The effects of education levels of developmental care in Australia: Perceptions and challenges |
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| Authors: | Nadine Griffiths Kaye Spence Claire Galea Kim Psaila Maralyn Foureur Lynn Sinclair |
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| Affiliation: | 1. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;2. School of Nursing, University of British Columbia, Vancouver, Canada;1. Neonatal Intensive Care Unit, Ospedale dell’Angelo, Italy;2. Neonatal Intensive Care Unit, Department of Mother''s and Child''s Health, University of Modena and Reggio Emilia, Italy;3. Neonatal Intensive Care Unit, S. Maria della Misericordia University Hospital, Italy;4. Neonatology and Neonatal Intensive Care Unit, University of Turin, Sant''Anna Hospital, Italy;5. Neonatology and Neonatal Intensive Care Unit, Infermi Hospital, Italy;6. ODV Zeropiu - Medicine for Development, Italy;7. Neonatal Intensive Care Unit, University Hospital of Modena, Italy;1. SOD Neonatology and Neonatal Intensive Care Unit, Careggi Hospital-University, Italy;2. Department of Mother''s and Child''s Health, Neonatology and Neonatal Intensive Care Unit, Poliambulanza Foundation Hospital Institute, Italy;3. 0–3 Center for the at-Risk Infant, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy |
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| Abstract: | BackgroundDevelopmental care consists of a range of clinical, infant-focused, and family-focused interventions designed to modify the neonatal intensive care environment and caregiving practices to reduce stressors on the developing brain. Since the inception of developmental care in the early 1980s, it has been recommended and adopted globally as a component of routine practice for neonatal care. Despite its application for almost 40 y, little is known of the attitude of neonatal nurses in Australia towards the intervention.Aims and objectivesThe objective of this study was to establish Australian neonatal nurse perceptions of developmental care and explore associations between developmental care education levels of the nurses and personal beliefs in the application of developmental care.DesignThis involves a cross-sectional survey design.MethodsAn online questionnaire was completed by 171 neonatal nurses. Participants were members of the Australian College of Neonatal Nursing (n = 783). Covariate associations between key components of developmental care and respondents' geographical location, place of employment, professional qualifications, and developmental care education level were analysed. The reporting of this study is in accordance with the Enhancing the Quality and Transparency of Health Research Checklist for Reporting Results of Internet E-Surveys.ResultsDifferences were observed between groups for geographical location, place of employment, and professional qualification level. Rural nurses were less likely to support the provision of skin-to-skin care (odds ratio [OR]: 0.6, 95% confidence interval [CI]: 0.2–1.8) than nurses in a metropolitsan unit. Nurses working in a neonatal intensive care unit and nurses with postgraduate qualifications were more likely to support parental involvement in care ([OR: 2.3, 95% CI: 0.9–6.2] and [OR: 2.1, 95% CI: 0.6–7.4], respectively). Rural respondents were more likely to have attended off-site education (OR: 3.6, 95% CI: 1.3–9.9) than metropolitan respondents.ConclusionThe application of developmental care in Australia may be influenced by inadequate resources and inequitable access to educational resources, and similar challenges have been reported in other countries. Overcoming the challenges requires a focused education strategy and support within and beyond the neonatal intensive care unit. |
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| Keywords: | Neonatal nurse Developmental care Neurodevelopmental care Neonatal unit Neonatal intensive care unit Attitude Belief |
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