On “Implementing the Use of Chemical-Free Products in a Perinatal Unit”

Abstract

In their article, Brower et al., 2015 Brower A. Trefz L. Burns C. Implementing the use of chemical-free products in a perinatal unit. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2015; 44: 644-653https://doi.org/10.1111/1552-6909.12736 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar described four key components within the precautionary principle as a way to guide decision making around use of untested products. In the application of this principle, preventive action is recommended when safety (of a product) cannot be ensured, and the burden of proof of safety rests with the proponents of the activity or product ( Raffensperger et al., 1999 Raffensperger C. Tickner J. Jackson W. Protecting public health and the environment: Implementing the precautionary principle. Island Press, Washington, DC1999 Google Scholar ). It appears that the authors may have, albeit likely without intention, violated these two components of the precautionary principle in their presentation of information about the implementation of a change in clinical practice around newborn skin care products. Anne Santa-Donato, MSN, RNC, is the Director of Obstetric Programs, Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC. Catherine M. Hill, MSN, FNP-BC, is a nurse program development specialist, Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC. In ResponseJournal of Obstetric, Gynecologic & Neonatal NursingVol. 45Issue 2PreviewWe appreciate the thoughtful concerns expressed by Santa-Donato and Hill in their letter to the editor with regard to our article, which was part of an In Focus series devoted to the Sigma Theta Tau International Maternal–Child Health Nurse Leadership Academy. An important point to clarify is that the focus of our article was on the implementation of a continuous quality improvement project to achieve the academy goals to prepare, position, and recognize the abilities of bedside nurses to influence practices and patient outcomes in maternal–child health. Full-Text PDF