In order to accomplish this, nurses needed a firm understanding of the developmental problems with the high risk and the premature infant. It was critical that this group of caregivers understands the fundamentals of neurosensory growth of these infant. It is also vital that they understand how the intrauterine environment protects the infant from being exposed to the fluctuation of an unstable extrauterine environment.
The Neonatal Integrative Developmental Care Model (NIDCM) was the model we utilized for implementing the seven neuroprotective core measure of family-centered developmental care and are identified as: the healing environment, partnering with families, positioning and handling, minimizing stress and pain, safeguarding sleep, protecting skin and optimizing nutrition. This model is represented by the lotus flower. In the center the first core measure is the healing environments. Each of the remaining six core measures are depicted as overlapping petals to display the integrative nature of developmental care (Altimier, & Phillips, 2013).
The goal of the unit was to empower families by partnering with them to develop proper skills in caring for their infant (Westrup, 2007) positively impacting their stress level, comfort level, and confidence as well as increasing family satisfaction (Cooper, Gooding, Gallagher, Sternesky, Ledsky & Berns, 2007). The goals of the NICU nurses was to gain new knowledge, skills and increase nurse satisfaction by providing developmental care using the seven neuroprotective core measures of family centered-care for every infant every time (Cardin, Rens, Stewart, Danner-Bowman, McCarley & Kopsas, 2015).
The NICU staff was educated on the “Seven Core Measures of Neuroprotective Family-Centered Developmental Care” by lecture, printed education and hands on training with a developmental care specialist. After completion of the training the neuroprotective interventions were implemented on every NICU infant. Parents were give verbal and printed information and educated on the meaning of family centered care.
Conclusion from pre and post surveys that were collected from our NICU nurses showed an increase in knowledge of the appropriate care and potential benefits of these interventions. Pre and post Press-Ganey reports were collected from parents and results showed an increase in satisfaction over most categories. Also the results from parents during discharge phone call surveys showed NICU families had a strong satisfaction with the partnering of care and the level of family centered care their infant received.
See more of: Evidence-Based Practice Sessions: Oral Paper & Posters