Pilot Survey of Nurses' Attitudes and Practice of Developmentally Supportive Care in NICUs inTaiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/335482
Category:
Full-text
Type:
Presentation
Title:
Pilot Survey of Nurses' Attitudes and Practice of Developmentally Supportive Care in NICUs inTaiwan
Author(s):
Wu, Chia-Ling
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Chia-Ling Wu, PhD, RN, clwu@gw.cgust.edu.tw
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan. Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. The context of NNCS reflects overall DSC strategies classified into five components: individualized care, appropriate sensory input, promote comfort, appropriate positioning, and parental involvement. Higher scores indicate that the nurse has a more positive attitude about applying DSC knowledge, and/or that she provides DSC to preterm infants more frequently. Results: Of 267 questionnaires, 221 were returned, gathering an 82.8 % response rate that varied between 62.5 and 96.8% among hospitals. Neonatal nurses generally showed a positive attitude about applying DSC knowledge (M=3.50, SD=.38). Their highest attitude score was "promote comfort component", while as the lowest one was "individualized care". The top 5 of 16 practice strategies of DSC provided by nurses in order to frequency were: "nesting", "supportive positioning aids", "covering the incubator", "holding in tucked position", and "midline positioning". The average practice scores (ranging from 3.44-4.08, SD= .54-.74) were higher than the score in attitudes. In this study, the correlations of five DSC components between attitudes and practice were weak. "Individual care" attitudes and practice had no significant correlation with any component of other DSC attitudes or practices. Nurses' attitudes towards "appropriate sensory inputs" and "promote comfort" consistently correlated with their practice of these two components, whereas "appropriate positioning" and "parent involvement" show no such consistency. Conclusion: Findings of this study may help nursing educators and administrators at both unit and hospital levels to provide educational programs and supports in order to promote nurses' knowledge and attitudes, and consequently facilitate nurses' DSC practice. Further studies to understand nurses' attitudes and practice experience are recommended, especially for those items with low values.
Keywords:
perception of practice; attitude; developmentally supportive care
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14PST201
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePilot Survey of Nurses' Attitudes and Practice of Developmentally Supportive Care in NICUs inTaiwanen
dc.contributor.authorWu, Chia-Lingen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsChia-Ling Wu, PhD, RN, clwu@gw.cgust.edu.twen
dc.identifier.urihttp://hdl.handle.net/10755/335482-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan. Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. The context of NNCS reflects overall DSC strategies classified into five components: individualized care, appropriate sensory input, promote comfort, appropriate positioning, and parental involvement. Higher scores indicate that the nurse has a more positive attitude about applying DSC knowledge, and/or that she provides DSC to preterm infants more frequently. Results: Of 267 questionnaires, 221 were returned, gathering an 82.8 % response rate that varied between 62.5 and 96.8% among hospitals. Neonatal nurses generally showed a positive attitude about applying DSC knowledge (M=3.50, SD=.38). Their highest attitude score was "promote comfort component", while as the lowest one was "individualized care". The top 5 of 16 practice strategies of DSC provided by nurses in order to frequency were: "nesting", "supportive positioning aids", "covering the incubator", "holding in tucked position", and "midline positioning". The average practice scores (ranging from 3.44-4.08, SD= .54-.74) were higher than the score in attitudes. In this study, the correlations of five DSC components between attitudes and practice were weak. "Individual care" attitudes and practice had no significant correlation with any component of other DSC attitudes or practices. Nurses' attitudes towards "appropriate sensory inputs" and "promote comfort" consistently correlated with their practice of these two components, whereas "appropriate positioning" and "parent involvement" show no such consistency. Conclusion: Findings of this study may help nursing educators and administrators at both unit and hospital levels to provide educational programs and supports in order to promote nurses' knowledge and attitudes, and consequently facilitate nurses' DSC practice. Further studies to understand nurses' attitudes and practice experience are recommended, especially for those items with low values.en
dc.subjectperception of practiceen
dc.subjectattitudeen
dc.subjectdevelopmentally supportive careen
dc.date.available2014-11-17T13:53:31Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:53:31Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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