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The effects of education levels of developmental care in Australia: Perceptions and challenges
Nadine Griffiths1, Kaye Spence2, Claire Galea3
1Grace Centre for Newborn Intensive Care, The Children's Hospital at Westmead, Locked Bag 4001, Westmead 2145, NSW, Australia; University of Technology Sydney, Centre of Midwifery, Child and Family Health, 15 Broadway, Ultimo, NSW 2007, Australia.
Insights
Australian neonatal nurses
Area of Science:
- Neonatal care practices
- Developmental neuroscience
- Pediatric nursing
Background:
- Developmental care, a global standard since the 1980s, aims to minimize stress for infants in the neonatal intensive care unit.
- Despite widespread adoption, Australian neonatal nurses' attitudes towards developmental care remain under-researched.
- This study investigates these attitudes and their influencing factors.
Purpose of the Study:
- To assess Australian neonatal nurses' perceptions of developmental care.
- To explore the relationship between nurses' education in developmental care and their beliefs about its application.
- To identify factors influencing the implementation of developmental care in Australia.
Main Methods:
- A cross-sectional online survey was conducted among 171 neonatal nurses in Australia.
- Data were analyzed for associations between developmental care components and nurse demographics (location, employment, qualifications, education).
- The study adhered to the Enhancing the Quality and Transparency of Health Research (EQTOR) reporting checklist.
Main Results:
- Geographical location, employment setting, and professional qualifications influenced nurses' views on developmental care.
- Rural nurses showed less support for skin-to-skin care, while NICU nurses and those with postgraduate qualifications favored parental involvement.
- Rural nurses were more likely to access off-site developmental care education.
Conclusions:
- Inadequate resources and unequal access to education may impede developmental care in Australia.
- A targeted education strategy and enhanced support are crucial for improving developmental care implementation.
- Addressing these challenges is vital for optimizing developmental care outcomes for neonates.
Background:
Developmental care consists of a range of clinical, infant-focused, and family-focused interventions designed to modify the neonatal intensive care environment and caregiving practices to reduce stressors on the developing brain. Since the inception of developmental care in the early 1980s, it has been recommended and adopted globally as a component of routine practice for neonatal care. Despite its application for almost 40 y, little is known of the attitude of neonatal nurses in Australia towards the intervention.
Aims And Objectives:
The objective of this study was to establish Australian neonatal nurse perceptions of developmental care and explore associations between developmental care education levels of the nurses and personal beliefs in the application of developmental care.
Design:
This involves a cross-sectional survey design.
Methods:
An online questionnaire was completed by 171 neonatal nurses. Participants were members of the Australian College of Neonatal Nursing (n = 783). Covariate associations between key components of developmental care and respondents' geographical location, place of employment, professional qualifications, and developmental care education level were analysed. The reporting of this study is in accordance with the Enhancing the Quality and Transparency of Health Research Checklist for Reporting Results of Internet E-Surveys.
Results:
Differences were observed between groups for geographical location, place of employment, and professional qualification level. Rural nurses were less likely to support the provision of skin-to-skin care (odds ratio [OR]: 0.6, 95% confidence interval [CI]: 0.2-1.8) than nurses in a metropolitsan unit. Nurses working in a neonatal intensive care unit and nurses with postgraduate qualifications were more likely to support parental involvement in care ([OR: 2.3, 95% CI: 0.9-6.2] and [OR: 2.1, 95% CI: 0.6-7.4], respectively). Rural respondents were more likely to have attended off-site education (OR: 3.6, 95% CI: 1.3-9.9) than metropolitan respondents.
Conclusion:
The application of developmental care in Australia may be influenced by inadequate resources and inequitable access to educational resources, and similar challenges have been reported in other countries. Overcoming the challenges requires a focused education strategy and support within and beyond the neonatal intensive care unit.
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