Assessing infant-oriented care with developmental support approach in Iranian NICUs

Razavi Nejad, M. and Eskandari, Z. and Heidarzadeh, M. and Afjeh, A. and Almasi-Hashiani, A. and Akrami, F. (2018) Assessing infant-oriented care with developmental support approach in Iranian NICUs. Journal of Maternal-Fetal and Neonatal Medicine, 31 (14). pp. 1851-1855.

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Abstract

Introduction: Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guidelines for daily care for the caregivers and the infant�s family. Methods: This was a cross-sectional study conducted in NICUS in Iran. A total of 23 NICUs of 9 Universities of Medical Sciences were investigated. The checklist contains 30 items in 6 domains. Data were analyzed using STATA software, version 13. Results: The total mean score obtained from all six domains was 31.29 of 100, and in all domains, the mean scores calculated were not above 50. In �supporting infant,� �developmental caregiving activities,� �supporting the infants� state organization,� �providing neonatal pain management,� �developmental care approaches in documentation,� and �developmental care approaches in NICU staffing,� the total mean scores were 34.76, 21.6, 20, 30.18, 31.30, and 50, respectively. Conclusion: The low mean score of infant-centered developmental care implies health staff�s focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care. © 2017 Informa UK Limited, trading as Taylor & Francis Group.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: analgesia; Article; caregiver; child development; cross-sectional study; ethnicity; health care delivery; human; intensive care unit; Iran; Iranian; kangaroo care; medical documentation; newborn; newborn assessment; newborn care; pain assessment; population research; practice guideline; priority journal; scoring system
Subjects: WS Pediatrics
WX Hospitals and Other Health Facilities
Depositing User: eprints admin
Date Deposited: 24 Dec 2018 06:33
Last Modified: 24 Dec 2018 06:33
URI: http://eprints.iums.ac.ir/id/eprint/6361

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