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Updated: Mar 9, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Development of the Developmental Support Competency Scale for Nurses Caring for Preterm Infants]
Jeong Soon Kim1, Hee Sun Shin2
1Department of Nursing, Gwangju Health University, Gwangju, Korea.
A new scale, the Developmental Support Competency Scale for Nurses (DSCS-N), was developed to assess nursing skills in caring for preterm infants. This validated tool can improve developmental care and evaluate nursing education effectiveness.
Area of Science:
- Neonatal Nursing
- Pediatric Development
- Healthcare Quality Improvement
Background:
- Developmental care is crucial for preterm infant health and development.
- Assessing nursing competency in developmental care requires further research.
- A validated tool is needed to measure nurses' developmental support skills for premature infants.
Purpose of the Study:
- To develop and evaluate a new scale measuring nursing competency for developmental support of preterm infants.
- To provide a reliable instrument for assessing nurses' skills in neonatal developmental care.
- To establish a psychometrically sound tool for advancing developmental care practices.
Main Methods:
- Concept analysis using the Hybrid model of Schwartz-Barcott and Kim.
- Development of a preliminary 30-item scale.
- Data collection from 122 NICU nurses across 4 hospitals in South Korea (Dec 2014-Mar 2015).
Main Results:
- The final Developmental Support Competency Scale for Nurses (DSCS-N) has 19 items on a 4-point Likert scale.
- The scale comprises 6 factors: environmental support, parental support, interaction, critical thinking, professional development, and partnership.
- The scale explained 62.5% of total variance, with a Cronbach's α of .83.
Conclusions:
- The DSCS-N demonstrates acceptable validity and reliability for assessing nursing competency in developmental care.
- This scale can be utilized to evaluate the impact of educational programs for NICU nurses.
- The DSCS-N contributes to advancing developmental care for preterm infants.
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