Developmentally supportive care in neonatology: Correlational study of the knowledge and declared practices of professionals

Faez, Naima; Hmami, F.; Kojmane, W.; Atmani, S.

doi:10.1016/j.amsu.2022.104928

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…Tis study's fndings show higher scores (≥80% or median score ≥4.5) for the daily supportive care components like safe oxygen administration, thermal care, and nutritional care, whereas a moderate level of practice scores (62.5-74.0%) was for the developmental care components like sleep promotion, supportive sensory environment, and positioning and handling. Similar less integration of developmental care in neonatal care practice is reported in the study among nurses and other healthcare professionals in Morocco [25]. Low practice was also reported in a study among nurses in Portugal [26].…”

Section: Discussionsupporting

confidence: 85%

Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study

Shrestha,

Bista,

Shrestha

et al. 2023

Nursing Forum

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Introduction. Preterm infants (PTIs) are vulnerable to morbidity, disability, and mortality. They require meticulous care for survival and development in neonatal care units (NCUs). PTI care in NCUs is a collaborative and team effort among different health professionals. However, nurses have a key role for quality care. This study aimed to assess nurses’ PTI care practices across different hospitals in Nepal. Methods. A descriptive cross-sectional study was conducted in NCUs of six randomly selected public hospitals in Nepal. After obtaining ethical approval, structured observation was completed among 40 NCU nurses using a practice checklist. After observation, a self-report questionnaire was administered among 102 nurses. Both descriptive and inferential statistics were used for data analysis. Results. The observation and self-reported mean infant care practices were 73.7% and 70.7%, respectively. The overall practice median score and the interquartile range (IQR) were 4.0 (3.5–4.3) with the highest score of (4.5 [4.1–4.7]) for daily supportive care and the lowest score of (2.8 [2.1–3.5]) for pain management. The care practice was strongly associated with the nurse-infant ratio (adjusted odd ratio (aOR) = 18.52, confidence interval (CI) = 5.83–58.77, and p=<0.001) and training status (aOR = 4.95, CI = 1.59–15.39, and p=0.006). Conclusion. Nurses have adequate practice of thermal care, safe oxygen administration, nutritional care, and infection prevention in NCUs, whereas lacking is found regarding developmental supportive care components (sleep promotion and a supportive sensory environment), parental support, and pain management practices. Consideration of the proper nurse-infant ratio and continued professional development opportunities are essential for practice enhancement in NCUs. These findings might be useful to identify the gaps in PTI care practice in NCUs.

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Section: Discussionsupporting

confidence: 85%

Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study

Shrestha,

Bista,

Shrestha

et al. 2023

Nursing Forum

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Developmental care education in Australian surgical neonatal intensive care units: A cross-sectional study of nurses’ perceptions

Griffiths,

Laing,

Spence

et al. 2024

Heliyon

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The Importance of Follow-Up Visits for Children at Risk of Developmental Delay—A Review

Malak,

Kaczmarek,

Fechner

et al. 2024

Diagnostics

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Structured follow-up visits should be accessible for children at risk for developmental delay. Follow-up visits should include a serial neuromotor assessment in the first two years of life (e.g., 3–6, 12, 24 months corrected age), which are repeated during the transition to school. The diagnosis of neuromotor development may be prognostic for important skills later in life. The early diagnosis of a child’s general movements can be helpful in planning appropriately for proper treatment and intervention. These diagnostic assessments should be conducted by qualified healthcare professionals. The evaluation of neuromotor developmental health is specified in the national guidelines and funded by either a national government or public or private healthcare insurance and based on standardized assessment scales. The aim of this study is to show what elements of follow-up visits are recommended. Objectives: The group of patients for whom the structured follow-up systems are intended were children born very preterm (<32 weeks gestation) or full-term born children with severe neonatal complications. Material and methods: The methods for monitoring neurodevelopment include the following: The General Movements Assessment (GMA), the Ages and Stages Questionnaire (ASQ-3), the Bayley Scales of Infant and Toddler Development (BSID-4), and the Parent Report of Children’s Abilities-Revised (PARCA-R). Results: The results of follow-up visits should be registered. Conclusions: The benefits of follow-up neuromotor development assessments can be observed at school age and even in adulthood.

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Developmentally supportive care in neonatology: Correlational study of the knowledge and declared practices of professionals

Cited by 3 publications

References 32 publications

Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study

Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study

Developmental care education in Australian surgical neonatal intensive care units: A cross-sectional study of nurses’ perceptions

The Importance of Follow-Up Visits for Children at Risk of Developmental Delay—A Review

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