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Lama Charafeddine1, Saadieh Masri1, Perla Ibrahim2

  • 1Department of Pediatrics and Adolescent Medicine, Faculty of Medicine, American University of Beirut, Riad El-Solh, Beirut, Lebanon.

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Improving infant positioning is crucial for neuromotor development. A systematic approach using bedside education and the Infant Positioning Assessment Tool (IPAT) significantly enhanced healthcare providers

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Area of Science:

  • Neonatal care
  • Clinical education
  • Quality improvement

Background:

  • Infant positioning is critical for neuromotor development.
  • Nursing compliance with proper positioning is often suboptimal due to knowledge and practice gaps.
  • Baseline assessment indicated inadequate knowledge and practice, with a mean Infant Positioning Assessment Tool (IPAT) score of 3.4.

Purpose of the Study:

  • To enhance nurses' and doctors' proficiency in applying proper infant positioning.
  • To improve compliance with evidence-based infant positioning guidelines.
  • To evaluate the effectiveness of a targeted educational intervention.

Main Methods:

  • A systematic approach involving bedside education and the Infant Positioning Assessment Tool (IPAT) was implemented.
  • Experienced neonatal intensive care unit (NICU) nurses served as position champions to guide and monitor peers.
  • Education and hands-on demonstrations were provided, with iterative improvements based on Plan, Do, Study, Act (PDSA) cycles.

Main Results:

  • Mean IPAT scores significantly increased from 3.4 at baseline to 6.3 after the second cycle and 7.3 after the third cycle.
  • The intervention demonstrated a positive trend in improving the objective scoring of infant positions.
  • Sustained improvement was observed over multiple intervention cycles.

Conclusions:

  • A systematic educational approach effectively improved clinical performance in infant positioning.
  • Changing established behaviors in clinical practice is complex and requires sustained effort, as evidenced by the 18-month timeline for significant change.
  • The study highlights the importance of continuous education and monitoring for maintaining optimal infant care practices.