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Published on: August 25, 2014
Assessment of an Educational Tool for Pediatric Cardiac Nurses on Individualized Family-Centered Developmental Care
Spencer Dean1, Meghan Long2, Edie Ryan3
1Spencer Dean is an advanced practice provider, Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Insights
Nurses found "developmental care flowers" improved understanding and implementation of individualized family-centered developmental care for infants with congenital heart defects, reducing barriers and increasing parent engagement.
Area of Science:
- Pediatric Nursing
- Developmental Psychology
- Neonatal Care
Background:
- Infants with congenital heart defects (CHDs) require neurodevelopmental support.
- Individualized family-centered developmental care (IFCDC) is a key strategy for promoting neurodevelopment in hospitalized infants.
Purpose of the Study:
- To educate nurses on IFCDC principles and application.
- To decrease perceived barriers to IFCDC implementation in pediatric cardiac care.
Main Methods:
- Developed and implemented two visual educational tools, "developmental care flowers," in cardiac units.
- Each flower petal represented a core IFCDC component: cue-based care, positioning, environment, and parent engagement.
- Administered pre- and post-intervention surveys to assess nurses' knowledge and perceptions of IFCDC.
Main Results:
- Nurses reported enhanced understanding of IFCDC through the educational tools.
- The tools diminished perceived barriers to IFCDC and increased parent involvement.
- Positive qualitative feedback emphasized the importance of IFCDC as an ongoing priority.
Conclusions:
- The "developmental care flowers" effectively educate nurses on IFCDC.
- Interactive versions could further engage parents and integrate IFCDC into practice.
Background:
Prevention of neurodevelopmental sequelae is a high priority in the care of infants with congenital heart defects. Individualized family-centered developmental care has been identified as a promising approach to promote infant neurodevelopment during hospitalization.
Objective:
To educate nurses on the concept of individualized family-centered developmental care and its application to nursing practice and to reduce perceived barriers to its implementation.
Methods:
Two evidence-based visual educational tools called "developmental care flowers" were created and implemented in the inpatient and procedural units of a cardiac center. Each flower petal represented a core component of individualized family-centered developmental care: cue-based care, patient positioning, supportive environment, and parent engagement. Surveys were administered before and after the educational intervention to assess changes in nurses' knowledge and perceptions of individualized family-centered developmental care.
Results:
Nurses reported that the developmental care flowers improved their understanding of individualized family-centered developmental care. The educational tools reduced some perceived barriers to implementation of this care model and increased nurse-reported inclusion of parents in care. Qualitative feedback from staff members regarding the tools was positive and acknowledged that individualized family-centered developmental care should be an ongoing priority.
Conclusions:
The inpatient and procedural developmental care flowers are useful tools for educating nurses about individualized family-centered developmental care. They could be revised into more interactive tools that might be used to educate parents and further support the integration of this care concept into nursing practice.
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