Creating a learning resource for developmental care in the NICU: embracing a holistic approach

Young, Maria K. (2020) Creating a learning resource for developmental care in the NICU: embracing a holistic approach. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Background: The Neonatal Intensive Care Unit (NICU) is a specialty unit that requires expert and skillful nurses to care for a vulnerable group of patients. While the biomedical model has long been the emphasis of the NICU, the aim of nursing care has shifted to include holistic nursing values and practices, such as developmental care and family-centered care to improve patient outcomes. Though many facilities provide post-entry level NICU training, there is a gap in education specifically related to developmental and family-centered care. Purpose: The purpose of this practicum project was to develop a learning resource focused on developmental care and family-centered approaches for Registered Nurses (RNs) providing neonatal nursing care at the Cape Breton Regional Hospital (CBRH). Methods: An integrative literature review related to developmental and family-centered care was conducted, highlighting the importance of the two in improving patient outcomes. Specific evidence-based developmental care interventions were identified and methods of involving families in the NICU setting were uncovered. Consultations were held with RNs currently employed at the CBRH to assess their learning needs and identify gaps in their knowledge of developmental care and family-centered care. Clinical Educators from Atlantic Canada NICUs were contacted, and an environmental scan was conducted to determine developmental care interventions, family-centered care practices, and educational methods used. Results: An education resource detailing developmental care and family-centered care approaches was developed for RNs working in the NICU at the CBRH. The resource consists of a 33-page booklet and includes topics of sound, light, scent, touch, pain, and sleep; contains self-reflection questions and ends with a case study. Conclusion: This learning resource will offer an opportunity for RNs to expand their knowledge of developmental and family-centered care, and associated interventions. It will also help them implement these approaches to care in their daily nursing practice, which should improve patient outcomes. In doing so, this resource will assist RNs in providing optimal care to their patients and families.

Item Type: Report (Practicum Report)
Item ID: 14548
Additional Information: Includes bibliographical references.
Department(s): Nursing, Faculty of
Date: December 2020
Date Type: Submission
Medical Subject Heading: Infant, Newborn; Intensive Care Units, Neonatal; Neonatal Nursing; Holistic Nursing; Patient-Centered Care

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