Document Type

DNP Project

Publication Date


Degree Name

Doctor of Nursing Practice

Faculty Advisor

Dorothea Esposito, DNP MSN/ed, APRN, FNP-BC

Practice Mentor

Deborah Francis, MSN, RNC, IBCLC


Introduction: In the NICU, breastmilk is handled and administered as safely and carefully as a medication. Administration errors occur when incorrect breastmilk is administered to the wrong patient. This can lead to the transmission of infectious disease and create the loss of trust between families and the healthcare team during a neonate’s NICU stay. Nurses are often faced with interruptions and distractions during administration, and evidence shows that interventions to reduce nurses’ distractions lead to reduction of administration errors in inpatient settings. This quality improvement project took place in a level III NICU. It implemented an evidence-based zone of silence for nurses to use during administration of breastmilk. The project’s goals were to increase understanding of the importance of no distractions during breastmilk administration, and to decrease distractions and interruptions during breastmilk administration.


A DNP Project submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing practice, Sacred Heart University Davis & Henley College of Nursing.

Available for download on Monday, May 01, 2023