuring their overall impact. This article aims to discuss the important role of implementation science in advancing evidence-based practice, using neonatal therapeutic hypothermia for the treatment of hypoxic-ischemic encephalopathy as an exemplar for examining appropriateness of care.

Acknowledgement

10.1097/jpn.0000000000000122

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Citations (7)

Linking Patient and Worker Safety to Create a Safe and Healthy Working Environment

The Journal of Perinatal & Neonatal Nursing (2017)

Joan Smith

Clinical Quality, Safety & Practice Excellence St Louis Children's Hospital, Missouri Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Excellence

Workplace Safety

10.1097/jpn.0000000000000231

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Citations (2)

Neurodevelopmental Outcomes following Preterm Birth and the Association with Postmenstrual Age at Discharge

American Journal of Perinatology (2022)

Polly Kellner Jenny Kwon Joan Smith Roberta Pineda

This study aimed to (1) define the prevalence of motor, cognitive, and language delays in preterm infants born <32 weeks estimated gestational age (EGA); and (2) identify the relationship between the timing of discharge from the neonatal intensive care unit (NICU) and neurodevelopmental outcome in early childhood.

Association (psychology)

Hospital discharge

Neonatology

10.1055/a-1733-2690

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Citations (8)

Maternal Perceptions About Sensory Interventions in the Neonatal Intensive Care Unit: An Exploratory Qualitative Study

Frontiers in Pediatrics (2022)

Julia Lisle Kylie Buma Joan Smith Marinthea Richter Prutha Satpute

Mothers play an important role in providing positive sensory experiences to their infants during NICU hospitalization. However, little is known regarding maternal perceptions about sensory-based interventions in the NICU. Further, understanding maternal perceptions was an important part of the process during development of the Supporting and Enhancing NICU Sensory Experiences (SENSE) program.Twenty mothers of very preterm infants were interviewed after NICU discharge and asked open-ended questions about sensory-based interventions they performed in the NICU and probed about their perceptions related to the development of a sensory-based guideline and the use of volunteers to provide sensory-based interventions when unable to be present in the NICU. Interviews were transcribed and uploaded into NVivoV.12 for content analysis.Mothers reported that kangaroo care was a common sensory intervention they performed in the NICU. Of the 18 mothers who commented on the development of a sensory-based guideline, 17 (94%) said they would be accepting of one. Among 19 mothers, 18 (95%) supported volunteers conducting sensory-based interventions in their absence. Identified themes included: 1) Perceptions about development of a sensory-based guideline, 2) Perceptions of interactions with healthcare providers, 3) Maternal participation in sensory interventions, 4) Maternal experience, and 5) Emotions from mothers.Maternal perceptions regarding the development of a sensory-based guideline were favorable, and the SENSE program has since been finalized after incorporating important insights learned from stakeholders in this study. Mothers' perceptions were tied to their NICU experiences, which elicited strong emotions. These findings highlight important considerations when developing family-centered interventions.

Guideline

Exploratory research

10.3389/fped.2022.884329

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Citations (6)

Disparate Care in the NICU

The Journal of Perinatal & Neonatal Nursing (2019)

Joan Smith

St Louis Children's Hospital St Louis, Missouri Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.Each author has indicated that he or she has met the journal's requirements for Authorship.

St louis

10.1097/jpn.0000000000000408

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Citations (1)

Sustaining SLUG Bug CLABSI Reduction: Does Sterile Tubing Change Technique Really Work?

PEDIATRICS (2017)

Eugenia K. Pallotto Anthony J. Piazza Joan Smith Theresa R. Grover John Chuo

OBJECTIVES: To evaluate the ability to sustain and further reduce central line–associated bloodstream infection (CLABSI) rates in NICUs participating in a multicenter CLABSI reduction collaborative and to assess the impact of the sterile tubing change (TC) technique as an important component in CLABSI reduction. METHODS: A multi-institutional quality improvement collaborative lowered CLABSI rates in level IV NICUs over a 12-month period. During the 19-month sustain phase, centers were encouraged to monitor and report compliance measures but were only required to report the primary outcome measure of the CLABSI rate. Four participating centers adopted the sterile TC technique during the sustain phase as part of a local Plan-Do-Study-Act cycle. RESULTS: The average aggregate baseline NICU CLABSI rate of 1.076 CLABSIs per 1000 line days was sustained for 19 months across 17 level IV NICUs from January 2013 to July 2014. Four centers transitioning from the clean to the sterile TC technique during the sustain phase had a 64% decrease in CLABSI rates from the baseline (1.59 CLABSIs per 1000 line days to 0.57 CLABSIs per 1000 line days). CONCLUSIONS: Sustaining low CLABSI rates in a multicenter collaborative is feasible with team engagement and ongoing collaboration. With these results, we further demonstrate the positive impact of the sterile TC technique in CLABSI reduction efforts.

Slug

10.1542/peds.2016-3178

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Citations (14)

Determining Appropriate Sensory Exposures in the NICU: Too Much, Too Little, or Just Right?

Neonatal Network The Journal of Neonatal Nursing (2016)

Joan Smith Roberta Pineda

10.1891/0730-0832.35.2.63

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Citations (2)