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Updated: Jul 31, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
A descriptive study of current neonatal nurse practitioner practice
Abstract:
This study describes the role of the neonatal nurse practitioner (NNP) in current practice and identifies facilitators and constraints to practice perceived by individuals currently practicing as NNPs. The 7-point scale used in this study allowed respondents to identify specific conditions of NNP practice, from highly facilitating (+3) to very constraining (-3). Each item was followed by a clarification section. The questionnaire was mailed to 1,521 individuals holding current NNP certification in the U.S. Data were analyzed using a total facilitation score. The possible range for this score (+225 - (-)225) is based on the numerical range of the scale (+3 - (-)3) multiplied by the 75 items in the facilitation section of the questionnaire. Actual scores ranged from +195 to -114, indicating that NNPs are more facilitated than constrained in their practice. Empirical data generated by this study will help in developing a theoretical model for NNP practice and provide important information for shaping the future role of the NNP.
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