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Individualized Developmental Care in the NICU: A Concept Analysis
1Cohen Children's Medical Center, Queens, New York.
Insights
Individualized developmental care (IDC) provides tailored support for premature infants in the NICU. This analysis clarifies IDC definition and offers guidelines for its implementation, promoting better infant and family outcomes.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Evidence-based practice
Background:
- Individualized developmental care (IDC) encompasses evidence-based practices tailored to an infant's state.
- It involves family-centered care and minimizing environmental overstimulation in neonatal intensive care units (NICUs).
Purpose of the Study:
- To define Individualized developmental care (IDC) within the NICU setting.
- To establish guidelines for healthcare professionals to implement IDC effectively.
Main Methods:
- A comprehensive literature review was conducted from January 1982 to November 2016.
- A concept analysis approach was used, including a model case and attribute presentation.
Main Results:
- The concept analysis successfully defined IDC and its core components.
- Guidelines for implementing an individualized, developmentally supportive environment were developed.
Conclusions:
- Clear definitions and implementation guidelines for IDC in NICUs are now available.
- Further research is needed on IDC's short- and long-term outcomes and current NICU adoption rates.
Background:
Individualized developmental care (IDC) is a collection of evidence-based practices that include adapting care practices based on the infant's behavioral and developmental state, involving parents and families in the infant's care, and providing an environment that minimizes over stimulation of the infant.
Purpose:
To clarify the definition of IDC in the neonatal intensive care unit (NICU) and to provide guidelines for implementation of IDC for healthcare professionals through a concept analysis.
Method/Search Strategy:
A literature review involving a search of multiple electronic databases from January 1982 to November 2016 was performed along with presentation of a model case and attributes of IDC.
Conclusions:
This concept analysis defines and provides guidelines for implementing an individualized developmentally sound environment for infants born premature and their families.
Implications For Practice:
All NICUs need to strive to provide an environment that supports and promotes IDC. Education needs to be provided to healthcare providers and parents regarding IDC practices.
Implications For Research:
Further research into short- and long-term outcomes of IDC is needed. Research into whether IDC is being implemented by NICUs is also needed.
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