Nurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/152430
Type:
Presentation
Title:
Nurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwan
Abstract:
Nurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwan
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Chang, Ho-Mei, RN, BA
P.I. Institution Name:Taichung Veterans General Hospital
Title:Head Nurse
Co-Authors:Chao-Huei Chen, MD
Background: Family-centered, neonatal individualized developmental care program [NIDCAP] is the vision of neonatal care in this century. Developmental care has become the norm of nursing care in neonatal intensive care unit. However, our clinical practice is somewhat away from what a developmental care should be. Aim: To understand the view point of nurses about developmental care and the factors influencing clinical practice of applying developmental care. Method: This is a qualitative study design. Eight nurses who have been working in our unit over one year were interviewed with a semi-structure questionnaire during Dec. 25, 2003 to Feb. 4, 2004. Questions include: 1)What do you think about developmental care; 2)what would you do while you care a preemie; 3) What was your feeling about practicing developmental care. The time of interview was 15 to 30 minutes. Result and Conclusion: Context analysis categorized these data into three categories: the nurses? knowledge, the nurses? attitude to developmental care, and factors influencing the application of developmental care in clinical setting. All the nurses thought developmental care was important. They also understood most of the knowledge about developmental care and willing to do it. However it was a little gap between knowing and doing. Such as, arranging care activities by staffs? schedule rather than considering the baby?s individualized needs. The reasons for the gap included: 1)Misconception that developmental care can?t be applied to critical babies; 2) Different options in caring plan between physician and nurses; 3)Reluctance to change of previous routine-oriented care model; 4)Work stress coming from shortage of staff member with increasing work load; 5) The first two might be due to lacking of education training program. Since suggest having a developmental specialist in NICU to set up NIDCAP training programs for multidiscipline involve in developmental care and support the staffs and families.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152430-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chang, Ho-Mei, RN, BA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taichung Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Head Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">chmei@vghtc.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Chao-Huei Chen, MD</td></tr><tr><td colspan="2" class="item-abstract">Background: Family-centered, neonatal individualized developmental care program [NIDCAP] is the vision of neonatal care in this century. Developmental care has become the norm of nursing care in neonatal intensive care unit. However, our clinical practice is somewhat away from what a developmental care should be. Aim: To understand the view point of nurses about developmental care and the factors influencing clinical practice of applying developmental care. Method: This is a qualitative study design. Eight nurses who have been working in our unit over one year were interviewed with a semi-structure questionnaire during Dec. 25, 2003 to Feb. 4, 2004. Questions include: 1)What do you think about developmental care; 2)what would you do while you care a preemie; 3) What was your feeling about practicing developmental care. The time of interview was 15 to 30 minutes. Result and Conclusion: Context analysis categorized these data into three categories: the nurses? knowledge, the nurses? attitude to developmental care, and factors influencing the application of developmental care in clinical setting. All the nurses thought developmental care was important. They also understood most of the knowledge about developmental care and willing to do it. However it was a little gap between knowing and doing. Such as, arranging care activities by staffs? schedule rather than considering the baby?s individualized needs. The reasons for the gap included: 1)Misconception that developmental care can?t be applied to critical babies; 2) Different options in caring plan between physician and nurses; 3)Reluctance to change of previous routine-oriented care model; 4)Work stress coming from shortage of staff member with increasing work load; 5) The first two might be due to lacking of education training program. Since suggest having a developmental specialist in NICU to set up NIDCAP training programs for multidiscipline involve in developmental care and support the staffs and families.</td></tr></table>en_GB
dc.date.available2011-10-26T11:36:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:36:01Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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