Mostajab Razavi Nejad1, Zahra Eskandari2, Mohammad Heidarzadeh3, Abolfazl Afjeh4, Amir Almasi-Hashiani5, Forouzan Akrami6. 1. a Pediatric Department, Neonatal Research Center , Shiraz University of Medical School , Shiraz , Iran. 2. b Ali Asghar Children's Hospital , Iran University of Medical Sciences , Tehran , Iran. 3. c Pediatric Health Research Center , Tabriz University of Medical Sciences , Tabriz , Iran. 4. d Department of Pediatrics, School of Medicine, Mahdieh Medical Center , Shahid Beheshti University of Medical Sciences , Tehran , Iran. 5. e Department of Epidemiology and Reproductive Health , Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR , Tehran , Iran. 6. f Medical Ethics and Law Research Center , Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Abstract
INTRODUCTION: Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guidelines for daily care for the caregivers and the infant's family. METHODS: This was a cross-sectional study conducted in NICUS in Iran. A total of 23 NICUs of 9 Universities of Medical Sciences were investigated. The checklist contains 30 items in 6 domains. Data were analyzed using STATA software, version 13. RESULTS: The total mean score obtained from all six domains was 31.29 of 100, and in all domains, the mean scores calculated were not above 50. In "supporting infant," "developmental caregiving activities," "supporting the infants' state organization," "providing neonatal pain management," "developmental care approaches in documentation," and "developmental care approaches in NICU staffing," the total mean scores were 34.76, 21.6, 20, 30.18, 31.30, and 50, respectively. CONCLUSION: The low mean score of infant-centered developmental care implies health staff's focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care.
INTRODUCTION: Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guidelines for daily care for the caregivers and the infant's family. METHODS: This was a cross-sectional study conducted in NICUS in Iran. A total of 23 NICUs of 9 Universities of Medical Sciences were investigated. The checklist contains 30 items in 6 domains. Data were analyzed using STATA software, version 13. RESULTS: The total mean score obtained from all six domains was 31.29 of 100, and in all domains, the mean scores calculated were not above 50. In "supporting infant," "developmental caregiving activities," "supporting the infants' state organization," "providing neonatal pain management," "developmental care approaches in documentation," and "developmental care approaches in NICU staffing," the total mean scores were 34.76, 21.6, 20, 30.18, 31.30, and 50, respectively. CONCLUSION: The low mean score of infant-centered developmental care implies health staff's focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care.
Entities:
Keywords:
NICU; Preterm infant; developmental care program; infant-oriented care
Authors: Melissa C Morgan; Hilary Spindler; Harriet Nambuya; Grace M Nalwa; Gertrude Namazzi; Peter Waiswa; Phelgona Otieno; John Cranmer; Dilys M Walker Journal: PLoS One Date: 2018-11-21 Impact factor: 3.240