Barriers to implementing developmental care in the neonatal intensive care unit: A systematic review and thematic synthesis of qualitative literature.
The survival rates of preterm infants have increased, but morbidities associated with prematurity remain high. Developmental Care practices are crucial in improving long-term outcomes and reducing morbidities for infants admitted to the Neonatal Intensive Care Unit. However, the implementation is in...
| Publicado en: | Journal of Neonatal Nursing Vol. 32; no. 4 |
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| Autor principal: | |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195371030&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195371030 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13551841 H85 jtl: Journal of Neonatal Nursing issn: 13551841 maglogo: N pubinfo: dt: Aug2026 vid: 32 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 195371030 195371030 195371030 10.1016/j.jnn.2026.101882 195371030 ppct: 1 formats: tig: atl: Barriers to implementing developmental care in the neonatal intensive care unit: A systematic review and thematic synthesis of qualitative literature. aug: au: Kromhout, Laura E affil: King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, United Kingdom sug: subj: Intensive Care Units, Neonatal Infant, Premature Infant Development Pediatric Care Implementation Science Human Systematic Review Male Female Infant, Newborn Parents Psychosocial Factors Parents Education Neonatal Nursing Neonatal Nurses Psychosocial Factors Workload Resource-Limited Settings Parent-Infant Relations Health Personnel Education Practice Guidelines Organizational Culture Work Environment Quality Improvement Facility Design and Construction Infant, Newborn: birth-1 month Male Female ab: The survival rates of preterm infants have increased, but morbidities associated with prematurity remain high. Developmental Care practices are crucial in improving long-term outcomes and reducing morbidities for infants admitted to the Neonatal Intensive Care Unit. However, the implementation is inconsistent. This systematic review aims to identify and understand the barriers to implementing Developmental Care on the Neonatal Intensive Care Unit based on qualitative literature. 5 studies were included in this review. Following thematic analysis, 4 main barriers were identified, namely high workload and resource constraints, poor parental involvement in infant care, physical environment limitations, and organisational dynamics. Several elements must be considered when developing strategies to address the barriers identified in this review, including staff and parent education, Neonatal Unit design, and implementation of standardised guidelines at an organisational level. Further research needs to identify effective intervention strategies to address these barriers and improve Developmental Care implementation. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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