The Impact of Implementing NIDCAP on the Developmental Sensitivity of Nurses Caring for Preterm Infants

This study has been completed.
Sponsor:
Information provided by:
Ann & Robert H Lurie Children's Hospital of Chicago
ClinicalTrials.gov Identifier:
NCT00179985
First received: September 14, 2005
Last updated: July 28, 2011
Last verified: July 2011
  Purpose

The purpose of this study is to determine whether implementing the Newborn Individualized Developmental Care and Assessment Program increases NICU nurses' sensitivity in meeting the developmental care needs of preterm infants.


Condition
Infant, Premature Development

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Impact of Implementing The Newborn Individualized Developmental Care & Assessment Program on the Developmental Sensitivity of Nurses Caring for Preterm Infants

Further study details as provided by Ann & Robert H Lurie Children's Hospital of Chicago:

Primary Outcome Measures:
  • Pre-NIDCAP implementation and post-NIDCAP implementation, score on a tool designed to measure NICU nurses' developmental sensitivity. [ Time Frame: Two years ] [ Designated as safety issue: No ]
    Measure NICU nurses' developmental sensitivity after training program


Enrollment: 32
Study Start Date: December 2004
Study Completion Date: July 2011
Primary Completion Date: May 2006 (Final data collection date for primary outcome measure)
Groups/Cohorts
Training
Behavioral: Newborn Individualized Care and Assessment Program (NIDCAP)

Detailed Description:

Therapies that have brought about sharp decreases in neonatal mortality have not brought about similar decreases in neurodevelopmental morbidity for preterm infants. Developmentally supportive care is NICU (Neonatal Intensive Care Unit) care that seeks to optimize the developmental course and outcomes for preterm infants. In controlled trials, implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) has been associated with with positive medical and neurobehavioral outcomes. The purpose of this study is to examine the impact of implementing the NIDCAP on the developmental sensitivity of nurses caring for preterm infants in a tertiary level NICU in a children's hospital in the midwest. The NIDCAP program consists of 1) structured behavioral observations which are conducted at regular intervals during the preterm infant's hospitalization, 2) written plans which outline specific, individualized interventions to address the infant's unique developmental needs which are updated following each observation, and 3) consultations with the infant's caregivers to articulate the infant's current needs and plan. A convenience sample of 32 NICU nurses will be observed during a routine caregiving episode with one preterm infant before and another preterm infant after the implementation of the NIDCAP program with preterm infants in the NICU. Following the observations, the nurse's developmental sensitivity will be scored using a standardized tool. The nurses' developmental sensitivity before the implementation of the NIDCAP program will be compared with their developmental sensitivity following NIDCAP implementation. Informed consent will be obtained from the nurses participating in the study.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

NICU Nurse

Criteria

Inclusion Criteria:

  • be an RN,
  • be an employee of the NICU at the study site,
  • have completed the NICU nursing orientation at the study site,
  • work at least 0.4 FTE in the NICU at the study site, and
  • be observed while caring for a preterm infant born at less than or equal to 36 weeks gestation and at less than or equal to 1500 grams

Exclusion Criteria:

  • Nurses will not be observed while caring for fullterm infants or preterm infants receiving heavy sedation or paralyzing medications.
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00179985

Locations
United States, Illinois
Neonatal Intensive Care Unit, Children's Memorial Hospital
Chicago, Illinois, United States, 60148
Sponsors and Collaborators
Ann & Robert H Lurie Children's Hospital of Chicago
Investigators
Principal Investigator: Susan M Horner, RNC, MS Ann & Robert H Lurie Children's Hospital of Chicago
  More Information

No publications provided

Responsible Party: Susan M Horner, RNC, MS, Children's Memorial Hospital
ClinicalTrials.gov Identifier: NCT00179985     History of Changes
Other Study ID Numbers: IRB#2005-12423
Study First Received: September 14, 2005
Last Updated: July 28, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Ann & Robert H Lurie Children's Hospital of Chicago:
Developmental Care
Neonatal Intensive Care Unit (NICU)

ClinicalTrials.gov processed this record on October 23, 2014