Determination of Individualized Supportive Developmental Care Approaches and Innovative Approaches of Neonatal Nurses

Öz

Background: Since the neonatal intensive care unit is one of the units where practice and care services are constantly renewed, and responses are received the fastest, innovative approaches of nurses in this field gain importance.

Objectives: To determine the individualized supportive developmental care approaches and innovative approaches of neonatal intensive care nurses and to and to examine the factors associated with these approaches.

Methods: This cross-sectional and descriptive study was conducted between January 1 and January 31, 2024, with 92 nurses working in the neonatal units of a university and state hospital in the Black Sea region. The study data were collected using the “Introductory Information Form”, “Individualized Supportive Developmental Care Scale”, and “Individual Innovativeness Scale”. The data were analyzed using methods such as frequency, percentage, mean, standard deviation, median, t-test, One Way Anova, Kruskal-Wallis, and Pearson correlation test.

Results: It was determined that 83.7% of the nurses participating in the study had “a bachelor’s degree”, 54.3% worked “in the university hospital”, and 31.5% worked in the neonatal unit for “6-10 years”. All nurses stated that they reduced the lights, covered the incubator, and attempted to reduce noise. The neonatal nurses’ mean score on the overall Individualized Supportive Developmental Care Scale was 101.14±10.88, and the mean score on the overall Individual Innovativeness Scale was 53.74±7.54. It was determined that there was a significant positive correlation between these two scales. 

Conclusion: The present study determined that although the individualized supportive developmental care levels of neonatal nurses were at a high level, their innovation levels were at the traditional level. Furthermore, the study found that as nurses’ levels of individualized supportive developmental care increased, so did their innovative approaches. It is recommended that the topic of innovation be addressed in professional and in-service training programs to enable nurses to think innovatively and develop innovative solutions to the problems they encounter.

Keywords: Care, Individualized care, Innovative approaches, Neonatal nurse

 

Anahtar Kelimeler

• Care
• Innovative approaches
• Individualized care
• Neonatal nurse.

Etik Beyan

This study was conducted after taking official permissions from XXX Social and Human Sciences Research and Publication Ethics Committee (no: 2023/941, date: 24.11.2023). The nurses, who were volunteer to participate in the study, provided a written consent before starting to the study. The study was conducted in accordance with the Declaration of Helsinki principles.

Yenidoğan Hemşirelerinin Bireyselleştirilmiş Destekleyici Gelişimsel Bakım İle Yenilikçi Yaklaşımlarının Belirlenmesi

Öz

Giriş: Yenidoğan yoğun bakım ünitesi uygulama ve bakım hizmetlerinin sürekli yenilendiği ve yanıtların en hızlı alındığı birimlerden biri olduğundan hemşirelerin bu alandaki yenilikçi yaklaşımları önem kazanmaktadır.

Amaç: Bu çalışma yenidoğan yoğun bakım hemşirelerinin bireyselleştirilmiş destekleyici gelişimsel bakım ile yenilikçi yaklaşımlarının belirlenmesi ve bu yaklaşımlarla ilişkili faktörleri incelemek amacıyla yapılmıştır.

Gereç ve Yöntemler: Çalışma kesitsel ve tanımlayıcı araştırma olarak 1- 31 Ocak 2024 tarihleri arasında Karadeniz bölgesinde yer alan bir üniversite ve devlet hastanesi yenidoğan birimlerinde çalışan 92 hemşire ile yapılmıştır. Veriler, “Tanıtıcı Bilgi Formu”, “Bireyselleştirilmiş Destekleyici Gelişimsel Bakım Ölçeği” ve “Bireysel Yenilikçilik Ölçeği” ile toplanmıştır. Veriler, sıklık, yüzde, ortalama, standart sapma, medyan, t-testi, tek yönlü Anova, Kruskal-Wallis ve Pearson korelasyon testi gibi yöntemlerle analiz edilmiştir.

Bulgular: Çalışmaya katılan hemşirelerin %83.7’sinin “lisans mezunu” olduğu, %54.3’ünün “üniversite hastanesi’nde” görev yaptığı, %31.5’inin  “6- 10 yıl arası” yenidoğan biriminde çalıştığı belirlenmiştir. Hemşirelerin tamamı ışığı azalttığını, kuvözün üzerini örttüğünü ve gürültüyü önleme girişimlerinde bulunduğunu ifade etmiştir. Yenidoğan hemşirelerinin ‘Bireyselleştirilmiş Destekleyici Gelişimsel Bakım Ölçeği’ toplam puan ortalaması 101.14±10.88 ve ‘Bireysel Yenilikçilik Ölçeği’ toplam puan ortalaması 53.74±7.54’dür. Bu iki ölçek arasında pozitif yönde anlamlı bir ilişki olduğu saptanmıştır.

Sonuç: Araştırmada yenidoğan hemşirelerinin bireyselleştirilmiş destekleyici gelişimsel bakım düzeylerinin yüksek seviyede bulunmasına rağmen bireysel yenilikçilik düzeylerinin gelenekçi seviyede olduğu görülmüştür. Ayrıca çalışmada hemşirelerin bireyselleştirilmiş destekleyici gelişimsel bakım düzeyleri arttıkça yenilikçilik yaklaşımlarının da arttığı belirlenmiştir. Hemşirelerin yenilikçi düşünebilmesi ve yaşadıkları sorunlara yenilikçi çözümler getirebilmesi için mesleki ve hizmet içi eğitimlerde yenilikçilik konusunun ele alınması önerilmektedir.

Anahtar kelimeler: Bakım, Bireyselleştirilmiş bakım, Yenidoğan hemşiresi, Yenilikçi yaklaşımlar

 

Anahtar Kelimeler

• Bakım
• Bireyselleştirilmiş Bakım
• Yenidoğan hemşiresi
• Yenilikçi yaklaşımlar

Kaynakça

1. Als, H. (1982). Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Ment. Health J, 3(4), 229-43
2. Arpacı, T., & Altay, N. (2017). Individualized developmental care in neonatal intensive care unit: Current approaches: Review. Turkiye Klinikleri J Nurs Sci, 9(3), 245-54. Doi:10.5336/nurses.2017-55289
3. Ava, J. (2024). Overview of neonatal intensive care units. Journal of Neonatal Studies, 7(5). 276-278. Doi: 10.37532/JNS.2024.7(5).276-278
4. Ayhan, D., & Yılmaz, D. (2022). Evaluation of the relationship between bricolage and innovation behaviors in intensive care nurses. Journal of Uludağ University Medical Faculty, 48(2), 239-247. Doi: 10.32708/uutfd.1119934
5. Baghlani, R., Hosseini, M. B., Safaiyan, A., Alizadeh, M., & Bostanabad, M. A. (2019). Neonatal intensive care unit nurses’ perceptions and knowledge of newborn individualized developmental care and assessment program: A multicenter study. Iranian journal of nursing and midwifery research, 24(2), 113-117. Doi: 10.4103/ijnmr.IJNMR_54_18
6. Baksi, A., Arda Sürücü, H., & Kurt, G. (2020). Individual innovation behavior of nurses and investigation of factors affecting these behaviors. Acıbadem University Health Sciences Journal, 11(2), 310 - 315. Doi: 10.31067/0.2020.269
7. Bayraktar, D., & Akça, D. (2024). Examination of nurses’ individual innovativeness levels. Bingöl University Health Journal, 5(1), 114- 124. Doi: 10.58605/bingolsaglik.1456806
8. Can, Ş. (2020). Determination of factors affecting innovative behaviors of nurses and midwives working in the neonatal intensive care and delivery room of a state hospital: a qualitative study. Bozok Medical Journal, 10(3), 6-16. Doi: 10.16919/bozoktip.596721

9. Ceylan, S. S., & Kahraman, A. (2023). Investigation of developmental support competency status of nurses working in neonatal intensive care unit. İzmir Katip Celebi University Faculty of Health Sciences Journal, 8(2), 337-342.
10. Çağlar, S., Dur, Ş., Düzkaya, D. S., Özkan, T. K., Torun, N., Çiğdem, Z., ... & Yıldız, G. K. (2019). Profiles and interventions related to individualized developmental care of neonatal nurses in Turkey. Jaren, 5(2), 132-140. Doi: 10.5222/jaren.2019.42104  
11. Çalıkuşu İncekar, M., Çeçen, E., Kantaş Kazmacı, V., Selalmaz, M., & Ulu Öğüt, N. (2024). Individualized developmental care practices of nurses working in neonatal intensive care units: A qualitative study. Journal of Hacettepe University Faculty of Nursing, 11(1), 35-45. Doi: 10.31125/hunhemsire.1248470
12. Çelik, R.N. (2023). Development of individualized supportive developmental care scale for newborns nurses (Master’s Thesis). Health Sciences University, Gülhane Health Sciences Institute. İstanbul, Türkiye
13. Çulha, Y., & Acaroğlu, R. (2019). The relationship amongst student nurses’ values, emotional intelligence and individualised care perceptions. Nursing Ethics, 26(7-8), 2373-2383. Doi: 10.1177/0969733018796682
14. Erdem, E., Sezer Efe, Y., & Başdaş, Ö. (2018). The roles and functions of neonatal nurse. Turkiye Klinikleri J Pediatr Nurs Special Topics, 4(1), 38-42.
15. Faez, N., Hmami, F., Kojmane, W., & Atmani, S. (2022). Developmentally supportive care in neonatology: Correlational study of the knowledge and declared practices of professionals. Annals of Medicine and Surgery, 84, 104928. Doi: 10.1016/j.amsu.2022.104928.
16. Fosnot, C. T., & Perry, R. S. (1996). Constructivism: A psychological theory of learning. In C. T. Fosnot (Ed.), Constructivism: Theory, Perspectives, and Practice (pp. 8-33, 2nd ed.). New York: Teachers College Press.
17. Griffiths, N., Laing, S., Spence, K., Foureur, M., Popat, H., Hickey, L., & Sinclair, L. (2024). Developmental care education in Australian surgical neonatal intensive care units: A cross-sectional study of nurses’ perceptions. Heliyon, 10(10), 30572. Doi: 10.1016/j.heliyon.2024.e30572
18. Güllübal, A., & Sağkal Midilli, T. (2024). Relationship between nurses’ innovative behaviors and organizational creativity levels. Journal of Health and Nursing Management, 11(1), 130-140. Doi:10.54304/shyd.2024.50251
19. Hong, H., Son, H. M., Hong, H., & Son, H. M. (2020). Factors influencing developmental care performance among neonatal intensive care units nurses. Child Health Nursing Research, 26(2), 131-139. Doi: 10.4094/chnr.2020.26.2.131.
20. Hurt, H.T., Joseph, K., Cook, C.D. (1977). Scales for the measurement of innovativeness. Human Communication Research, 4(1), 58-65. Doi: 10.1111/j.1468-2958.1977.tb00597.x
21. ICN (2009). Delivering quality, serving communities: Nurses leading care innovations. Erişim Tarihi: 12.06.2024. https://www.farmerhealth.org.au/sites/default/files/2009_International_Nurses_Day_PDF_437kb.pdf
22. Jalali, S., Bagherian, B., Mehdipour-Rabori, R., Forouzi, M. A., Roy, C., Jamali, Z., & Nematollahi, M. (2022). Assessing virtual education on nurses’ perception and knowledge of developmental care of preterm infants: a quasi-experimental study. BMC nursing, 21(1), 161. Doi: 10.1186/s12912-022-00939-6
23. Kaçar, N., & Özcan, H. (2024). Midwives’ knowledge level about newborn individualized development care and assessments program. The Journal of Midwifery and Health Sciences, 7(1), 30-38. Doi: 10.5281/zenodo.10926585
24. Khalil, A., Abd Elsalam Mohamed, N., Rezk Mohamed, N. & Abd El Motaleb Mousa, A.S. (2021): Nurses’ knowledge and practice regarding developmental supportive care for preterm and low birth weight ınfants. Port Said Scientific Journal of Nursing, 8(2), 190-203. Doi:  10.21608/pssjn.2021.186866
25. Keskin M. (2018). Analysis of the knowledge levels of the nurses working in the neonatal intensive care units on developmental care (Master’s thesis). Harran University Health Sciences Institute. Şanlıurfa, Türkiye
26. Lafcı, D., & Taş, G. (2022). The effect of nurses’ perception of self efficacy and creative personality traits on ınnovative behaviors. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 15(2), 337-351. Doi:10.26559/mersinsbd.1067151
27. Lee, H. N., Park, J. H., & Cho, H. (2023). Developmentally supportive care among neonatal intensive care unit nurses in South Korea: knowledge, perceived importance, perception, and perceived competence. Advances in Neonatal Care, 23(3), 60-69. Doi: 10.1097/ANC.0000000000000943.
28. O’Hara, S., Ackerman, M. H., Raderstorf, T., Kilbridge, J. F., & Melnyk, B. M. (2022). Building and sustaining a culture of innovation in nursing academics, research, policy, and practice: outcomes of the National Innovation Summit. Journal of Professional Nursing, 43, 5-11. Doi: 10.1016/j.profnurs.2022.08.001
29. Park, J., & Kim, J. S. (2019). Factors influencing developmental care practice among neonatal intensive care unit nurses. Journal of Pediatric Nursing, 47, 10–15. Doi: 10.1016/j.pedn.2019.03.014
30. Polster, D., & Villines, D. (2017). An exploratory descriptive study of registered nurse innovation: Implications for levels of adoption. Clinical Nurse Specialist, 31(1), 1–9. Doi: 10.1097/NUR.0000000000000264
31. Riad, HY., E Ouda, W., EA Hegazy, A., & M Ismail, S. (2023). Assessment of nurses’ performance regarding developmental care at neonatal intensive care units. Egyptian Journal of Health Care, 14(1), 392-401. Doi: 10.21608/ejhc.2023.282519
32. Rogers, E. M. (2003). Diffusion of innovations. 4. Edition. Simon & Schuster Press
33. Sarıköse, S., & Türkmen, E. (2020). The relationship between demographic and occupational variables, transformational leadership perceptions and individual innovativeness in nurses. Journal of Nursing Management, 28(5), 1126-1133. Doi: 10.1111/jonm.13060
34. Sarıoğlu, A., & Altuntaş, S. (2017). Adaptation of the individual innovativeness scale in nursing profesion: Turkish validity - reliability study. Journal of Education and Research in Nursing, 14(1), 52-61. Doi: 10.5222/HEAD.2017.052 Séassau, A., Munos, P., Gire, C., Tosello, B., & Carchon, I. (2023). Neonatal Care Unit Interventions on Preterm Development. Children (Basel), 10(6), 999. Doi:10.3390/children10060999
35. Sertkaya, Ö.B., & Bodur, G. (2024). The relationship between individual innovation levels and lifelong learning tendencies of nurses from different generations. Journal of Health and Nursing Management, 11(1), 108-118. Doi:10.54304/SHYD.2024.34634
36. Silberstein, D., & Litmanovitz, I. (2016). Developmental care in the neonatal intensive care unit according to Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Harefuah. 155(1), 27-31.
37. Stilgenbauer, D. J., & Fitzpatrick, J. J. (2019). Levels of innovativeness among nurse leaders in acute care hospitals. JONA: the Journal of Nursing Administration, 49(3), 150–155. Doi: 10.1097/NNA.0000000000000729.
38. Syamsu, A. F., Hadriani, Batjo, S. H., & Kolomboy, F. (2022). The seven points of developmental care for preterm neonates: Nurses’ knowledge and attitudes in the NICU Room. World Journal of Advanced Research and Reviews, 16(01), 677–684. Doi: 10.30574/wjarr.2022.16.1.1073
39. Tokan, F., & Geçkil, E. (2019). Consept of clustered care in the comprehensive of individualized developmental care in premature infants. Journal of General Health Sciences, 1(1), 64-77.
40. Youssef, M.M. (2020). Effectiveness of nurses’ training program about neuroprotective developmental care for premature neonates on their knowledge and practices in neonatal intensive care unit. International Journal of Novel Research in Healthcare and Nursing, 7(2), 452-464