A quasi-experimental trial on individualized, developmentally supportative family-centered care

    Authors

    J. F. Byers; L. B. Lowman; J. Francis; L. Kaigle; N. H. Lutz; T. Waddell;A. L. Diaz

    Comments

    Authors: contact us about adding a copy of your work at STARS@ucf.edu

    Abbreviated Journal Title

    Jognn

    Keywords

    developmentally supportive care; family centered; neonatal intensive; care; outcomes; prematurity; ASSESSMENT PROGRAM; PRETERM INFANT; NICU; Nursing; Obstetrics & Gynecology

    Abstract

    Objective: To evaluate the impact of individualized, developmentally supportive family-centered care on infant physiological variables, growth, behavioral stress cues, return to sleep state, medical and developmental progress, complications, resource utilization, parental perception of the neonatal intensive-care unit experience, and overall parental satisfaction. Design: Quasi-experimental, repeated measures design. Setting: Developmental and a control nursery in a 78-bed, level II/III neonatal intensive-care unit. Participants: A convenience sample of 114 premature infants and their parents. Interventions: Control group infants received the routine neonatal intensive-care unit standard of care. Experimental infants received routine care plus the addition of individualized, developmentally supportive family-centered interventions. Main Outcome Measures: Between groups, there were no statistically significant differences in demographic factors, days to medical or developmental milestones, length of stay, or direct cost/case. Repeated measures analysis of variance determined that at every point of data collection, the average number of baseline, activity, and postactivity stress cues were lower in the developmentally supportive group. Infants in the developmental group had 8% less sedatives/narcotics and 15% less vasopressors costs than the control group. There were no differences in complication rates, parental perceptions of the neonatal intensive-care unit experience, or parental satisfaction between groups. Conclusions: Preterm infants who received developmentally supportive family-centered care demonstrated fewer behavioral stress cues and comparable short-term outcomes and resource utilization than infants who received routine care.

    Journal Title

    Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

    Volume

    35

    Issue/Number

    1

    Publication Date

    1-1-2006

    Document Type

    Article

    Language

    English

    First Page

    105

    Last Page

    115

    WOS Identifier

    WOS:000235453600012

    ISSN

    0884-2175

    Share

    COinS