Poster Presentation
Thursday, 20 July 2006
10:00 AM - 10:30 AM
Thursday, 20 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations II
Nurses Applying Neonatal Individualized Developmental Care Program at a Neonatal Intensive Care Unit in Taiwan
Ho-Mei Chang, RN, BA, Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan and Chao-Huei Chen, MD, Department of Pediactric, Taichung Veterans General Hospital, Taichung, Taiwan.
Learning Objective #1: know what the nurses did neonatal individualized developmental care at our NICU in Tawain.
Learning Objective #2: know what were the obstacle factors about practicing neonatal individualized developmental care .
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.

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