ABSTRACT
The purpose of this study was to analyze the association of developmental care education
and training and neonatal intensive care unit (NICU) developmental team structure
in promoting neonatal nursing perception and beliefs of key characteristics of family-centered
care (FCC), developmental care, and kangaroo mother care (KMC). A 24-item Likert scale
survey of specific perceptions and beliefs of aspects of FCC, KMC, and developmental
care characteristics was conducted with 59 neonatal nurses from three distinct level
III NICUs in New York City where nurses had undergone recent reeducation and developmental
team configuration. There was no difference in nursing beliefs of technical developmental
care approaches to infant care at all three sites. Neonatal nurses who were supported
by an on-site infant developmental specialist were more likely to have strong beliefs
related to the affective areas of FCC and the technique of KMC. FCC and clinical care
approaches that include a high level of parental participation such as KMC in the
NICU are likely to be facilitated by a comprehensive approach of continuing training
as well as a team structure that includes dedicated, specially trained infant developmental
specialist personnel.
KEYWORDS
Developmental care - family-centered care - nurse - kangaroo mother care - neonatal
intensive care unit - infant developmental specialist
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Karen D Hendricks-MuñozM.D. M.P.H.
Chief, Division of Neonatology, New York University Medical Center
530 First Avenue, Suite 7A, New York, NY 10016
Email: hendrik01@nyumc.org
