关键词: Developmental care Education Intensive care Neonatal Neonatal nursing Surgical

来  源:   DOI:10.1016/j.heliyon.2024.e30572   PDF(Pubmed)

Abstract:
UNASSIGNED: Nurse perceptions of developmental care practices have been researched globally for almost 30 years. Yet, there is a lack of research exploring this subject in the specialised setting of the surgical neonatal intensive care unit (sNICU). This research explores the effect of developmental care education programs on sNICU nurses\' perceptions of developmental care.
UNASSIGNED: To determine perceptions and attitudes towards developmental care in a specialty neonatal setting.
UNASSIGNED: Cross-sectional study.
UNASSIGNED: Two surgical neonatal intensive care units in Australia.
UNASSIGNED: Registered nurses permanently employed at the study sites between May 2021 to April 2022.
UNASSIGNED: A modified electronic survey explored sNICU nurse perceptions of developmental care organised around three themes: effects of developmental care on parents and infants, application of developmental care, and unit practices. Associations between site, nurse characteristics, developmental care education and nurses\' perceptions were explored using logistic regression [odds ratios (OR) and 95 % confidence intervals (CI)].
UNASSIGNED: Of 295 sNICU nurses, 117 (40 %) participated in the survey. Seventy-five percent of respondents had attended a formal developmental care education program. High levels of agreement (>90 %) were reported regarding the benefits of developmental care for parents and infants. Exposure to developmental care education influenced perceptions of its application. Nurses without formal developmental care education were more likely to agree that it was consistently applied [OR:3.3, 95%CI:1.3-8.6], developmental care skills are valued [OR:2.7, 95%CI:1.1-6.8], and that their nursing peers offered support in its application ([OR:2.5, 95%CI:1.1-6.2].
UNASSIGNED: The results from our research suggest sNICU nurses have a high level of awareness of developmental care and its positive impacts. Despite differences between the surveyed units\' developmental care education programs, the value of developmental care in reducing stress for infants and supporting families was collectively recognised. Future research in this setting should focus on evaluating the application of developmental care in this setting.
摘要:
护士对发展护理实践的看法已经在全球范围内进行了近30年的研究。然而,在外科新生儿重症监护病房(sNICU)的专业环境中,缺乏探索该主题的研究。这项研究探讨了发展性护理教育计划对sNICU护士对发展性护理的看法的影响。
确定在特殊新生儿环境中对发育护理的看法和态度。
横断面研究。
澳大利亚有两个外科新生儿重症监护病房。
2021年5月至2022年4月期间在研究地点永久雇用的注册护士。
一项改进的电子调查探讨了sNICU护士对发展护理的看法,围绕三个主题进行组织:发展护理对父母和婴儿的影响,发展护理的应用,和单位实践。站点之间的关联,护士特点,使用逻辑回归[比值比(OR)和95%置信区间(CI)]研究发展性护理教育和护士的认知.
295名sNICU护士,117人(40%)参加了调查。75%的受访者参加了正式的发展护理教育计划。据报道,对于父母和婴儿的发展护理的益处,达成了高水平的共识(>90%)。接触发展性护理教育会影响对其应用的看法。没有正规发展护理教育的护士更有可能同意它一直被应用[OR:3.3,95CI:1.3-8.6],发展护理技能受到重视[OR:2.7,95CI:1.1-6.8],并且他们的护理同行在其应用中提供了支持([OR:2.5,95CI:1.1-6.2]。
我们的研究结果表明,sNICU护士对发展护理及其积极影响有很高的认识。尽管被调查单位的发展护理教育计划之间存在差异,发展护理在减轻婴儿压力和支持家庭方面的价值得到了集体认可。在这种情况下,未来的研究应侧重于评估发展护理在这种情况下的应用。
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