Structured Educational Intervention Leads to Better Infant Positioning in the NICU

Masri, Saadieh; Ibrahim, Perla; Badin, Daniel; Khalil, Samar; Charafeddine, Lama

doi:10.1891/0730-0832.37.2.70

Cited by 7 publications

(15 citation statements)

References 24 publications

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“…Moreover, it is also in the same line with Spilker et al [26] who stated that, improving the developmental positioning proficiency of NICU nurses through applying a standardized infant positioning assessment tool and suitable strategies for education and training. Also, the results of the present study are in accordance with the findings of very recent study done by Masri et al [45] they confirmed that the mean knowledge assessment test score of nurses in the NICU who participated in this study improved significantly (p < .0001) after implementation of the learning package.…”

Section: Discussionsupporting

confidence: 93%

Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU

Ahmed¹,

Mohammed²

2019

AJNR

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Premature infants surviving require advanced medical interventions and professional nursing care. Despite the innovative interventions in the medical field, they remain vulnerable for long-term complications, which is the result of early disruption of their intrauterine life and sudden exposure to an entirely unfamiliar NICU environment. One strategy for helping premature grows normally in NICU is developmental care, which includes positioning, nesting, and swaddling as daily routine care. This study aims to assess the effect of learning package regarding nesting and swaddling for premature on nurses knowledge and performance in NICU. A quasi-experimental research design using one group (pre, immediately post and three months later) was used for this study. Setting: The study was conducted at NICU in Abha Maternity and Child Hospital (AMCH), Abah city, Kingdom of Saudi Arabia. Subjects: 77 nurses who work in the previously mentioned NICU as a convenience sample. Tools: two tools used to collect the study: A Structured questionnaire sheet to assess nurses' knowledge regarding nesting and swaddling and the observation sheet to assess nurses' performance of nesting and swaddling in NICU. Results: There was a statistically significant difference regarding nurses' knowledge and performance about nesting and swaddling immediately after and three months later compared with before learning package. Conclusion: There was a significant positive effect of implementing learning package in improving nurses' knowledge and performance about nesting and swaddling in NICU for premature infants. Recommendations: Neonatal nurses must be provided with the best evidence about applying nesting and swaddling techniques for premature infants as a standard of developmentally supportive care in the NICUs.

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Section: Discussionsupporting

confidence: 93%

Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU

Ahmed¹,

Mohammed²

2019

AJNR

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“…This finding is supported by previous studies that reported significant improvements in mean IPAT scores after an intervention [2,9,22,28]. The IPAT is generally accepted as a reliable measure of the quality of infant positioning [9,11,22,28]. Our study results indicate that EPDP improved the quality of DP among nurses, which is ultimately expected to be effective in inducing positive developmental outcomes in premature infants.…”

Section: Discussionsupporting

confidence: 90%

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

Yun¹,

Kim²

2022

Child Health Nurs Res

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Purpose: This study aimed to develop and evaluate the effectiveness of an educational program on developmental positioning (EPDP) for nurses in neonatal intensive care units (NICUs).Methods: The study utilized a non-equivalent control group pretestposttest design. Sixty NICU nurses were recruited from two university hospitals in Daejeon, South Korea. The EPDP consisted of a 7-week program: 3 weeks of education and practice, followed by 4 weeks of encouragement messages using social networking services. Developmental positioning (DP) posters and DP aids were also provided during the intervention period. The intervention group (n=30) received the EPDP, but not the control group. The data were analyzed using the x2 test, the Fisher exact test, the independent t-test, and repeated-measures analysis of variance.Results: Participants' knowledge (t=7.49, p<.001), attitudes (t=1.99, p=.001), self-efficacy (t=2.99, p=.004), performance of DP (t=2.98, p=.004) and Infant Positioning Assessment Tool (IPAT) scores (F=29.50, p<.001) were significantly higher in the intervention group than in the control group.Conclusion: The EPDP can be an effective and useful program for improving the performance of DP among NICU nurses by increasing their knowledge, attitudes, and self-efficacy of DP. However, further research involving various NICU settings is needed to gather more empirical evidence.

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“…A significant improvement was noted in the proportion of admitted neonates with IPAT score ≥8 from the baseline of 16.6-83.3%. In coherence with other projects on position improvement [12][13][14], nursing teaching and demonstration sessions were found to be most impactful. Inclusion of mothers in the loop was the most important factor for sustenance policy.…”

Section: Discussionmentioning

confidence: 63%

“…Compared to previous reports [12][13][14], the major difference in this project was the achievement of targeted The biggest strength of this project was involvement of mothers as an addition to the concept of family-centred care. The major limitation was that we did not assess long-term developmental outcome.…”

Section: Discussionmentioning

confidence: 90%

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Developmentally Supportive Positioning Policy for Preterm Low Birth Weight Infants in a Tertiary Care Neonatal Unit: A Quality Improvement Initiative

et al. 2021

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Objective To improve developmentally supportive positioning practices by 50% in neonates weighing <1800 g, admitted in a neonatal intensive care unit over 6 months. Methods Infant Position Assessment Tool (IPAT) scores were used for assessment of the ideal position. Proportion of neonates with IPAT score ≥8 and improvement of average IPAT score were the process and the outcome measures, respectively. At baseline, 16.6% of infants had optimum position. After root cause analysis, interventions were done in multiple Plan-Do-Study-Act (PDSA) cycles of educational sessions, positioning audits, use of low-cost nesting aids, and training of mothers. Results Over 21 weeks, 74 neonates were observed at 714 opportunities. Over 6 months, mean (SD) IPAT score improved from 3.4 (1.4) to 9.2 (2.8). Optimum positioning was maintained in 83.3% neonates during sustenance phase. Conclusions Low-cost interventions, awareness regarding standards of optimum positioning and involvement of primary caregiver can effectively improve infant positioning practices.

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Structured Educational Intervention Leads to Better Infant Positioning in the NICU

Abstract: Nurses' education with hands-on practice improved infant positioning in the NICU; this may lead to fewer positional deformities and possibly an improved developmental outcome.

Cited by 7 publications

References 24 publications

Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU

Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

Developmentally Supportive Positioning Policy for Preterm Low Birth Weight Infants in a Tertiary Care Neonatal Unit: A Quality Improvement Initiative

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