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Observational Study
. 2021 Nov;8(6):3547-3557.
doi: 10.1002/nop2.904. Epub 2021 May 6.

Dissemination of newborn behavior observation skills after Newborn Individualized Developmental Care and Assessment Program (NIDCAP) implementation

Laurence Chandebois  1 , Erika Nogue  2 , Catherine Bouschbacher  1 , Sabine Durand  1 , Florence Masson  1 , Renaud Mesnage  1 , Nicolas Nagot  2   3 , Gilles Cambonie  1   3
Affiliations
Observational Study

Dissemination of newborn behavior observation skills after Newborn Individualized Developmental Care and Assessment Program (NIDCAP) implementation

Laurence Chandebois et al. Nurs Open. 2021 Nov.

Abstract

Aim: To assess nurses' ability to observe newborn behaviour after in situ training provided by caregivers with advanced practice certification in the Newborn Individualized Developmental Care and Assessment Program (NIDCAP).

Design: Prospective observational study.

Methods: Twelve nurses viewed 20-min films showing the behaviour of 10 premature newborns before, during and after the usual caregiving. The behaviour was rated on an observation sheet with 88 items distributed into six systems. The responses were compared to the reference ratings established by two professionals certified for this programme.

Results: Despite less accurate observations during care and for some components, the nurses generally showed a satisfactory ability to observe newborn behaviour after training by NIDCAP expert professionals. The dissemination of observation skills among caregivers may result in an improved quality of patient care and better communication among professionals in a department of neonatology.

Keywords: Newborn Individualized Developmental Care and Assessment Program (NIDCAP); advanced practice; infant behaviour; neonatal care; nurse; nurses-patient interaction; premature infant; staff development; video technology.

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Conflict of interest statement

The authors have no financial relationships and no potential conflicts of interest relevant to this article to disclose.

Figures

FIGURE 1
FIGURE 1
Heat maps of the 88 items of the behavioural observation sheet. The colour scale represents the median values of the correct answers for the 12 nurses and 10 films. The scale ranges from 0 (red, indicating an answer is always false)–100 (green, indicating an answer is always true). The value in each box indicates the median value of the answer in comparison with the reference answer. (a) Autonomic nervous system (29 items); (b) Motor system (13 items); (c) Sleep‐wake system (14 items); (d) Interactional system (12 items); (e) Self‐regulation system (8 items); (f) Oral system (12 items)
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