Necessary resources and barriers perceived by professionals in the implementation of the NIDCAP

Mosqueda, Rocío; Castilla, Yolanda; Perapoch, Josep; Lora, David; López‐Maestro, María; Pallás, Carmen

doi:10.1016/j.earlhumdev.2013.04.011

Cited by 24 publications

(24 citation statements)

References 20 publications

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“…Developmental care is very accurate and time-consuming method of care and not easy to implement in any professional field. As a consequence, large number of nurses, who spend more time in contact with the infant and their families, are required for providing developmental care (28). Many studies acknowledge that the large number infants under the supervision of each nurse or inappropriate nurse-to-patient ratios are a very important factor in the quality of developmental care.…”

Section: Discussionmentioning

confidence: 99%

Assessing Factors Influencing the Quality of Developmental Care in Neonatal Intensive Care Units of Tehran

et al. 2016

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Background: Neonatal intensive care unit (NICU) developmental care refers to interventions in the infant's environment in neonatal intensive care unit to reduce environmental stresses and provide greater family-infant compatibility. Objectives: The aim of this study was to assess current developmental care performance and factors influencing implementation of this care at NICUs in Tehran, Iran. Methods: This cross-sectional study as part of a larger mixed method study assessed the quality of developmental care in Tehran NICUs. The study was performed on 400 nurses working in level III NICUs in 27 hospitals of Tehran during years 2014 and 2015. Data were collected using two scales, "NICU developmental care assessment (NDCA) scale " and "NICU developmental care structural (NDCS) checklist". The scales validity was detected by content, face and construct and reliability by internal consistency and testretest. The overall and each domain score were calculated in percentages. Data were analyzed using the SPSS-21 software using descriptive statistics tests and regression analysis. Results: The total score of quality of providing developmental care was 74.84%. Among all domains, "daily routine care" had the highest score (85.67%) and "sleep and pain care" had the lowest score (66.63%). Total score of structure was 43.06%. The number of neonates admitted per day (B -0.328, P = 0.019) and number of infants managed by each nurse (B -2.543, P = 0.019) were significant predictor variables for better quality of total developmental care. Conclusions: The number of infants cared and admitted were the only significant factors contributing to high quality of developmental care. Therefore, it is reasonable to assume that in case of Tehran, work-load and structure of services should receive greater attention.

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Section: Discussionmentioning

confidence: 99%

Assessing Factors Influencing the Quality of Developmental Care in Neonatal Intensive Care Units of Tehran

et al. 2016

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“…14, 15 Mosqueda et al 16 reported that some barriers for individualized NDC program in a NICU are: required time, insufficient personnel and education; in the present study, the main barrier was lack of coordination between professionals at the unit.…”

Section: Discussionmentioning

confidence: 48%

“…However, even though there is a culture that favors communication with parents, there are still some barriers in attitudes of personnel that haven't allowed the participation of all carers. Achieving full participation of parents and family in the care of newborn implies changes in the structure of the units, and, most of all, a change in the attitudes, as has been reported by Gooding et al 6 and Del Morral et al 16 In this study we find that health professionals only inform and guide the parents due to limited time available for these tasks; but it is important that other members of the family (grandparents, siblings) participate in care routines, and that at discharge they receive information and education as well.…”

Section: Discussionmentioning

confidence: 87%

Strategies for neonatal developmental care and family-centered neonatal care

2016

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“…DSC implementation, however, does not increase resource utilization when compared with routine care (Byers et al, ). Promoting effective communication, collaboration, and caring behaviors among health‐care team members is vital in DSC success (Coughlin et al, ), yet has been identified as a significant obstacle (Mosqueda et al, ). Finally, a lack of ongoing education contributes to significant differences in the application of vital DSC elements to improve quality care (El sayed et al, ; Laudert et al, ; Mosqueda‐Peña et al, ).…”

Section: Discussionmentioning

confidence: 99%

Experience of neonatal intensive care unit nurses in providing developmentally‐supportive care: A qualitative study

Austin

Downing

Hastings‐Tolsma

2019

Nursing & Health Sciences

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Many challenges have been noted in the implementation of developmentally‐supportive care principles in neonatal intensive care units, despite evidence that adhering to such care principles achieves positive results for the neonate. The aim of this study was to explore and describe compliance in adhering to developmentally‐supportive care principles implemented in one neonatal intensive care unit in South Africa. An exploratory design was used in this qualitative study with purposive sampling to select eligible neonatal intensive care registered nurses (n = 14) as participants. Participants all worked in a 10 bed neonatal intensive care unit at a large tertiary care public hospital. Six audio‐recorded interviews were conducted, with recordings subsequently transcribed and analyzed. Three main themes were identified: value of developmentally‐supportive care, nature of developmentally‐supportive care, and barriers to developmentally‐supportive care. One of the main themes had subthemes, which substantiated the findings, and included parent involvement, nurse engagement, and holistic care. Study outcomes offer insight into the development or revision of policies and practices, which are crucial when implementing developmentally‐supportive care, particularly in resource‐poor settings where challenges are magnified.

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Necessary resources and barriers perceived by professionals in the implementation of the NIDCAP

Cited by 24 publications

References 20 publications

Assessing Factors Influencing the Quality of Developmental Care in Neonatal Intensive Care Units of Tehran

Assessing Factors Influencing the Quality of Developmental Care in Neonatal Intensive Care Units of Tehran

Strategies for neonatal developmental care and family-centered neonatal care

Experience of neonatal intensive care unit nurses in providing developmentally‐supportive care: A qualitative study

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