Factors influencing developmental care practice among neonatal intensive care unit nurses.

Abstract

PURPOSE\nThis study aimed to examine factors that influence developmental care practice among neonatal intensive care unit nurses.\n\n\nDESIGN AND METHODS\nThis descriptive, cross-sectional study was conducted using a questionnaire. Data were collected from 141 neonatal intensive care unit nurses from 6 hospitals in South Korea. Multiple linear regression analysis was used to examine factors influencing developmental care practice.\n\n\nRESULTS\nThis study found that professional efficacy had the largest influence on developmental care practice, followed by perception of developmental care and a task-oriented organizational culture. Clinical and educational experience regarding developmental care and working environment was not associated with developmental care practice among NICU nurses.\n\n\nCONCLUSIONS\nTo enhance nurses practice of developmental care, enhancement of nurses individual competency, positive perception of developmental care, and organizational efforts are required. A practical training program should be provided to nurses to promote confidence in implementing developmental care for preterm infants.\n\n\nIMPLICATIONS\nA trained nurse should provide staff nurses with useful information on developmental care to encourage them to have a positive attitude towards developmental care. The nurse manager should create an organizational culture in which nurses perceive developmental care to be an essential nursing task in their unit.