Pilot survey of nurses' attitudes and practice of developmentally supportive care in NICUs in Taiwan
Abstract
Session presented on Saturday, July 26, 2014:
Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan.
Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. The context of NNCS reflects overall DSC strategies classified into five components: individualized care, appropriate sensory input, promote comfort, appropriate positioning, and parental involvement. Higher scores indicate that the nurse has a more positive attitude about applying DSC knowledge, and/or that she provides DSC to preterm infants more frequently.
Results: Of 267 questionnaires, 221 were returned, gathering an 82.8 % response rate that varied between 62.5 and 96.8% among hospitals. Neonatal nurses generally showed a positive attitude about applying DSC knowledge (M=3.50, SD=.38). Their highest attitude score was "promote comfort component", while as the lowest one was "individualized care". The top 5 of 16 practice strategies of DSC provided by nurses in order to frequency were: "nesting", "supportive positioning aids", "covering the incubator", "holding in tucked position", and "midline positioning". The average practice scores (ranging from 3.44-4.08, SD= .54-.74) were higher than the score in attitudes. In this study, the correlations of five DSC components between attitudes and practice were weak. "Individual care" attitudes and practice had no significant correlation with any component of other DSC attitudes or practices. Nurses' attitudes towards "appropriate sensory inputs" and "promote comfort" consistently correlated with their practice of these two components, whereas "appropriate positioning" and "parent involvement" show no such consistency.
Conclusion: Findings of this study may help nursing educators and administrators at both unit and hospital levels to provide educational programs and supports in order to promote nurses' knowledge and attitudes, and consequently facilitate nurses' DSC practice. Further studies to understand nurses' attitudes and practice experience are recommended, especially for those items with low values.
Sigma Membership
Lambda Beta at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Perception of Practice, Attitude, Developmentally Supportive Care
Recommended Citation
Wu, Chia-Ling, "Pilot survey of nurses' attitudes and practice of developmentally supportive care in NICUs in Taiwan" (2014). INRC (Congress). 217.
https://www.sigmarepository.org/inrc/2014/presentations_2014/217
Conference Name
25th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Hong Kong
Conference Year
2014
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Pilot survey of nurses' attitudes and practice of developmentally supportive care in NICUs in Taiwan
Hong Kong
Session presented on Saturday, July 26, 2014:
Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan.
Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. The context of NNCS reflects overall DSC strategies classified into five components: individualized care, appropriate sensory input, promote comfort, appropriate positioning, and parental involvement. Higher scores indicate that the nurse has a more positive attitude about applying DSC knowledge, and/or that she provides DSC to preterm infants more frequently.
Results: Of 267 questionnaires, 221 were returned, gathering an 82.8 % response rate that varied between 62.5 and 96.8% among hospitals. Neonatal nurses generally showed a positive attitude about applying DSC knowledge (M=3.50, SD=.38). Their highest attitude score was "promote comfort component", while as the lowest one was "individualized care". The top 5 of 16 practice strategies of DSC provided by nurses in order to frequency were: "nesting", "supportive positioning aids", "covering the incubator", "holding in tucked position", and "midline positioning". The average practice scores (ranging from 3.44-4.08, SD= .54-.74) were higher than the score in attitudes. In this study, the correlations of five DSC components between attitudes and practice were weak. "Individual care" attitudes and practice had no significant correlation with any component of other DSC attitudes or practices. Nurses' attitudes towards "appropriate sensory inputs" and "promote comfort" consistently correlated with their practice of these two components, whereas "appropriate positioning" and "parent involvement" show no such consistency.
Conclusion: Findings of this study may help nursing educators and administrators at both unit and hospital levels to provide educational programs and supports in order to promote nurses' knowledge and attitudes, and consequently facilitate nurses' DSC practice. Further studies to understand nurses' attitudes and practice experience are recommended, especially for those items with low values.