Publication Date

Spring 2023

Degree Type

Master's Project

Degree Name

Master of Science in Nursing, Family Nurse Practitioner (MSN)



First Advisor

Lisa Walker-Vischer


Neonatal Abstinence Syndrome (NAS), Finnegan Neonatal Abstinence Scale (FNASS), Eat, Sleep, Console (ESC), length of stay, pharmacologic intervention


Purpose: This systematic review seeks to explore whether utilizing Eat, Sleep, Console (ESC) over the Finnegan Neonatal Abstinence Scale (FNASS) in the neonatal abstinence syndrome (NAS) population decreases length of stay or pharmacological interventions.
Method: Systematic literature review utilizing CINAHL, PubMed and Google Scholar databases.
Results: Utilizing Eat Sleep Console, over FNASS decreased length of stay and pharmacologic intervention.
Conclusions: There is compelling research suggesting a change in NAS treatment from FNASS to ESC with a decrease in length of stay and pharmacologic intervention. However, there is an opportunity for further studies providing higher levels of evidence as the current studies are largely quality improvement or retrospective studies. There is also opportunity to study the effect of utilizing ESC on mother-baby dyad bonding and breastfeeding rates.