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Nurses' experience with implementing developmental care in NICUs

S S Premji1, J S Chapman

  • 1Chedoke-McMaster Hospitals.

Western Journal of Nursing Research
|February 1, 1997
PubMed
Summary
This summary is machine-generated.

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Neonatal intensive-care unit (NICU) nurses prioritize infant well-being, even within family-centered care models. Their experience involves distinct phases of learning, reacting, and advocating for the baby.

Area of Science:

  • Nursing
  • Neonatal Care
  • Developmental Psychology

Background:

  • Neonatal intensive-care units (NICUs) require specialized care approaches.
  • Developmental care aims to support infant well-being in the NICU environment.
  • Understanding nurses' experiences is crucial for optimizing care delivery.

Purpose of the Study:

  • To explore nurses' experiences working with developmental care in a NICU.
  • To identify the core processes and concepts guiding nurses' practice in this setting.

Main Methods:

  • Grounded theory methodology was employed.
  • Data were collected from eight NICU nurses.
  • Analysis focused on uncovering the basic social process of care.

Related Experiment Videos

Main Results:

  • The primary social process identified was 'putting the baby first'.
  • This process encompassed three phases: learning, reacting, and advocating/nonadvocating.
  • Key concepts included encountering, appraising, supporting, and gaining sensitivity.

Conclusions:

  • Nurses' primary focus in developmental care is the infant's needs.
  • Nurses critically appraised the benefits and drawbacks of the approach for both infants and themselves.
  • This highlights the complex decision-making involved in NICU nursing.