DOI QR코드

DOI QR Code

Concept Analysis of Developmental Care for Preterm Infants: Hybrid Model

미숙아 발달지지간호에 대한 개념분석: 혼종모형

  • Received : 2014.08.26
  • Accepted : 2014.10.06
  • Published : 2014.10.31

Abstract

Purpose: The purpose of this study was to define and clarify the concept of developmental care for preterm infants. Methods: The hybrid model method was used to identify the main attributes and indicators. In the field work stage, data were collected in Seoul and Cheonan, Korea. The participants were 5 nurses working in the NICU. Results: The concept of developmental care was found to have six attributes and ten indicators in 2 dimensions. For the nursing practice dimension, four attributes were derived. They were being like intrauterine state, individualization, interaction, and integrative care with awareness of development. For the family centeredness dimension, supporting parental attachment and professional alliance were attributes of developmental care. Conclusion: Developmental focused care can facilitate the identification of behavioral responses of newborns and provide individualized interventions for fostering growth and development. This concept analysis could provide guidelines for "developmental care" nursing practice and be useful for research in the neonatal field.

목적 본 연구는 미숙아에게 발달관련 합병증을 예방하고 최적의 성장발달을 촉진하기위한 발달지지간호 개념을 탐색하기위해 시도되었다. 방법 Schwartz-Barcott와 Kim (2000)의 개념 분석 방법을 사용하였으며 이론적 단계, 현장작업 단계, 최종분석 단계에 따라 개념을 분석하였다. 현장작업단계에서는 참여자와 심층면담방법을 통해 자료를 수집하였다. 결과 발달지지간호 개념의 속성은 간호실무차원과 가족중심차원인 2차원으로 구분될 수 있으며, 간호실무차원은 자궁 내 환경 따라가기, 상호작용, 개별화, 발달에 대한 인식을 간호에 통합 등의 4가지 속성으로 도출되었으며, 가족중심차원은 전문적인 협력, 부모-아기 애착지지인 2가지 속성으로 도출되었다. 결론 본 연구에서는 혼종모형을 사용한 개념분석을 통해 미숙아 발달지지간호에 대한 6가지 속성을 추출하였다. 아직 명확하게 제시되지 않은 미숙아 발달지지간호에 대한 개념정의를 제시함으로써 미숙아 발달지지간호 관련 이론 개발 및 실무 증진에 활용될 수 있다고 본다.

Keywords

References

  1. Ahn, H. S. (2012). Pediatrics (10th eds.). Seoul: MiraeN.
  2. Aita, M., & Snider, L. (2002). The art of developmental care in the NICU: A concept analysis. Journal of Advanced Nursing, 41(3), 223-232.
  3. Als, H., & Gilkerson, L. (1997). The role of relationship-based developmentally supportive newborn intensive care in strengthening outcome of preterm infants. Seminars in Perinatology, 21, 178-189.
  4. Atun-Einy, O., & Scher, A. (2008). Measuring developmentally appropriate practice in neonetal intensive care units. Journal of Perinatology, 28, 218-225. http://dx.doi.org/10.1038/sj.jp.7211908
  5. Bae, N. Y. (2007). Research for family support of developmental disabled children. The Journal of the Korean Association on Developmental Disabilities, 11(1), 81-94.
  6. Bowden, V. R., Greenberg, C. S., & Donaldson, N. E. (2000). Developmental care of the newborn. Online Journal of Clinical Innovation, 3(7), 1-77.
  7. Buttler, S., & Als, H. (2008). Individualized developmental care improves the lives of infants born preterm. Acta Paediatrica, 97, 1173-1175. http://dx.doi.org/10.1111/j.1651-2227.2008.00916.x
  8. Carrier, C. T. (2002). Individualized family-centered developmental care: Reflection on implementation. Newborn and Infant Nursing Reviews, 2(1), 27-34. https://doi.org/10.1053/nbin.2002.31487
  9. Cho, M. J., Ko, J, H., Jung, S. H., Choi, Y. S., Han, W. H., Jang, J. Y., et al. (2011). Ratio observation by birth weight and gestational age in infant mortality: 2005-2009 in Korea. Journal of the Korean Society of Neonatology, 18(2), 182-188. https://doi.org/10.5385/jksn.2011.18.2.182
  10. Coughin, M., Givvins, S., & Hoath, S. (2009). Core measures for developmentally supportive care in neonatal intensive care units: Theory, precedence and practice. Journal of Advanced Nursing, 65(10), 2239-2248. http://dx.doi.org/10.111/j.1365-2648.2009.05052.x
  11. Goldson, E. (1999). The environment of the neonatal intensive care unit. In E. Goldson (Ed.), Nurturing the premature infant (pp. 3-17). New York, NY: Oxford University Press.
  12. Kang, I. S., & Kim, Y. H. (2011). The effect of recorded mother's voice on the body weight and physiological reactions of the premature infants. Journal of Korean Biological Nursing Science, 13(2), 94-101.
  13. Kim, E. J. (2003). Meta-analysis on the effects of sensory stimulation of preterm infants. Korean Journal of Child Health Nursing, 9(2), 131-139.
  14. Kleberg, A., Warren, I., Norman, E., Morelius, E., Berg, A. C., Met-Ali, E., et al. (2008). Lower stress response after newborn individualized developmental care and assessment program care during eye screening examination for retinopathy of prematurity: A randomized study. Pediatrics, 121(5), 1267-1278. https://doi.org/10.1542/peds.2006-2510
  15. Lee, D. G. (2013). The effects of social support on the parenting stress and psychological well-being of mothers with developmentally disabled children. The Journal of Child Education, 22(2). 161-188.
  16. Nam, J. H., Yoon, H. S., Lee, T. Y., Shin, C. Y., & Lee, D. H. (2013). An understanding adolescents' development and adaption in single parent families: A review of the literature. The Journal of Korea Psychological Woman, 18(1), 129-168.
  17. Nugent, K. E. (1989). Routine care: Promoting development in hospitalized infants. Maternal-Child Nursing Journal, 14, 318-321.
  18. Park, J. S., Hong, K, J., & Bang, K, S. (2013). Effects of the intervention - mother's song on physical response and behavioral state of low-birth weight infants in a neonatal intensive care unit. Journal of Korean Academy of Child Health Nursing, 19(3), 198-206. http://dx.doi.org/10.4094/chnr.2013.19.3.198
  19. Park, S. J., Kim, S. J., & Kang, K. A. (2014). Integrative review of nursing intervention studies on mother-infant interactions. Journal of Korean Academy of Child Health Nursing, 20(2), 75-86. http://dx.doi.org/0.4094/chnr.2014.20.2.75
  20. Pee, S. Y., Park, J. D., Kim, A. R., Park, M. S., Jang, Y. S., Kim, M. J., et al. (2004). Neonatal intensive care manual. Seoul: The Korean Society of Neonatology.
  21. Reid, T., & Freer, Y. (2000). Developmentally focused nursing care. In G. Boxwell (Ed.), Neonatal Intensive Care Nursing (pp. 14-42). New York, NY: Routledge.
  22. Schwartz-Barcott, D., & Kim, H. S. (2000). An expansion and elaboration of the hybrid model of concept development. In B. L. Rodgers, & K. A. Knafl (Eds.), In Concept development in nursing: Foundations, Techniques, and Applications (pp. 129-159). Philadelphia, PA: Saunders.
  23. Sehgal, A., & Stack, J. (2006). Developmentally supportive care and NIDCAP. Indian Journal of Pediatrics, 73(11), 1007-1010. https://doi.org/10.1007/BF02758309
  24. Shin, Y. H. (2003). NICU environment and premature infants. The Journal of Keimyung Nursing Science, 7(1), 139-145.
  25. Spittle, A. J., Anderson, P. J., Lee, K. J., Ferretti, C., Eles, A., Orton, J., et al. (2010). Preventive care at home for very preterm infants improves infant and caregiver outcomes at 2 years. Pediatrics, 126(1), e171-e178. https://doi.org/10.1542/peds.2009-3137
  26. Strauss, A. L., & Corbin, J. M. (1990). Basics of qualitative research: Grounded theory, procedures and techniques. Newbury Park, CA: Sage Publications.
  27. The National Institute of the Korean Language. (2014, June 24). Naver linguistic dictionary. Retrieved August 13, 2014, from http://krdic.naver.com
  28. VanderVen, K. (1992). Developmental care: A proposal for a new profession whose time is coming! Journal of Child and Youth Care, 7, 3-38.
  29. Walker, L. O. (1992). Parent-infant Nursing Science: Paradigms, Phenomena, Methods. Philadelphia: F.A. Davis Company.
  30. Westrup, B., Sizun, J., & Lagercrantz, H. (2007). Family-centered developmental supportive care: A holistic and humane approach to reduce stress and pain in neonates. Journal of Perinatology, 27, S12-S18. https://doi.org/10.1038/sj.jp.7211724

Cited by

  1. 미숙아 발달지지를 위한 간호역량 측정도구 개발 vol.46, pp.6, 2014, https://doi.org/10.4040/jkan.2016.46.6.793
  2. 신생아집중치료실 간호사의 발달지지간호 수행 영향요인 vol.26, pp.2, 2014, https://doi.org/10.4094/chnr.2020.26.2.131
  3. 발달지지간호에 대한 신생아집중치료실 간호사의 교육요구도 분석 vol.27, pp.3, 2014, https://doi.org/10.5977/jkasne.2021.27.3.261