Charafeddine Lama, Masri Saadieh, Sharafeddin Sima Fatima, Kurdahi Badr Lina
Department of Pediatrics and Adolescent Medicine, Faculty of Medicine, American University of Beirut (AUB), Beirut, Lebanon.
Department of Pediatrics and Adolescent Medicine, Faculty of Medicine, American University of Beirut (AUB), Beirut, Lebanon.
Early Hum Dev. 2020 Aug;147:105092. doi: 10.1016/j.earlhumdev.2020.105092. Epub 2020 May 28.
The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) provides developmentally supportive environment for preterm infants and their families. Few studies evaluated staff perceptions about NIDCAP implementation and its effect on infant and parents and working conditions.
To assess the perception and experience of NICU staff during the NIDCAP implementation.
Cross-sectional anonymous online survey.
57 NICU staff (29 nurses and 28 doctors) who were present at least one year prior to and during the implementation of NIDCAP training in a tertiary care center.
A standard questionnaire addressing attitude, perceived behavioral control, subjective norm, intention, behavior and NIDCAP impact related to NICU conditions was used after initiating developmental care activities and NIDCAP training in the unit from June 2014 to May 2018.
Forty-six doctors and nurses filled the questionnaire; they scored ≥3 out of 5 on all the questionnaire items. Nurses scored significantly higher than doctors (mean 4.00 ± 036) versus (3.57 ± 0.30) (p < 0.001) on the overall NIDCAP score. Specifically, nurses scores were significantly higher for attitude (p < 0.001), perceived behavioral control (p = 0.029); subjective norm (p = 0.011), intention (p = 0.024) and behavior (p < 0.001) questions.
The implementation of NIDCAP in a low-middle income country was perceived as a positive experience for both nurses and doctors: It was thought to have improved infant care and wellbeing as well as the staff relationship with parents, however working conditions remained a challenge. More studies are needed to address areas of improvement for implementation.
新生儿个体化发育护理与评估项目（NIDCAP）为早产儿及其家庭提供有利于发育的环境。很少有研究评估工作人员对NIDCAP实施情况及其对婴儿、父母和工作条件影响的看法。
评估新生儿重症监护室（NICU）工作人员在实施NIDCAP期间的看法和体验。
横断面匿名在线调查。
在一家三级医疗中心接受NIDCAP培训前至少一年及培训期间在岗的57名NICU工作人员（29名护士和28名医生）。
在2014年6月至2018年5月该科室开展发育护理活动和NIDCAP培训后，使用一份标准问卷来调查与NICU情况相关的态度、感知行为控制、主观规范、意向、行为以及NIDCAP的影响。
46名医生和护士填写了问卷；他们在所有问卷项目上的得分均≥3分（满分5分）。在NIDCAP总体得分上，护士得分显著高于医生（平均4.00±0.36）对（3.57±0.30）（p<0.001）。具体而言，护士在态度（p<0.001）、感知行为控制（p=0.029）、主观规范（p=0.011）、意向（p=0.024）和行为（p<0.001）问题上的得分显著更高。
在中低收入国家实施NIDCAP被护士和医生视为一次积极的经历：人们认为它改善了婴儿护理和健康状况以及工作人员与父母的关系，然而工作条件仍然是一个挑战。需要更多研究来解决实施过程中的改进领域。
