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Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU. Part B:
Isabelle Milette1,2, Marie-Josée Martel2,3,4,5, Margarida Ribeiro da Silva6
11 NNP, Neonatal Intensive Care Unit, Mother and Child University Hospital Center Sainte-Justine, Montréal, Québec, Canada.
Insights
Age-appropriate care, based on synactive theory, provides a framework for neonatal intensive care units (NICUs). These developmental care guidelines ensure high-quality care for premature infants.
Area of Science:
- Neonatal developmental care
- Synactive theory of development
Background:
- Age-appropriate care in the NICU is based on Heidelise Als' synactive theory.
- The "universe of developmental care" model and core measures advance this framework.
- These measures are endorsed by the National Association of Neonatal Nurses as best practices.
Framework:
- The "universe of developmental care" conceptual model and core measures advance developmental care.
- These measures are endorsed by the National Association of Neonatal Nurses as best practices for premature infant care.
Implementation:
- Revised guidelines align with The Joint Commission's age-specific care requirements.
- Core measures define essential competencies for caring for critically ill hospitalized infants.
- Institutional implementation requires a robust operationalization framework, detailed in these guidelines.
Implications:
- Supports adherence to accreditation standards from Primer Standards of Accreditation and Health Canada.
- Facilitates the integration of evidence-based developmental care practices in NICUs.
- Part B provides detailed recommendations and justifications for guideline implementation.
Abstract:
The use of age-appropriate care as an organized framework for care delivery in the NICU is founded on the work of Heidelise Als, PhD, and her synactive theory of development. This theoretical construct has recently been advanced by the work of Gibbins and colleagues with the "universe of developmental care" conceptual model and developmental care core measures which were endorsed by the National Association of Neonatal Nurses in their age-appropriate care of premature infant guidelines as best-practice standards for the provision of high-quality care in the NICU. These guidelines were recently revised and expanded. In alignment with the Joint Commission's requirement for healthcare professionals to provide age-specific care across the lifespan, the core measures for developmental care suggest the necessary competencies for those caring for the premature and critically ill hospitalized infant. Further supported by the Primer Standards of Accreditation and Health Canada, the institutional implementation of these core measures require a strong framework for institutional operationalization presented in these guidelines. Part B will present the recommendations and justification of each steps behind the present guidelines to facilitate their implementation.