Assessing staff-oriented care with developmental support approach in Iranian NICUs

Abstract

Background: Regarding improvements in preterm infants’ survival rates, it is necessary the improvement of Neonatal Intensive Care Unit (NICUs) status in order to provide comprehensive care. The aim of this study was to assess the aspects of staffing-oriented neonatal care in NICUs affiliated to Universities of Medical Sciences in Iran.Methods: This survey is a cross-sectional study which was conducted in 23 NICUs of nine type-1 Universities of Medical Sciences across country. The study checklist contained 39 items in four domains, including “Composition, Philosophy, Training, and Support”, “Management”, “Resources”, and “Transition Systems”. Data were gathered through observation and analyzed using Stata software, version 13.Results: In this study, the mean score of staffing-oriented care was 43.5 of 100. In none of the studied domains, the mean score obtained was not above 50. Among the four domains studied, the highest score was related to “Management”, (the mean score of 50 of 100) and the lowest score related to “Resources” (the mean score of 35 of 100).Conclusions: Considering the importance of the role of health professionals in the neonatal comprehensive care, and also the low mean score of staffing-oriented care (43.51 out of 100) and also its items in NICUs in this study, it is concluded that more attention is needed for staff-oriented care as well as the strengthening of this dimension of developmental care along with other dimensions, through designing of appropriate interventions to improve the health outcomes of preterm infants.