The Impact of a Neonatal Sleep Care Training Program on Nurses’ Knowledge and Performance in Neonatal Intensive Care Units

Marzieh Hasanpour, Fatemeh Farashi, Majid Mohammadizadeh, Zahra Abdeyazdan


Background: Sleep is essential for organizing and maturation of the brain in premature infants; it also plays a role in maintaining the natural balance between different nervous centers. Given the role of nurses in neonatal sleep care, this study aimed at assessing the impact of a training program on the nurses’ knowledge and performance in a Neonatal Intensive Care Unit (NICU).
Materials and Methods: In this quasi‑experimental study which structured into three stages, 35 nurses working in an NICU in Isfahan, Iran, were included. The neonatal sleep training program was in the form of a lecture with questions and answers and then placing posters and booklets in the NICU. The data were collected by a questionnaire for nurses’ knowledge and performance assessment which its validity and reliability were determined through content validity and internal consistency, respectively. The nurses’ knowledge was assessed via 40 multiple‑choice questions before, immediately after, and 1 month after the training program, and their performance was evaluated before and 1 month after intervention using 15 multiple‑choice questions. The data were analyzed by descriptive and inferential statistics using the SPSS software version 16.

 Results: The results showed that the mean score of nurses’ knowledge after training has significantly increased as compared to before training (33.33 (4.4) vs. 19.33 (4.1)) (P < 0.001); however, the score of performance was slightly improved although it did not reveal any significant differences (P = 0.07, 42.6 (7.6) vs. 45.1 (7.8)). Conclusions: The results indicated that this method of training program could lead to an increase in nurses’ knowledge, but it did not significantly improve their performance. It may be due to a low number of training sessions; therefore, it is recommended to implement long‑term training programs in this field.


Care; Neonatal Intensive Care Unit;, neonatal sleep; nursing knowledge; nursing performance; training program

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