DOI QR코드

DOI QR Code

Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care

발달지지간호에 대한 신생아집중치료실 간호사의 교육요구도 분석

  • Shin, Da-Ae (College of Nursing, Seoul National University) ;
  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 신다애 (서울대학교 간호대학) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2021.05.26
  • Accepted : 2021.07.23
  • Published : 2021.08.31

Abstract

Purpose: This study used a descriptive investigative design to identify educational needs for developmental supportive care for the purpose of establishing a developmental supportive care education program for nurses in neonatal intensive care units. Methods: A survey was conducted on 93 nurses working in neonatal intensive care units located in a metropolitan area, and the collected data were analyzed using descriptive statistics and a paired t-test with the SPSS 25.0 program. For the purpose of analyzing educational needs, we further analyzed data through an importance-performance analysis (IPA) and the Borich needs assessment and the locus for focus models. Results: The average importance of the developmental supportive care of nurses in neonatal intensive care units was 3.74±0.78 out of 5, and the average performance was 3.46±0.81 out of 5. A t-test on the difference between the IPA and Borich needs assessment showed the highest educational need in the categories of 'individualized care', and 'I serve on the Developmental Care Committee at my institution'. In addition, according to the results of deriving the priorities of educational needs using the Borich needs assessment and the locus for focus model, the highest priority was 'I provide appropriate pain management when noxious procedures are necessary'. Conclusion: These findings can be used as basic data to design a developmental supportive care program suitable for nurses in neonatal intensive care units to meet the educational needs for developmental supportive care.

Keywords

References

  1. Korea National Statistical Office. 2019 Statistics birth [Internet]. Daejeon: Korea National Statistical Office; 2021 [cited 2021 May 24]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1428
  2. Kim HS, Lee JY, Kim SY, Song JH, Park JH, Byun SY, et al. Evaluation of performance and efficiency in operation of neonatal intensive care unit. Sejong: Ministry of Health and Welfare; 2016. Report No.: TRKO201900000763.
  3. Montirosso R, Provenzi L. Implications of epigenetics and stress regulation on research and developmental care of preterm infants. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2015;44(2):174-182. https://doi.org/10.1111/1552-6909.12559
  4. Butler S, Als H. Individualized developmental care improves the lives of infants born preterm. Acta Paediatrica. 2008;97(9): 1173-1175. https://doi.org/10.1111/j.1651-2227.2008.00916.x
  5. Spilker A, Hill C, Rosenblum R. The effectiveness of a standardised positioning tool and bedside education on the developmental positioning proficiency of NICU nurses. Intensive and Critical Care Nursing. 2016;35:10-15. https://doi.org/10.1016/j.iccn.2016.01.004
  6. Coughlin M, Gibbins S, Hoath S. Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practice. Journal of Advanced Nursing. 2009;65(10):2239-2248. https://doi.org/10.1111/j.1365-2648.2009.05052.x
  7. Aita M, Snider L. The art of developmental care in the NICU: a concept analysis. Journal of Advanced Nursing. 2003;41(3):223-232. https://doi.org/10.1046/j.1365-2648.2003.02526.x
  8. Kim J, Shin H. Concept analysis of developmental care for preterm infants: Hybrid model. Child Health Nursing Research. 2014;20(4):350-358. https://doi.org/10.4094/chnr.2014.20.4.350
  9. Sathish Y, Lewis LA, Noronha JA, Nayak BS, Pai MS, Altimier L. Promoting developmental supportive care in preterm infants and families in a level III neonatal intensive care unit (NICU) setting in India. Nurse Education in Practice. 2019;40:102612. https://doi.org/10.1016/j.nepr.2019.08.006
  10. Kim MJ, Kim TI. Knowledge and performance of developmentally supportive positioning for premature infants among neonatal intensive care unit nurses. Child Health Nursing Research. 2018;24(2):229-240. https://doi.org/10.4094/chnr.2018.24.2.229
  11. Austin B, Downing C, Hastings-Tolsma M. Experience of neonatal intensive care unit nurses in providing developmentally-supportive care: A qualitative study. Nursing & Health Sciences. 2019;21(3):336-344. https://doi.org/10.1111/nhs.12603
  12. Lee SJ. Predictors of developmental supportive care in neonatal intensive care unit nurses [master's thesis]. Seoul: Hanyang University; 2017. p. 1-68.
  13. Jung YM. Educational needs analysis for developing an occupational education program for nursing students: Focusing on nursing students and nursing professionals. Korean Journal of Adult Nursing. 2018;30(2):136-148. https://doi.org/10.7475/kjan.2018.30.2.136
  14. Jung CS. Analysis of educational needs for development of communication program for nursing students: Based on IPA & Borich's needs analysis. Journal of Learner-Centered Curriculum and Instruction. 2020;20(7):971-989. https://doi.org/10.22251/jlcci.2020.20.7.971
  15. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/bf03193146
  16. National Association of Neonatal Nurses. Developmental care self assessment [Internet]. Chicago: Naional Association of Neonatal Nurses; 2008 [cited 2020 September 11]. Available from: http://nann.org/uploads/Education/Dev_Care_Specialist_self-assessment_test-FINAL_10-19-10.pdf
  17. Hong H, Son HM. Factors influencing developmental care performance among neonatal intensive care units nurses. Child Health Nursing Research. 2020;26(2):131-139. https://doi.org/10.4094/chnr.2020.26.2.131
  18. Martilla JA, James JC. Importance-performance analysis. Journal of Marketing. 1977;41(1):77-79. https://doi.org/10.1177/002224297704100112
  19. Borich GD. A needs assessment model for conducting follow-up studies. Journal of Teacher Education. 1980;31(3):39-42. https://doi.org/10.1177/002248718003100310
  20. Cho DY. Exploring how to set priority in need analysis with survey. The Journal of Research in Education. 2009;35:165-187.
  21. Mink OG, Shultz JM, Mink BP, Formosa AB. Developing and managing open organizations: A model and method for maximizing organizational potential. 2nd ed. Austin: Somerset Consulting Group; 1991. p. 13-20.
  22. Jung MY, Bae J. Educational needs of communication among nursing students. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2019;28(1):91-101. https://doi.org/10.12934/jkpmhn.2019.28.1.91
  23. Park J, Kim J-S. Factors influencing developmental care practice among neonatal intensive care unit nurses. Journal of Pediatric Nursing. 2019;47:e10-e15. https://doi.org/10.1016/j.pedn.2019.03.014
  24. Zhang X, Lee S-Y, Chen J, Liu H. Factors influencing implementation of developmental care among NICU nurses in China. Clinical Nursing Research. 2016;25(3):238-253. https://doi.org/10.1177%2F1054773814547229 https://doi.org/10.1177%2F1054773814547229
  25. Altimier L, Phillips R. The neonatal integrative developmental care model: Advanced clinical applications of the seven core measures for neuroprotective family-centered developmental care. Newborn and Infant Nursing Reviews. 2016;16(4):230-244. https://doi.org/10.1053/j.nainr.2016.09.030
  26. Cardoso MVLML, Farias LM, Melo GMd. Music and 25% glucose pain relief for the premature infant: a randomized clinical trial. Revista Latino-Americana de Enfermagem. 2014;22(5):810-818. https://doi.org/10.1590/0104-1169.0029.2484
  27. Lee SJ, Choi EK, Park J, Kim HS. Correlations between a flexible parental visiting environment and parental stress in neonatal intensive care units. Child Health Nursing Research. 2019;25(4):377-387. https://doi.org/10.4094/chnr.2019.25.4.377
  28. Yoon S, Park J, Lee H, Min A. Influence of partnerships with nurses and social support on readiness for discharge among mothers of premature infants. Child Health Nursing Research. 2019;25(4):417-424. https://doi.org/10.4094/chnr.2019.25.4.417
  29. Hendricks-Munoz KD, Prendergast CC. Barriers to provision of developmental care in the neonatal intensive care unit: Neonatal nursing perceptions. American Journal of Perinatology. 2007;24(2):071-077. https://doi.org/10.1055/s-2006-958156
  30. Min SH. Nurse's performance of developmental care for premature infants in neonatal intensive care unit [master's thesis]. Busan: Dong-A university; 2018. p. 1-59.