Neonatal Intensive Care Unit Nurses’ Perceptions and Knowledge of Newborn Individualized Developmental Care and Assessment Program: A Multicenter Study

Rouya Baghlani, Mohammad‑Bagher Hosseini, Abdolrasoul Safaiyan, Maedeh Alizadeh, Mohammad Arshadi‑ Bostanabad

Abstract


Background: The newborn individualized developmental care and assessment program (NIDCAP) is a new multifaceted approach, which is developmentally and functionally supportive of health especially in premature newborns at the neonatal intensive care unit (NICU). This study is designed for assessing the knowledge and perception of nurses as the most important members of the multidisciplinary team of NIDCAP about this program.

Materials and Methods: This cross‑sectional study was conducted on 120 nurses working in the NICUs of Alzahra, Taleghani, and Children hospitals affiliated to the educational and treatment centers of Tabriz University of Medical Sciences as well as 29 Bahman Hospital affiliated to Tabriz Social Security Organization in 2016 using census sampling method. Three questionnaires were employed to collect demographic data and to explore the nurses’ perceptions and knowledge of the NIDCAP program.

Results: Findings of the study indicated that the mean (SD) nurses’ knowledge and perception scores for NIDCAP were 71.83 (1.64) and 76.80 (0.79), respectively. In the terms of knowledge, significant differences were found with regard to being married (t =‑2.39, p < 0.019), having an MSc degree (t =‑2.14, p = 0.034), and employment experience (t =‑3.38, p = 0.001). However, there was no significant relationship between perception and demographic variables (p > 0.05), nor was there any significant relationship between perception and knowledge (p = 0.275).

Conclusions: The results of this study showed that the majority of nurses participating in the study had high knowledge about NIDCAP.



Keywords


Knowledge, nurses, perception, premature infants

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References


Sharifi N, Khazaeian S, Pakzad R. Investigating the prevalence of preterm birth in Iranian population: A systematic review and meta‑analysis. J Caring Sci 2017;6:371.

Wielenga JM, Smit BJ, Unk KA. A survey on job satisfaction among nursing staff before and after introduction of the NIDCAP model of care in a level III NICU in the Netherlands. Adv Neonatal Care 2008;8:237‑45.

Wielenga JM, Smit BJ, Unk LK. How satisfied are parents supported by nurses with the NIDCAP® model of care for their preterm infant? J Nurs Care Qual 2006;21:41‑8.

Als H, Gilkerson L, Duffy FH, McAnulty GB, Buehler DM, Vandenberg K, et al. A three‑center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: Medical, neurodevelopmental, parenting, and caregiving effects. J Dev Behav Pediatr 2003;24:399‑408.

Collins JM. Reflections on the changing learning needs of nurses: A challenge for nursing continuing educators. J Contin Educ Nurs 2002;33:74‑7.

Hendricks‑Munoz KD, Prendergast CC. Barriers to provision of developmental care in the neonatal intensive care unit: Neonatal nursing perceptions. Am J Perinatol 2007;25:071‑7.

Milette I, Martel MJ, Ribeiro da Silva M, Coughlin McNeil M. Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A: Background and Rationale. A Joint Position Statement From the CANN, CAPWHN, NANN, and COINN. Can J Nurs Res 2017;49:46‑62.

Westrup B, Kleberg A, von Eichwald K, Stjernqvist K, Lagercrantz H, A randomized, controlled trial to evaluate the effects of the newborn individualized developmental care and assessment program in a Swedish setting. Pediatrics 2000;105:66‑72.

Westrup B, Stjernqvist K, Kleberg A, Hellström‑Westas L, Lagercrantz H. Neonatal individualized care in practice: A Swedish experience. Semin Neonatol 2002;7:447‑57.

Solhaug M, Bjørk IT, Sandtrø HP. Staff perception one year after implementation of the the newborn individualized developmental care and assessment program (NIDCAP). J Pediatr Nurs 2010;25:89‑97.

Westrup B. Newborn Individualized Developmental Care and Assessment Program (NIDCAP)—family‑centered developmentally supportive care. Early Hum Dev 2007;83:443‑9.

Valeri BO, Holsti L, Linhares MB. Neonatal pain and developmental outcomes in children born preterm: A systematic review. Clin J Pain 2015;31:355‑62.

Zhang X, Lee SY, Chen J, Liu H. Factors influencing implementation of developmental care among NICU nurses in China. Clin Nurs Res 2016;25:238‑53.

Peters KL, Rosychuk RJ, Hendson L, Coté JJ, McPherson C, Tyebkhan JM. Improvement of short‑and long‑term outcomes for very low birth weight infants: Edmonton NIDCAP trial. Pediatrics 2009;124:1009‑20.

van der Pal SM, Maguire CM, Cessie SL, Veen S, Wit JM, Walther FJ, et al. Staff opinions regarding the newborn individualized developmental care and assessment program (NIDCAP). Early Hum Dev 2007;83:425‑432.

Mosqueda R, Castilla Y, Perapoch J, de la Cruz J, López‑Maestro M, Pallás C. Staff perceptions on Newborn Individualized Developmental Care and Assessment Program (NIDCAP) during its implementation in two Spanish neonatal units. Early Hum Dev 2013;89:27‑33.

Milette IH, Richard L, Martel M‑J. Evaluation of a developmental care training programme for neonatal nurses. J Child Health Care 2005;9:94‑109.

Ludington‑Hoe S. Kangaroo Care: The Best You Can Do to Help Your Preterm Infant. Bantam; 2012.

Rezaee N, Behbahany N, Yarandy A, Hosseine F. Correlation between occupational stress and social support among nurses. Iran J Nurs 2006;19:71‑8.

Provenzi L, Barello S, Graffigna G. Caregiver Engagement in the Neonatal Intensive Care Unit: Parental Needs, Engagement Milestones, and Action Priorities for Neonatal Healthcare of Preterm Infants, in Patient Engagement: A Consumer‑Centered Model to Innovate Healthcare. Walter de Gruyter GmbH; 2015.


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