Distilling the Evidence on Developmental Care

Symington, Amanda; Pinelli, Janet

doi:10.1053/adnc.2002.34546

Cited by 50 publications

(33 citation statements)

References 52 publications

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“…The developmental care focus was introduced in the 1980's, as a strategy to change NICU environmental conditions with a view to neonatal wellbeing and safety by reducing noise levels and lighting intensity, minimal handling, provision of longer rest periods, among others (2) . Noise control can represents a difficult task for nurses, as NICU noise mostly derives from care activities and professional conduct (3)(4) .…”

Section: Introductionmentioning

confidence: 99%

Noise at the Neonatal Intensive Care Unit and inside the incubator

Pinheiro

Guinsburg

Nabuco

et al. 2011

Rev. Latino-Am. Enfermagem

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The goal was to identify sound pressure level (SPL) at the neonatal intensive care unit (NICU) and inside the incubator of a teaching hospital of a public university from São Paulo -SP, Brazil. SPL inside the NICU and the incubator were measured using four dosimeters in January/2010. SPL at the NICU varied from 52.6 dBA to 80.4 dBA and inside the incubator, from 45.4 dBA to 79.1 dBA. SPL both at the NICU and inside the incubator are above the recommended values, but levels were higher at the NICU than inside the incubator.Although there are some specific factors related to SPL inside the incubator, the NICU and incubator acoustic features present a system: an increase/decrease in SPL at the NICU usually tends to increase/decrease SPL inside the incubator. The study points to the need for simultaneous monitoring of SPL at the NICU and inside the incubator. Evidenciou-se que tanto o NPS da UTIN como o do interior da incubadora estão acima dos recomendados, sendo mais altos na UTIN do que na incubadora. Embora haja alguns fatores específicos relacionados ao NPS no interior da incubadora, perfis acústicos da UTIN e da incubadora são como sistema: elevação/redução do NPS da UTIN, geralmente, tende a elevar/reduzir o NPS no interior da incubadora. Portanto, pode-se concluir que o presente estudo aponta para a importância do monitoramento simultâneo dos NPS da UTIN e do interior da incubadora.Descritores: Ruído; Terapia Intensiva Neonatal; Enfermagem Neonatal; Humanização da Assistência; Recém-Nascido. Ruido en la Unidad de Terapia Intensiva Neonatal y en el interior de la incubadoraSe tuvo por objetivo identificar el nivel de presión sonora (NPS) de la Unidad de Terapia Intensiva Neonatal (UTIN) y del interior de la incubadora de un hospital escuela de una universidad pública de Sao Paulo-SP, Brasil. El NPS de la UTIN y de la incubadora fueron obtenidos por cuatro dosímetros en enero de 2010. El NPS de la UTIN varió entre 52,6 dBA y 80,4 dBA y el del interior de la incubadora fue de 45,4dBA a 79,1dBA. Tanto el NPS de la UTIN como el del interior de la incubadora son mayores que lo que recomendado, siendo más altos en la UTIN que en la incubadora. A pesar de que existen algunos factores específicos relacionados al NPS en el interior de la incubadora, los perfiles acústicos de la UTIN y de la incubadora son como un sistema, es decir: la elevación/reducción del NPS de la UTIN generalmente tiende a elevar/reducir el NPS en el interior de la incubadora.Se concluye que muy importante la monitorización simultánea del NPS de la UTIN y del interior de la incubadora.Descriptores: Ruido; Cuidado Intensivo Neonatal; Enfermería Neonatal; Humanización de la Atención.

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Section: Introductionmentioning

confidence: 99%

Noise at the Neonatal Intensive Care Unit and inside the incubator

Pinheiro

Guinsburg

Nabuco

et al. 2011

Rev. Latino-Am. Enfermagem

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“…Convincing scientific evidence supporting these hypotheses is not available to date. 17 The objective of this research was to analyze one area of impact of the SFR NICU; the perceptions of NICU staff regarding the quality of work conditions. The method used was to compare staff workplace quality perceptions in a conventional OPBY NICU with those in a new SFR NICU.…”

Section: Introductionmentioning

confidence: 99%

Neonatal intensive care nursery staff perceive enhanced workplace quality with the single-family room design

et al. 2009

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Objective: To compare perceived workplace quality in an open-bay neonatal intensive care unit (NICU) and a single-family room (SFR) NICU.Study Design: Prospective non-randomized, non-controlled cohort study.Result: Staff workplace quality perceptions assessed included the following: the quality of being a Sanford Health System employee (NSFnot significant), the quality of the NICU physical work environment, the quality of NICU patient care, the job quality in the NICU, the quality of health and safety in the NICU (NS), the quality of safety and security in the NICU, the quality of interaction with other members of the NICU health-care team (NS; in subanalysis nurse scores significantly declined), the quality of interaction with NICU technology and the off-job quality of life (NS). Scores for each category and the total scores were statistically greater in the SFR, except as noted (NS). Conclusion:Staff perceptions of workplace quality were significantly greater in the SFR than the open-bay NICU.

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“…Care modified in this manner was associated with improved short-term outcomes; 5,6 however, data regarding the long term benefits have been more difficult to document, as reported by Symington in a meta-analysis of outcomes related to developmental care. 7 Investigators have been unable to establish the specific link between developmental interventions in the NICU and a reduction in adverse long-term neurodevelopmental consequences. The work of Graven 8 makes a compelling argument that given the immature state of brain development of neonates less than 30 weeks gestation and the active process of neuronal migration, the unregulated NICU environment can be expected to have harmful consequences.…”

Section: Introductionmentioning

confidence: 99%

The impact of architectural design upon the environmental sound and light exposure of neonates who require intensive care: an evaluation of the Boekelheide Neonatal Intensive Care Nursery

et al. 2007

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Objectives: To evaluate the differences in environmental sound, illumination and physiological parameters in the Boekelheide Neonatal Intensive Care Unit (BNICU), which was designed to comply with current recommendations and standards, as compared with a conventional neonatal intensive care unit (CNICU).Study Design: Prospectively designed observational study.Result: Median sound levels in the unoccupied BNICU (37.6 dBA) were lower than the CNICU (42.1 dBA, P<0.001). Median levels of minimum (6.4 vs 48.4 lux, P<0.05) and maximum illumination (357 vs 402 lux, P<0.05) were lower in the BNICU. A group of six neonates delivered at 32 weeks gestation showed significantly less periodic breathing (14 vs 21%) and awake time (17.6 vs 29.3%) in the BNICU as compared to the CNICU.Conclusion: Light and sound were both significantly reduced in the BNICU. Care in the BNICU was associated with improved physiological parameters.

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Distilling the Evidence on Developmental Care

Cited by 50 publications

References 52 publications

Noise at the Neonatal Intensive Care Unit and inside the incubator

Noise at the Neonatal Intensive Care Unit and inside the incubator

Neonatal intensive care nursery staff perceive enhanced workplace quality with the single-family room design

The impact of architectural design upon the environmental sound and light exposure of neonates who require intensive care: an evaluation of the Boekelheide Neonatal Intensive Care Nursery

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