The role of relationship-based developmentally supportive newborn intensive care in strengthening outcome of preterm infants.

This article details the conceptual framework, clinical application, and efficacy of a relationship-based developmentally supportive approach to newborn intensive care referred to as NIDCAP (Newborn Individualized Developmental Care and Assessment Program). Outcomes of the approach are reported in r...

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Publicado en:Seminars in Perinatology Vol. 21; no. 3; pp. 178 - 190
Autores principales: Als H, Gilkerson L
Formato: Journal Article
Publicado: W B Saunders 1997 Jun
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1997 Jun
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      pub: W B Saunders
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        atl: The role of relationship-based developmentally supportive newborn intensive care in strengthening outcome of preterm infants.
      aug:
        au:
          Als H
          Gilkerson L
        affil: Children's Hospital, 300 Longwood Ave, Enders Bldg, ER029, Boston, MA 02115
      sug:
        subj:
          Intensive Care Units, Neonatal
          Age Specific Care
          Conceptual Framework
          Infant Behavior
          Funding Source
      ab: This article details the conceptual framework, clinical application, and efficacy of a relationship-based developmentally supportive approach to newborn intensive care referred to as NIDCAP (Newborn Individualized Developmental Care and Assessment Program). Outcomes of the approach are reported in regard to infant health and development, reduction of hospital costs, and family adaptation. The approach is guided by a neurodevelopmental framework for understanding preterm infants and depends on the capacities of professionals to collaborate with one another and with families in support of the infants' medical, developmental, and emotional well-being. The primary vehicle for clinical implementation is detailed behavioral observation with subsequent recommendations for individualized caregiving based on the infant's current functioning and apparent developmental goals. A series of essential components of developmentally oriented caregiving are described, including strategies for coordinated discharge planning, and linkage to community services. The voices of individual clinicians highlight the process of change from protocol-based to relationship-based care. Copyright © 1997 by W.B. Saunders Company
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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