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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Measuring developmentally appropriate practice in neonatal intensive care units.

O Atun-Einy¹, A Scher

¹Department of Physiotherapy, University of Haifa, Mount Carmel, Haifa, Israel.

Journal of Perinatology : Official Journal of the California Perinatal Association

|December 14, 2007

Summary

Neonatal intensive care units (NICUs) show varied application of developmental care practices. Parental involvement was key, though environmental control and individualized care were appreciated more than implemented.

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Area of Science:

Neonatal care
Developmental psychology
Pediatric nursing

Background:

Neonatal intensive care units (NICUs) present developmental stressors.
Existing research prioritizes medical aspects over the developmental ecology of NICUs.

Purpose of the Study:

To develop a tool measuring developmentally appropriate practice in NICU environments.
To assess the implementation of this tool in Israel.

Main Methods:

A questionnaire was administered to 76 senior staff members across 24 NICUs in Israel.
The tool, the developmentally appropriate neonatal intensive-care practice (DANIP) index, assesses parental involvement, environmental control, and individualized care.

Main Results:

Significant variability exists in applying developmentally appropriate practices.
NICUs with larger multidisciplinary teams scored higher.
Individualized care correlated positively with environmental control (r=0.53) and parental involvement (r=0.76).
Parental involvement emerged as the most salient domain, despite staff valuing environmental control and individualized care more than their application.

Conclusions:

The DANIP index serves as a valuable foundation for future comparative research on NICU developmental care.