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Published on: January 7, 2020
Parental experiences during the first period at the neonatal unit after two developmental care interventions
S M van der Pal1, C M Maguire, S le Cessie
1Department of Pediatrics, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands.
Insights
Developmental care, including NIDCAP, showed little effect on parental stress and confidence in preterm infants. Fathers" and mothers" stress levels became more similar with NIDCAP, possibly due to increased father involvement.
Area of Science:
- Neonatal care
- Developmental psychology
- Parental well-being
Background:
- Developmental care is increasingly recognized for preterm infant individualized care.
- NIDCAP (Newborn Individualized Developmental Care and Assessment Program) is an extended form of developmental care.
Purpose of the Study:
- To investigate the impact of basic developmental care and NIDCAP on parental stress, confidence, and perceived nursing support.
- To compare standard care with basic developmental care and NIDCAP.
Main Methods:
- Two randomized controlled trials were conducted.
- Trial 1: Standard care vs. basic developmental care (n=133).
- Trial 2: Basic developmental care vs. NIDCAP (n=150).
- Parents of infants born <32 weeks gestational age completed questionnaires.
Main Results:
- No significant differences were observed in parental confidence, perceived nursing support, or overall parental stress.
- The NIDCAP intervention group showed a trend towards a smaller difference in stress levels between mothers and fathers (p = .03).
Conclusions:
- Basic developmental care and NIDCAP had minimal impact on parental experiences in the early neonatal period.
- NIDCAP may help reduce disparities in parental stress between mothers and fathers, potentially by enhancing paternal involvement.
Aim:
Developmental care has gained increased attention in the individualized care for preterm infants. This study was designed to explore the effect of a basic form of developmental care and the more extended Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on parental stress, confidence and perceived nursing support.
Methods:
Two consecutive randomized controlled trials (RCT's) comparing (1) standard care versus basic developmental care (standardized nests and incubator covers) (n = 133) and (2) basic developmental care versus NIDCAP, including behavioural observations (n = 150). Parents of infants born <32 weeks gestational age (GA) received questionnaires after the first week of admission in the neonatal unit and on average these 2 weeks after the birth of their infant.
Results:
No significant differences were found in confidence, perceived nursing support or parental stress. The difference in parental stress between mother and father was less in the NIDCAP intervention group (p = .03), although not significant.
Conclusion:
Both basic developmental care and NIDCAP had little effect on parental experiences during the first period at the neonatal unit. As a result of increased paternal stress, the NIDCAP intervention tended to decrease the difference in parental stress levels of fathers and mothers, possibly because of the increased involvement of father during the NIDCAP intervention.
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