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Assessing Developmentally Supportive Care in Neonatal Nursing in China
Qian Sun1, Jing Wang, Jiuqiao Xu
1Qian Sun, Jing Wang, Jiuqiao Xu, and Longyan Wu are clinical nurses at Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. Qian Sun, Jing Wang, and Jiuqiao Xu contributed equally to this work. Contact author: Longyan Wu, thhd82@sina.com. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Developmentally supportive care (DSC) for preterm infants is suboptimal among neonatal nurses in China. Factors like marital status, experience, and training significantly influence DSC practices, necessitating targeted interventions.
Area of Science:
- Neonatal Nursing
- Pediatric Care
- Evidence-Based Practice
Background:
- Developmentally supportive care (DSC) is crucial for preterm infant well-being.
- Effective DSC implementation impacts long-term health outcomes.
- Understanding current practices is key to improving neonatal care.
Purpose of the Study:
- Assess DSC practice prevalence in Chinese neonatal nurses.
- Identify determinants influencing DSC implementation.
- Inform strategies for enhanced clinical nursing and training.
Main Methods:
- Cross-sectional survey of 128 neonatal nurses (August 2023).
- Validated self-rating scale for DSC practices.
- Stepwise multiple regression to identify associated factors.
Main Results:
- Mean DSC score: 72.95 (15.34); range 44-92.
- Highest implementation: reducing environmental stimuli.
- Lowest implementation: observing infant cues and family-centered care.
- Significant predictors: marital status, childbirth experience, tenure, DSC training.
Conclusions:
- Neonatal nurses' DSC practices are suboptimal.
- Marital status, experience, tenure, and training impact DSC.
- Hospital administrators must prioritize DSC through education and support.
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