Feature Articles: Nursing Continuing Professional DevelopmentNurse-Driven Interventions for Improving ELBW Neurodevelopmental OutcomesGomez, Jessica MSN, APRN, NNP-BC, IBCLC; Wardell, Diane PhD, RN, WHNP-BC Author Information Section of Neonatology, Department of Pediatrics, The University of Texas Health Science Center at Houston, Houston (Ms Gomez); and Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston (Dr Wardell). Corresponding Author: Jessica Gomez, MSN, APRN, NNP-BC, IBCLC, Section of Neonatology, Department of Pediatrics, The University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 3.254, Houston, TX 77030 ([email protected]). Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Each author has indicated that he or she has met the journal's requirements for Authorship. Submitted for publication: August 24, 2021; accepted for publication: November 28, 2021. The Journal of Perinatal & Neonatal Nursing: October/December 2022 - Volume 36 - Issue 4 - p 362-370 doi: 10.1097/JPN.0000000000000695 Buy CE Test Metrics Abstract Survival rates for extremely low-birth-weight (ELBW) infants are improving as neurodevelopmental impairment (NDI) rates stay stable, thereby increasing the overall number of infants with NDI. Although there are many determinants of NDI in this population, nutritional factors are of interest because they are readily modifiable in the clinical setting. Nurses can influence nutritional factors such as improving access to human milk feeding, using growth monitoring, establishing feeding policies, implementing oral care with colostrum, facilitating kangaroo care, and providing lactation education for the mother. All of these measures assist in leading to a decrease in NDI rates among ELBW infants. © 2022 Wolters Kluwer Health, Inc. All rights reserved.