Assessing infant-oriented care with developmental support approach in Iranian NICUs.

Introduction: Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guide...

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Publicado en:Journal of Maternal-Fetal & Neonatal Medicine Vol. 31; no. 14; pp. 1851 - 1856
Autores principales: Razavi Nejad, Mostajab, Eskandari, Zahra, Heidarzadeh, Mohammad, Afjeh, Abolfazl, Almasi-Hashiani, Amir, Akrami, Forouzan
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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        14767058
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      dt: Jul2018
      vid: 31
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14767058.2017.1330879
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        atl: Assessing infant-oriented care with developmental support approach in Iranian NICUs.
      aug:
        au:
          Razavi Nejad, Mostajab
          Eskandari, Zahra
          Heidarzadeh, Mohammad
          Afjeh, Abolfazl
          Almasi-Hashiani, Amir
          Akrami, Forouzan
        affil: Pediatric Department, Neonatal Research Center, Shiraz University of Medical School, Shiraz, Iran
      sug:
        subj:
          Intensive Care Units, Neonatal Statistics and Numerical Data
          Intensive Care, Neonatal Statistics and Numerical Data
          Iran
          Patient Centered Care
          Infant, Newborn
          Intensive Care Units, Neonatal Standards
          Intensive Care, Neonatal Standards
          Cross Sectional Studies
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Infant, Newborn: birth-1 month
      ab: Introduction: Developmental care program is a comprehensive program to reduce secondary effects of NICU and special care on brain development in premature infants. This study aimed to assess neonatal care situation in Iranian NICUs based on developmental approach to design and provide clinical guidelines for daily care for the caregivers and the infant's family.Methods: This was a cross-sectional study conducted in NICUS in Iran. A total of 23 NICUs of 9 Universities of Medical Sciences were investigated. The checklist contains 30 items in 6 domains. Data were analyzed using STATA software, version 13.Results: The total mean score obtained from all six domains was 31.29 of 100, and in all domains, the mean scores calculated were not above 50. In "supporting infant," "developmental caregiving activities," "supporting the infants' state organization," "providing neonatal pain management," "developmental care approaches in documentation," and "developmental care approaches in NICU staffing," the total mean scores were 34.76, 21.6, 20, 30.18, 31.30, and 50, respectively.Conclusion: The low mean score of infant-centered developmental care implies health staff's focus on neonatal care with at least the quality of care and its impact on development in preterm infants, and inadequate attention to the infant as an active member in care.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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