Abstract
Background: Thermoregulation is a critical component of neonatal care, especially for preterm and low-birth-weight infants. Audits conducted in the Neonatal Intensive Care Unit (NICU) identified inconsistent temperature monitoring and documentation, resulting in delayed recognition of hypothermia or hyperthermia. Such deviations pose serious risks to neonatal safety and clinical outcomes.
Objectives: To achieve 100% compliance in accurate and timely monitoring and documentation of neonatal thermoregulation in the NICU by 04 October 2025 through the implementation of a standardized checklist, structured staff training, and regular monitoring audits.
Methods: A quasi-experimental pre–post intervention study was conducted between July and September 2025. Interventions included staff re-orientation, development of a thermoregulation monitoring checklist, visual reminders, and continuous audit–feedback cycles. Key indicators measured were monitoring compliance, documentation accuracy, and adherence to the 2-hourly temperature monitoring schedule. Data were analysed using descriptive statistics and trend analysis.
Results: Thermoregulation monitoring compliance improved from 70% at baseline to 97% post-implementation. Documentation accuracy increased from 72% to 96%, while adherence to the monitoring schedule rose from 68% to 94%. All indicators exceeded project targets.
Conclusion: Standardizing temperature monitoring practices through a unified checklist, combined with structured training and continuous supervision, significantly improved compliance and documentation accuracy. The interventions enhanced neonatal safety and established sustainable monitoring practices in the NICU.