Assessing Readiness for Point-Of-Care Ultrasound Implemenatation in a NeoNatal Intensive Care Unit

Abstract

Point-of-care ultrasound (POCUS) is an emerging diagnostic tool in neonatal care, yet widespread use in NICUs remains limited by provider training, confidence and organizational readiness. The purpose of this evidence-based practice project was to evaluate whether a brief POCUS educational intervention improved NICU provider readiness for adoption. Using a pre/post design, NICU providers at a regional tertiary NICU in Alaska completed the POCUS Readiness and Adoption Survey (PRAS) immediately before and after a structured 45-minute POCUS orientation presentation. The PRAS measured six domains: knowledge, attitudes, change efficacy, organizational support, intent to adopt, and perceived barriers. Twelve providers completed both surveys. Paired t-test analysis demonstrated significant improvements in knowledge (p < .001), attitudes (p = .022), change efficacy (p = .011), organizational support (p = .001), and intent to adopt POCUS (p = .006). Qualitative responses emphasized enthusiasm for POCUS integration and identified needs for structured training, clear credentialing pathways, and increased equipment access. Guided by the Iowa Model and Rogers’ Diffusion of Innovations, this project established foundational readiness and identified system-level barriers to adoption. Findings indicate that when provided with an appraisal of evidence, there is support for moving forward with comprehensive POCUS training, competency development, and interdisciplinary implementation planning to enhance diagnostic safety and neonatal care outcomes.