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

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00179985
First Posted: September 16, 2005
Last Update Posted: July 29, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
Ann & Robert H Lurie Children's Hospital of Chicago
  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

Resource links provided by NLM:


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 ]
    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

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
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
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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

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
First Submitted: September 14, 2005
First Posted: September 16, 2005
Last Update Posted: July 29, 2011
Last Verified: July 2011

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