Elsevier

Seminars in Neonatology

Volume 7, Issue 6, December 2002, Pages 447-457
Seminars in Neonatology

Regular Articles
Neonatal individualized care in practice: a Swedish experience

https://doi.org/10.1053/siny.2002.0150Get rights and content

Abstract

A family-centred, developmentally supportive approach to newborn intensive care referred to as NIDCAP (Newborn Individualized Developmental Care and Assessment Programme) has caught considerable interest during recent years. In this paper we review the scientific context behind its conceptual framework and summarize our experience from 10 years of training, implementation and research. We present the short- and long-term medical and developmental outcome of our Swedish NIDCAP studies as well as attitudes of nursing staff and neonatologists. Furthermore, ethical issues and scientific obstacles concerning this concept of care are discussed.

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      Clinician perspectives of developmental care are predominately explored through questionnaire-based research designs,14–18,20,21 with two studies examining qualitative perspectives through interviews.13,19 In Sweden, a questionnaire of neonatologists (n = 139) found 93% believed NIDCAP had a positive influence on the infant.17 A comparable questionnaire study of nurses and doctors (n = 566) in Spain found similar findings: a positive attitude and willingness to utilise the principles of NIDCAP, with neonatologists viewing the intervention more favourably than nurses.18

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      Similarly, other studies showed that staff experienced positive impact of NIDCAP implementation [22,23]. In this study, nurses agreed that using NIDCAP improves the care of infants which is congruent with other studies where doctors and nurses agreed that NIDCAP improves infant wellbeing especially after reducing light, noise and activity [22,23,25]. Likewise, van der Pal et al. and Westrup reported that doctors and nurses perceived that NICDCAP as time consuming [20,22], while Mosqueda et al. who surveyed staff during NIDCAP implementation found that lack of coordination and noise control were the main obstacles in implementing NIDCAP [8].

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    Correspondence to: B. Westrup MD, Neonatal Unit 20, Danderyds Hospital, SE-182 88 Danderyd, Sweden. Tel.: +46-8-655-66-61; Fax: 46-8-753-37-13; E-mail: [email protected]

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