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Growth Measurement Practices from a National Survey of Neonatal Nurses
Jan M Foote1, Kirsten Hanrahan2, Pamela J Mulder3
1The University of Iowa College of Nursing, Iowa City, IA, USA; Blank Children's Endocrinology Clinic, Blank Children's Hospital, Des Moines, IA, USA.
Journal of Pediatric Nursing
|February 17, 2020
Summary
Neonatal nurses show gaps in evidence-based growth measurement practices, despite high confidence in accuracy. Interventions can improve neonatal measurement reliability.
Area of Science:
- Neonatal nursing
- Pediatric growth measurement
- Evidence-based practice
Background:
- Accurate neonatal growth measurement is critical for infant health assessment.
- Variations in practice can impact the reliability of growth data.
Purpose of the Study:
- To assess neonatal nurses' growth measurement practices, knowledge, and attitudes.
- To identify barriers and facilitators to adopting evidence-based practices (EBPs).
- To examine differences in practice and knowledge based on demographics and unit type.
Main Methods:
- A cross-sectional online survey was distributed to U.S. neonatal nurses.
- Data were collected from 301 nurses via two professional organizations.
Main Results:
- Infrequent use of EBPs for head circumference and length measurement was noted.
- Nurses reported high confidence in measurement accuracy, yet knowledge gaps exist (mean 68.1% correct).
- Barriers included team culture and resources; facilitators included manager and educator support.
Conclusions:
- Identified knowledge gaps and practice variations highlight areas for improvement.
- Interventions are needed to enhance the accuracy and reliability of neonatal growth measurements.
- Findings can guide the development of targeted educational programs and practice changes.
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