Assessing infant-oriented care with developmental support approach in Iranian NICUs

Nejad, Mostajab Razavi; Eskandari, Zahra; Heidarzadeh, Mohammad; Afjeh, Abolfazl; Almasi‐Hashiani, Amir; Akrami, Forouzan

doi:10.1080/14767058.2017.1330879

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…To help improve clinical outcomes for small and sick newborns, a culture of capability should be promoted in places where fatalism on the part of healthcare providers is common [ 62 , 63 ]. Evidence from high- and middle-income countries has also demonstrated the value of family-centered developmental care for this vulnerable population [ 64 – 66 ]. A study in Colombia found that continuing education for care providers, provision of materials for positioning of neonates, and use of an informative video for parents were helpful in promoting related care practices [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical cascades as a novel way to assess physical readiness of facilities for the care of small and sick neonates in Kenya and Uganda

et al. 2018

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BackgroundGlobally, there were 2.7 million neonatal deaths in 2015. Significant mortality reduction could be achieved by improving care in low- and middle-income countries (LMIC), where the majority of deaths occur. Determining the physical readiness of facilities to identify and manage complications is an essential component of strategies to reduce neonatal mortality.MethodsWe developed clinical cascades for 6 common neonatal conditions then utilized these to assess 23 health facilities in Kenya and Uganda at 2 time-points in 2016 and 2017. We calculated changes in resource availability over time by facility using McNemar’s test. We estimated mean readiness and loss of readiness for the 6 conditions and 3 stages of care (identification, treatment, monitoring-modifying treatment). We estimated overall mean readiness and readiness loss across all conditions and stages. Finally, we compared readiness of facilities with a newborn special care unit (NSCU) to those without using the two-sample test of proportions.ResultsThe cascade model estimated mean readiness of 26.3–26.6% across the 3 stages for all conditions. Mean readiness ranged from 11.6% (respiratory distress-apnea) to 47.8% (essential newborn care) across both time-points. The model estimated overall mean readiness loss of 30.4–31.9%. There was mild to moderate variability in the timing of readiness loss, with the majority occurring in the identification stage. Overall mean readiness was higher among facilities with a NSCU (36.8%) compared to those without (20.0%).ConclusionThe cascade model provides a novel approach to quantitatively assess physical readiness for neonatal care. Among 23 facilities in Kenya and Uganda, we identified a consistent pattern of 30–32% readiness loss across cascades and stages. This aggregate measure could be used to monitor and compare readiness at the facility-, health system-, or national-level. Estimates of readiness and loss of readiness may help guide strategies to improve care, prioritize resources, and promote neonatal survival in LMICs.

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Section: Discussionmentioning

confidence: 99%

Clinical cascades as a novel way to assess physical readiness of facilities for the care of small and sick neonates in Kenya and Uganda

et al. 2018

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“…The study design was a multicenter cluster clinical trial with a control group. Four hospitals with matched neurodevelopmental care (13)(14)(15) were selected using a random cluster sampling method. Then, 72 dead mother-infant cases who met the inclusion criteria were selected by means of a purposive sampling technique.…”

Section: Methodsmentioning

confidence: 99%

Preterm Infant Neurodevelopmental Care Training Program and Mother-Infant Attachment

Rostami

Soleimani

Norouzi

et al. 2019

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Preterm birth and admission to the neonatal intensive care unit (NICU) would disrupt mother-infant attachment. Neurodevelopmental care training and support of family programs are essential for the family of such infants. The purpose of this study was to investigate the effect of neurodevelopmental care training program for mothers with preterm infants on mother-infant attachment at one month’s age. Materials and Methods: Study population included all the mothers of preterm infants born in the hospitals of Tehran in 2018. The research was designed as a multicenter cluster clinical trial and four hospitals were randomly selected and divided into intervention and control groups. Before the intervention, the mother-infant attachment was measured by the Maternal-Postnatal Attachment Scale (MPAS). The mothers in the intervention group received a 12-session preterm infant neurodevelopmental care training program while the control group only received the routine care in the unit. Finally, the mother-infant attachment was re-measured in both groups at the one month corrected age. Results: No significant difference was observed in the attachment score before and after the intervention in the control group but the mother-infant attachment score was significantly different in the intervention group (57.75±11.09 vs. 78.27±4.54). Conclusions: The neurodevelopmental care training program was effective and increased the mother-infant attachment rate.

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“…To be able to provide quality care for preterm infants, the NICU nurses should possess current and accurate knowledge and skills, as well as the perception that such care is important in the context of prematurity 11. However, several previous studies conducted in Iran and India have reported that the level of knowledge related to developmentally supportive care for premature infants in NICU nurses is not high 11–13. Therefore, it is necessary to assess NICU nurses' knowledge concerning developmentally supportive care to ensure high-quality healthcare for premature infants.…”

Section: Background and Significance/literature Reviewmentioning

confidence: 99%

“…11 However, several previous studies conducted in Iran and India have reported that the level of knowledge related to developmentally supportive care for premature infants in NICU nurses is not high. [11][12][13] Therefore, it is necessary to assess NICU nurses' knowledge concerning developmentally supportive care to ensure high-quality healthcare for premature infants.…”

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confidence: 99%

Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea

Lee

Park

Cho

2021

Advances in Neonatal Care

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Assessing infant-oriented care with developmental support approach in Iranian NICUs

Abstract: The low mean score of infant-centered developmental care implies health staff's focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care.

Cited by 7 publications

References 22 publications

Clinical cascades as a novel way to assess physical readiness of facilities for the care of small and sick neonates in Kenya and Uganda

Clinical cascades as a novel way to assess physical readiness of facilities for the care of small and sick neonates in Kenya and Uganda

Preterm Infant Neurodevelopmental Care Training Program and Mother-Infant Attachment

Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea

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