Neuroprotective Core Measures 1–7: A Developmental Care Journey: Transformations in NICU Design and Caregiving Attitudes

Cardin, Ashlea D.; Rens, LeAnn; Stewart, Sandra; Danner-Bowman, Kesia; McCarley, Renay Marie; Kopsas, Rachel

doi:10.1053/j.nainr.2015.06.007

Cited by 13 publications

(10 citation statements)

References 64 publications

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“…These steps are essential, but insufficient and incomplete for institutional implementation as they mostly focus on planning, but not operationalization. Part of the Wee Care implementation strategies were presented by Cardin et al (2015), who mention that the transformational education program provides education, change management principles, resources, and consultation for full implementation. Their strategies, although very thorough, are not specific and clear enough for other units to replicate.…”

Section: Background and Purposementioning

confidence: 99%

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A

et al. 2017

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The use of age-appropriate care as an organized framework for care delivery in the neonatal intensive care unit is founded on the work of Heidelise Als, PhD, and her synactive theory of development. This theoretical construct has recently been advanced by the work of Gibbins and colleagues with the ''universe of developmental care'' conceptual model and developmental care core measures which were endorsed by the National Association of Neonatal Nurses in their age-appropriate care of premature infant guidelines as best-practice standards for the provision of high-quality care in the neonatal intensive care unit. These guidelines were recently revised and expanded. In alignment with the Joint Commission's requirement for health-care professionals to provide age-specific care across the lifespan, the core measures for developmental care suggest the necessary competencies for those caring for the premature and critically ill hospitalized infant. Further supported by the Primer Standards of Accreditation and Health Canada, the institutional implementation of theses core measures requires a strong framework for institutional operationalization, presented in these guidelines. Part A of this article will present the background and rationale behind the present guidelines and their condensed table of recommendations.

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Section: Background and Purposementioning

confidence: 99%

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A

et al. 2017

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“…Few evaluation/self-assessment tools in terms of DC knowledge and state of unit practice are available. Robison (2003), the newborn individualized developmental care and intervention program (NIDCAP), and the Wee Care have institutional evaluation tools that are not published but mention importance of such tools (Cardin et al., 2015). In 2011, the NANN published a “Core measure in DC: Self-Assessment” to be employed at the individual and unit level with the goal of targeting improvement initiatives and identifying steps to achieve positive changes (Gibbins, Coughlin, & Hoath, 2011).…”

Section: Methodsmentioning

confidence: 99%

“…Step 2-Specialized training of a group of champions. Many experts recommend the training of a specialized champion group in DC to act as role models and ''trainers,'' namely as potential resources for the bedside clinician (Altimier et al, 2015;Bertram et al, 2011;Cardin et al, 2015;Carrier, 2002;Mambrini et al, 2002;Ratynski, 2014;Robison, 2003). Their presence and expertise would guide and support the implementation of DC both at the organizational level, as they would be involved in strategic planning, but also at the bedside, where they would act as role models.…”

Section: Phase 2-educatementioning

confidence: 99%

“…Case-based learning or experiential learning also needs to be used (Carrier, 2002). This is supported by Als (1996), Cardin et al (2015), and McGrath and Valenzuela (1994), which recommends multiple modalities for learning, such as video-feedbacks, external experts, case study presentations, role modeling and mentoring, positive reinforcement, and even DC rounds (Mambrini et al, 2002;Ratynski, 2014).…”

Section: Phase 2-educatementioning

confidence: 99%

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Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B

et al. 2017

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The use of age-appropriate care as an organized framework for care delivery in the NICU is founded on the work of Heidelise Als, PhD, and her synactive theory of development. This theoretical construct has recently been advanced by the work of Gibbins and colleagues with the "universe of developmental care" conceptual model and developmental care core measures which were endorsed by the National Association of Neonatal Nurses in their age-appropriate care of premature infant guidelines as best-practice standards for the provision of high-quality care in the NICU. These guidelines were recently revised and expanded. In alignment with the Joint Commission's requirement for healthcare professionals to provide age-specific care across the lifespan, the core measures for developmental care suggest the necessary competencies for those caring for the premature and critically ill hospitalized infant. Further supported by the Primer Standards of Accreditation and Health Canada, the institutional implementation of these core measures require a strong framework for institutional operationalization presented in these guidelines. Part B will present the recommendations and justification of each steps behind the present guidelines to facilitate their implementation.

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“…While the provision of developmental neuroprotective care is a fundamental neonatal nursing responsibility, the five core measures included in the 2011 NANN guidelines serve as imperatives that an optimal neuroprotective environment requires the coordination of care with disciplines of medicine and nursing, including the scope of practice of NTs [18][19][20][21][22][23]. Skilled neonatal therapy competencies support preventative intervention from birth to enhance physiologic function and neurostructural development of the infant with benefits extending to all stakeholders including the infant, family, healthcare community, and provider networks [11,[24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

Craig

Smith

2020

J Perinatol

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Infants admitted to neonatal intensive care units (NICU) require carefully designed risk-adjusted management encompassing a broad spectrum of neonatal subgroups. Key components of an optimal neuroprotective healing NICU environment are presented to support consistent quality of care delivery across NICU settings and levels of care. This article presents a perspective on the role of neonatal therapists-occupational therapists, physical therapists, and speech-language pathologists-in the provision of elemental risk-adjusted neuroprotective care services. In alignment with professional organization competency recommendations from these disciplines, a broad overview of neonatal therapy services is described. Recognizing the staffing budget as one of the more difficult challenges hospital department leaders face, the authors present a formula-based approach to address staff allocations for neonatal therapists working in NICU settings. The article has been reviewed and endorsed

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Neuroprotective Core Measures 1–7: A Developmental Care Journey: Transformations in NICU Design and Caregiving Attitudes

Cited by 13 publications

References 64 publications

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

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