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Barriers to Developmental Care in the NICU: An Integrative Review
1Author Affiliations: Department of Nursing, Miami University Hamilton, Hamilton, Ohio.
Background:
Variability in developmental care implementation in the neonatal intensive care unit (NICU) highlights the need to explore barriers to care delivery, yet few studies addressed these challenges.
Purpose:
Drawing from NICU literature, this integrative review identifies barriers to implementing developmental care with premature infants.
Methods:
A systematic search of CINAHL and PubMed (2014-2024) was conducted, yielding 2 qualitative and 5 quantitative studies.
Results:
Thematic analysis revealed 3 key barriers based on the theory of planned behavior: attitude, subjective norm, and perceived control.
Conclusions:
To improve developmental care, a multi-pronged approach engaging stakeholders is recommended. Future research should apply rigorous implementation science methods to overcome these barriers.
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