sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1674962

Paediatrics (Other)

Çocuk Sağlığı ve Hastalıkları (Diğer)

The Interaction Between Individualized Developmental Care Knowledge, Job Motivation, and Job Satisfaction Among Neonatal Nurses: A Cross-Sectional Study

https://orcid.org/0000-0002-2833-8754

Akça

Kamile

GAZIANTEP ISLAM SCIENCE AND TECHNOLOGY UNIVERSITY

https://orcid.org/0000-0001-5982-183X

Can

Veysel

VAN YUZUNCU YIL UNIVERSITY

https://orcid.org/0000-0001-9341-3346

Bulduk

Mehmet

VAN YUZUNCU YIL UNIVERSITY

https://orcid.org/0000-0002-4738-0747

Aytekin Özdemir

Aynur

ISTANBUL MEDENIYET UNIVERSITY

09 09 2025

32 3 206 217 04 12 2025 06 28 2025

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Objective: This study aims to investigate how neonatal nurses' knowledge and attitudes toward individualized developmental care influence their job motivation and job satisfaction. Material and Method: This cross-sectional study included 98 neonatal nurses working in Neonatal Intensive Care Units (NICUs) of two hospitals in eastern ofTürkiye. Data were collected using the Individualized Developmental Care Knowledge and Attitude Scale, the Nurses' Job Motivation Scale, and the Minnesota Satisfaction Questionnaire. Descriptive statistics, t-tests, ANOVA, Pearson correlation, and logistic regression analyses were conducted. Results: A significant positive correlation was observed between job motivation and job satisfaction (p < 0.001). Regression analysis revealed that NICU work experience, work schedule, individualized developmental care knowledge perception, and job motivation were significant predictors of job satisfaction. Gender significantly influenced individualized developmental care knowledge and attitudes (p = 0.014), while job motivation was affected by education level, satisfaction with NICU work, and previous training on individualized developmental care (p < 0.05). Conclusions: Neonatal nurses demonstrated moderate-to-high levels of knowledge and positive attitudes toward individualized developmental care, along with moderate job motivation and satisfaction. Higher job motivation was associated with greater job satisfaction. Findings highlight the need for structured training programs to enhance individualized developmental care knowledge application and policies to optimize work schedules.

Individualized Developmental Care Neonatal Nurses Job Motivation Job Satisfaction Nursing Workforce Neonatal Intensive Care Unıt (NICU)

1. Heidelise A, Gloria BM. The newborn individualized developmental care and assessment program (NIDCAP) with kangaroo mother care (KMC): Comprehensive care for preterm infants. Curr Womens Health Rev 2011;7(3):288-301.

2. Klein V, Koenig-Zores C, Dillenseger L, et al. Changes of infant- and family-centered care practices administered to extremely preterm infants during implementation of the NIDCAP program. Front Pediatr 2021;9:718813.

3. Gad GI, El Kholy NEEMEDM, Rabie DEAEH. Developmental care implementation on preterm neonates in Ain Shams University Pediatric Hospitals: An interventional study. QJM 2021;114(Suppl 1):hcab113.053.

4. Lee HN, Park JH, Cho H. Developmentally supportive care among neonatal intensive care unit nurses in South Korea: Knowledge, perceived importance, perception, and perceived competence. Adv Neonatal Care 2023;23(3): E94-E100.

5. Baghlani R, Hosseini M-B, Safaiyan A, Alizadeh M, Arshadi Bostanabad M. Neonatal intensive care unit nurses' perceptions and knowledge of newborn individualized developmental care and assessment program: A multicenter study. Iran J Nurs Midwifery Res 2019;24(2):113-7.

6. Burke S. Systematic review of developmental care interventions in the neonatal intensive care unit since 2006. J Child Health Care 2018;22(2):269-86.

7. Zhang X, Lee S-Y, Chen J, Liu H. Factors influencing implementation of developmental care among NICU nurses in China. Clin Nurs Res 2014;25(3):238-53.

8. Çaglar S, Dur S, Sönmez Düzkaya D, et al. Profiles and interventions on individualized developmental care of neonatal nurses in Turkey. JAREN 2019;5(2):132-40.

9. Göktepe N, Yalçın B, Türkmen E, et al. The relationship between nurses' work-related variables, colleague solidarity, and job motivation. J Nurs Manag 2020;28(3):514-21.

10. Abu Yahya O, Ismaile S, Allari RS, et al. Correlates of nurses' motivation and their demographic characteristics. Nurs Forum 2019;54(1):7–15.

11. Şantaş F, Şantaş G, Kaya M. Meslektaş dayanışması ve iş motivasyonu: Hemşirelere yönelik bir alan araştırması. Ankara Hacı Bayram Veli Univ Iktisadi Idari Bil Fak Derg 2024;25(3):933–54.

12. Dor A, Halperin O. Nurses' job satisfaction and motivation: Patients' and nurses' perceptions. J Biosci Med 2022;10(6):110–20.

13. alimul hidayat A, Sukadiono, Agustin R, et al. Correlation between nurses' job satisfaction and motivation, and nurses' performance in Indonesia: A cross-sectional study in Soewandi Hospital. Adv Sci Lett 2017;23:12518–20.

14. Erlina Y, Kusnanto K, Mishbahatul E. The relationship of work motivation with nurse job satisfaction factors: A systematic review. STRADA J Ilm Kesehat 2021;10(1):1101–7.

15. Cohen J. CHAPTER 9 - F tests of variance proportions in multiple regression/correlation analysis. In: Cohen J, editor. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Academic Press; 1977. p. 407–53.

16. Faul F, Erdfelder E, Lang A-G, et al. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175–91.

17. Akça K, Kurudirek F. Development of the Individualised Developmental Care Knowledge and Attitude Scale. Appl Nurs Res 2023;72:151697.

18. Engin E, Çam Mo. Hemşire iş motivasyonu ölçeği: Geçerlik güvenirlik. Ege Univ Hemşirelik Fak Derg 2016;32(3):1–13.

19. Weiss DJ, Dawis RV, England GW. Manual for the Minnesota Satisfaction Questionnaire. Minnesota Stud Vocat Rehabil 1967. https://doi.org/10.1037/t05540-000

20. Baycan F. Analysis of some aspects of job satisfaction in people working in different groups [master’s thesis]. İstanbul: Boğaziçi University; 1985.

21. Eskandari Kootahi Z, Yazdani N, Parsa H, et al. Professional values and job satisfaction of neonatal intensive care unit nurses and influencing factors: A descriptive correlational study. Int J Afr Nurs Sci 2023;18:100512.

22. Ohuma EO, Moller AB, Bradley E, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet 2023;402(10409):1261–71.

23. Soleimani F, Azari N, Ghiasvand H, et al. Do NICU developmental care improve cognitive and motor outcomes for preterm infants? A systematic review and meta-analysis. BMC Pediatr 2020;20(1):67.

24. Tripathi T, Dusing S. Long-term neurodevelopmental outcomes of infants born late preterm: a systematic review. Res Rep Neonatol 2015;2015:91.

25. Konukbay D, Çiftçi Rn, Yıldız D. Yenidoğan yoğun bakım ünitesinde çalışan hemşirelerin bireyselleştirilmiş destekleyici gelişimsel bakıma yönelik bilgi, tutum ve davranış düzeylerinin incelenmesi: Tanımlayıcı araştırma. Turk Klin J Nurs Sci 2022;14(3).

26. Dong J, Yi Y, Zhu X, et al. Status of knowledge, attitude, and practice of clinical nurses towards the intrahospital transport of critically ill patients: A cross-sectional study. Nurs Open 2024;11(6):e2172.

27. Yeşilçınar İ, Yanık D, Şahin E, et al. Yoğun bakım hemşirelerinde ahlaki duyarlılık, iş motivasyonu ve umutsuzluk arasındaki ilişkinin belirlenmesi. J Contemp Med 2020;10(4):578–84.

28. Baljoon R, Banjar H, Banakhar M. Nurses' work motivation and the factors affecting it: A scoping review. Int J Nurs Clin Pract 2018;5.

29. Tomaszewska K, Kowalczuk K, Majchrowicz B, et al. Areas of professional life and job satisfaction of nurses. Front Public Health 2024;12.

30. Niskala J, Kanste O, Tomietto M, et al. Interventions to improve nurses' job satisfaction: A systematic review and meta-analysis. J Adv Nurs 2020;76(7):1498–508.

31. Fatma Yilmaz K. Yenidoğan yoğun bakım kliniği'nde çalışan hemşirelerde iş doyumu ve etkileyen faktörler. İzmir Dr Behçet Uz Çocuk Hastanesi Dergisi 2014;4(1):51-8.

32. Baş T, Ünal Ö, Amarat M, et al. Hemşirelerde iş tatmininin motivasyon düzeyine etkisi. Örgütsel Davranış Araştırmaları Dergisi 2017;2(2):20–39.

33. Haleem A, Javaid M, Qadri MA, et al. Understanding the role of digital technologies in education: A review. Sustain Oper Comput 2022;3:275–85.

34. Shivani, Sharma M, Sonakshi, et al. Correlates of perceived stress and professional quality of life among nurses working in neonatal intensive care units (NICU) in North India: A multicenter study. J Neonatol 2023;37(1):6–13.

35. Yu M, Park CG, Lee S. Predictors of nurse-reported quality of care in neonatal intensive care units in Korea. J Pediatr Nurs 2021;60:e24 30.

36. Barnawi N, Barnawi B. The relationship between nurses' self-efficacy and occupational stress in the critical care unit at King Abdul-Aziz Hospital in Jeddah, Saudi Arabia. Nurs Commun 2023;7:e2023001-e35.

37. Bagheri Hossein Abadi M, Taban E, Khanjani N, et al. Relationships between job satisfaction and job demand, job control, social support, and depression in Iranian nurses. J Nurs Res 2021;29(2):e149.

38. Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int 2012;29(2):211–9.

39. Chang W-P, Chang Y-P. Relationship between job satisfaction and sleep quality of female shift-working nurses: using shift type as moderator variable. Ind Health 2019;57(6):732–40.

40. Weaver SH, de Cordova PB, Vitale TR, et al. Experiences and perceptions of nurses working night shift: a qualitative systematic review protocol. JBI Evid Synth 2020;18(6).

41. Dall'Ora C, Ball J, Redfern O, et al. Are long nursing shifts on hospital wards associated with sickness absence? A longitudinal retrospective observational study. J Nurs Manag 2019;27(1):19–26.

42. Serafin L, Strząska-Kliś Z, Kolbe G, et al. The relationship between perceived competence and self-esteem among novice nurses - a cross-sectional study. Ann Med 2022;54(1):484–94.

43. Chen S-H, Chen S-C, Lee S-C, et al. Impact of interactive situated and simulated teaching program on novice nursing practitioners' clinical competence, confidence, and stress. Nurse Educ Today 2017;55:11–6.

44. Mosqueda-Peña R, Lora-Pablos D, Pavón-Muñoz A, et al. Impact of a developmental care training course on the knowledge and satisfaction of health care professionals in neonatal units: a multicenter study. Pediatr Neonatol 2016;57(2):97–104.

45. Lu H, Barriball KL, Zhang X, et al. Job satisfaction among hospital nurses revisited: A systematic review. Int J Nurs Stud 2012;49(8):1017–38.

46. Thomas AO, Bakas T, Miller E, et al. Burnout and Turnover among NICU Nurses. MCN Am J Matern Child Nurs 2022;47(1).