Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

  • Received : 2021.11.30
  • Accepted : 2022.01.03
  • Published : 2022.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to develop and evaluate the effectiveness of an educational program on developmental positioning (EPDP) for nurses in neonatal intensive care units (NICUs). Methods: The study utilized a non-equivalent control group pretest-posttest design. Sixty NICU nurses were recruited from two university hospitals in Daejeon, South Korea. The EPDP consisted of a 7-week program: 3 weeks of education and practice, followed by 4 weeks of encouragement messages using social networking services. Developmental positioning (DP) posters and DP aids were also provided during the intervention period. The intervention group (n=30) received the EPDP, but not the control group. The data were analyzed using the 𝜒2 test, the Fisher exact test, the independent t-test, and repeated-measures analysis of variance. Results: Participants' knowledge (t=7.49, p<.001), attitudes (t=1.99, p=.001), self-efficacy (t=2.99, p=.004), performance of DP (t=2.98, p=.004) and Infant Positioning Assessment Tool (IPAT) scores (F=29.50, p<.001) were significantly higher in the intervention group than in the control group. Conclusion: The EPDP can be an effective and useful program for improving the performance of DP among NICU nurses by increasing their knowledge, attitudes, and self-efficacy of DP. However, further research involving various NICU settings is needed to gather more empirical evidence.

Keywords

References

  1. World Health Organization. Preterm birth [Internet]. World Health Organization; 2021 [cited 2021 November 10]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/preterm-birth
  2. Spilker A, Hill C, Rosenblum R. The effectiveness of a standardized 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
  3. Montirosso R, Tronick E, Borgatti R. Promoting neuroprotective care in neonatal intensive care units and preterm infant development: insights from the neonatal adequate care for quality of life study. Child Development Perspectives. 2017;11(1):9-15. https://doi.org/10.1111/cdep.12208
  4. Mohammed RE, Khamis GM, Sabry YY. Effect of preterm neonates' developmental supportive care program on nurses' performance. IOSR Journal of Nursing and Health Science. 2018;7(4): 33-45. https://doi.org/10.9790/1959-0704053345
  5. Als H. Toward a synactive theory of development: promise for the assessment and support of infant individuality. Infant Mental Health Journal. 1982;3(4):229-243. https://doi.org/10.1002/1097-0355(198224)3:4<229::AID-IMHJ2280030405>3.0.CO;2-H
  6. Altimier L, Kenner C, Damus K. The wee care neuroprotective NICU program (Wee Care): the effect of a comprehensive developmental care training program on seven neuroprotective core measures for family-centered developmental care of premature neonates. Newborn and Infant Nursing Reviews. 2015;15(1):6-16. https://doi.org/10.1053/j.nainr.2015.01.006
  7. Valizadeh L, Asadollahi M, Gharebaghi MM, Gholami F. The congruence of nurses' performance with developmental care standards in neonatal intensive care units. Journal of Caring Sciences. 2013;2(1):61. https://doi.org/10.5681/jcs.2013.008
  8. Mohammed SA, Bayoumi MH, Mahmoud FS. The effect of developmentally supportive care training program on nurses' performance and behavioral responses of newborn infants. Journal of Education and Practice. 2014;5(6):134-144.
  9. Jeanson E. One-to-one bedside nurse education as a means to improve positioning consistency. Newborn and Infant Nursing Reviews. 2013;13(1):27-30. https://doi.org/10.1053/j.nainr.2012.12.004
  10. Waitzman KA. The importance of positioning the near-term infant for sleep, play, and development. Newborn and Infant Nursing Reviews. 2007;7(2):76-81. https://doi.org/10.1053/j.nainr.2007.05.004
  11. Coughlin M, Lohman MB, Gibbins S. Reliability and effectiveness of an infant positioning assessment tool to standardize developmentally supportive positioning practices in the neonatal intensive care unit. Newborn and Infant Nursing Reviews. 2010;10 (2):104-106. https://doi.org/10.1053/j.nainr.2010.03.003
  12. Nuysink J, Van Haastert IC, Eijsermans MJ, Koopman-Esseboom C, Van der Net J, De Vries LS, et al. Prevalence and predictors of idiopathic asymmetry in infants born preterm. Early Human Development. 2012;88(6):387-392. https://doi.org/10.1016/j.earlhumdev.2011.10.001
  13. Kim JS, Shin HS. 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
  14. 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
  15. Purdy IB, Melwak MA, Smith JR, Kenner C, Chuffo-Siewert R, Ryan DJ, et al. Neonatal nurses NICU quality improvement. Advances in Neonatal Care. 2017;17(1):33-44. https://doi.org/10.1097/ANC.0000000000000352
  16. Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychological Bulletin. 1992;111(3):455-474. https://doi.org/10.1037/0033-2909.111.3.455
  17. Lee MH, Park YH. The effectiveness of the information-motivation-behavioral skills model-based intervention on preventive behaviors against respiratory infection among community-dwelling older adults. Patient Education and Counseling. 2021;104(8):2028-2036. https://doi.org/10.1016/j.pec.2021.01.016
  18. Wells A, Allen-Brown V, Alam N, Skulski C, Jackson AL, Herzog TJ. The importance of information, motivation, and behavioral skills (IMB): health care provider perspectives on improving adherence to cervical cancer screening among at-risk women. Public Health in Practice. 2021;2:100079. https://doi.org/10.1016/j.puhip.2021.100079
  19. Kim JS, Kim CJ. Effect of a physical activity promoting program based on the IMB model on obese-metabolic health outcomes among obese older adults with knee osteoarthritis. Journal of Korean Academy of Nursing. 2020;50(2):271-285. https://doi.org/10.4040/jkan.2020
  20. Lee SA. Development and evaluation of NICU noise management program [Master's thesis]. Daejeon: Daejeon University; 2019. p. 1-112.
  21. Hasanpour M, Farashi F, Mohammadizadeh M, Abdeyazdan Z. The impact of a neonatal sleep care training program on nurses' knowledge and performance in neonatal intensive care units. Iranian Journal of Nursing and Midwifery Research. 2017;22(3): 215-218. https://doi.org/10.4103/1735-9066.208159
  22. Masri S, Ibrahim P, Badin D, Khalil S, Charafeddine L. Structured educational intervention leads to better infant positioning in the NICU. Neonatal Network. 2018;37(2):70-77. https://doi.org/10.1891/0730-0832.37.2.70
  23. Richey RC, Seels BB. Defining a field: a case study of the development of the 1994 definition of instructional technology. Educational Media and Technology Yearbook. 1994;20:2-17.
  24. Van der Pal SM, Maguire CM, Le Cessie S, Veen S, Wit JM, Walther FJ, et al. Staff opinions regarding the newborn individualized developmental care and assessment program (NIDCAP). Early Human Development. 2007;83(7):425-432. https://doi.org/10.1016/j.earlhumdev.2007.03.007
  25. Lee SJ. Predictors of developmental supportive care in neonatal intensive care unit nurses [master's thesis]. Seoul: Hanyang University; 2017. p. 1-68.
  26. Hong HY. The relationship of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995. p. 1-73.
  27. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  28. Charafeddine L, Masri S, Ibrahim P, Badin D, Cheayto S, Tamim H. Targeted educational program improves infant positioning practice in the NICU. International Journal for Quality in Health Care. 2018;30(8):642-648. https://doi.org/10.1093/intqhc/mzy123
  29. Perkins E, Ginn L, Fanning JK, Bartlett DJ. Effect of nursing education on positioning of infants in the neonatal intensive care unit. Pediatric Physical Therapy. 2004;16(1):2-12. https://doi.org/10.1097/01.PEP.0000112916.38869.5E
  30. Milette I, Martel MJ, Da Silva MR, McNeil MC. Guidelines for the institutional implementation of developmental neuroprotective care in the neonatal intensive care unit. Part A: background and rationale. A joint position statement from the CANN, CAPWHN, NANN, and COINN. Canadian Journal of Nursing Research. 2017;49(2):46-62. https://doi.org/10.1177/0844562117706882