Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



Department Name when Degree Awarded

Baccalaureate and Graduate Nursing

First Advisor

Molly J. Bradshaw

Department Affiliation


Second Advisor

Nancy G. Owens

Department Affiliation



Newborns may suffer from withdrawal symptoms after exposure to maternal substance abuse while in-utero, resulting in negative outcomes for the patient, family, and healthcare system. Neonatal Abstinence Syndrome (NAS) has increased by 300% in the United States. Non-pharmacological interventions such as rooming in, breastfeeding, and parent education are nursing activities which can improve the outcomes for NAS patients. However, a formal protocol to identify, assess, and treat the patients with non-pharmacologic evidence-based interventions is lacking. The purpose of this project was to develop, implement, and evaluate a sustainable policy to incorporate evidence-based strategies into nursing care at a rural community hospital. The results of this project demonstrate that changing, streamlining, and hard-wiring care for newborns experiencing withdrawal is essential.

IRB Approval Number (if applicable)

BHL 19-1543

Included in

Nursing Commons