Effect of aTraining Program about Developmental Supportive Care on the knowledge of Pediatric Nurses inNeonatal Intensive Care Units

Gomaa, Neveen Moheb Mohammed; Khalil, Amal Ahmed; Mohammed Abouzeid, Mona Ibrahim; Farrag, Jehan Mahmoud

doi:10.21608/pssjn.2025.423411.1381

Effect of aTraining Program about Developmental Supportive Care on the knowledge of Pediatric Nurses inNeonatal Intensive Care Units

Document Type : Original Article

Authors

¹ faculty of nursing

² faculty of nursing, portsaid university

³ pediatric nursing-Faculty of Nursing-Port Said University

10.21608/pssjn.2025.423411.1381

Abstract

Background: Developmentally supportive care is a comprehensive nursing approach that aims to make the neonatal intensive care unit (NICU) environment resemble the intrauterine setting as closely as possible, in order to support physiological stability and promote optimal growth and development of preterm infants. Aim: This study aimed to evaluate the effectiveness of a training program on enhancing pediatric nurses’ knowledge regarding developmental supportive care in NICUs. Subjects and Method: Design: A quasi-experimental design with one-group pretest–posttest design was utilized. Setting: The study was conducted in the NICUs of Kafr Saad Hospital and El-Azhar University Hospital, Egypt. Subjects: A convenience sampling consisting of all available nurses (50 nurses) working at neonatal intensive care units at the above-mentioned study settings, regardless of their experiences, level of education, position, and age, were included in the study. Tools: A structured questionnaire was used for gathering data. Results:"A significant improvement was observed post-program, with 70% of nurses achieving satisfactory knowledge compared to none before the intervention (p < 0.001)."Conclusion: The training program was effective in significantly enhancing NICU nurses’ knowledge regarding developmental supportive care. Recommendation: Continuous training programs on developmental supportive care are recommended for nurses working in NICUs to sustain and advance knowledge levels.

Keywords

Main Subjects

Pediatric Nursing

References

Ahmed, G.E., & Mohammed, B.A. (2019). Effect of implementing learning package of nesting and swaddling for premature infants on nurses' knowledge and performance in NICU. American Journal of Nursing Research, (7) 4, 428.

Al-Shehri,H., & Binmanee,A.(2021). Kangaroo mother care practice, knowledge, and perception among NICU nurses in Riyadh, Saudi Arabia, International Journal of Pediatrics and Adolescent Medicine, 8 (2021),30.

Avazeh,M., & Babaei,N.(2023).The Necessity of Implementing Clustered Care in Preterm Infants : International Journal of Community Based Nursing and Midwifery.11(2),149

Bazregari,M.,Mirlashari,J.,Ranjbar,H.,&Pouraboli,B.(2019).Effect of Clustered Nursing Care on Sleep Behaviors of the Preterm Neonates Admitted to the Neonatal Intensive Care Unit.Iranian Journal of Neonatology,10(3),15.19

Braun,D., Braun,E., Chiu,V., Burgos,A.,E., Gupta,M., Volodarskiy,M.,& Getahun,D. (2020).Trends in Neonatal Intensive Care Unit Utilization in a Large Integrated Health Care System, JAMA Network Open, 3(6), 2.

Cañadas,D,C,.Carreño,T.B, Borja,C.S.,&Perales,A.B.(2022). Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care, International Journal of Environmental Research and Public Health,1.

Charan,G.S., Kalia,R.,& Josh,P.(2024).Sleep Better, Grow Stronger: The Miraculous Impact of Clustered Nursing Care on Low‑birth‑weight Neonates in Neonatal Intensive Care Unit, Indian Journal of Continuing Nursing Education, 25 (1),2.

Elarousy,W., Abd El Aziz,R.,A-El.,El-S., & Youssef,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), 462

Filippa,M.,Casa,E.D., D’amico,R., Picciolini,O.,Lunardi,C., Sansavini,A.,& Ferrari,F.(2021).Effects of Early Vocal Contact in the Neonatal Intensive Care Unit: Study Protocol for a Multi-Centre, Randomised Clinical Trial, International Journal of Environmental Research and Public Health, 18( 3915) 2

Gomes,M,P., Saráty, S.B., Pereira,A.A., Parente,A.T., Santana,M.E., Cruz,M.N.S.,& Figueira,A.D.M.( 2020).Mothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home, ORIGINAL ARTICLE,74(6),2.

Halder, B., Bera, D., & Banerjee, A., (2015). Developmental supportive care in neonatal intensive care unit: A review.Indian Journal of Medical Research and Pharmaceutical Sciences,2(2)

Hendy,A., Alsharkawy,S.S., El-Nagger,N.S.( 2022 ).The outcomes of a healing environment and clustering nursing care on premature infants' vital signs, pain, and sleeping, journal of medicine and life,15(11),134.

Jones,T,A.,(2024). Transforming the Culture of Care, Implementation of Transforming the Culture of Care, Implementation of Developmentally Supportive Care in the Neonatal Intensive Care Developmentally Supportive Care in the Neonatal Intensive Care Unit:bearworks,1.

Kucukoglu ,F.K.S., Ozdemir,A.A.,& Ozcan,Z.(2020). The Effect of Kangaroo Care on Maternal Attachment in Preterm Infants, Nigerian Journal of Clinical Practice, Volume (23) Issue( 1),26,27.

Kunswa, M., & Bayoumi O.(2018). Evidence based nursing practices of developmental supportive care for preterm neonates: Intervention program for internship nursing students. IOSR Journal of Nursing and Health Science (IOSR-JNHS),7(6), 51

Landry,M.A., Kumaran,K., Tyebkhan,J.M., Levesque,V.,& Spinella,M.,(2022). Mindful Kangaroo Care: mindfulness intervention for mothers during skin-to-skin care: a randomized control pilot study,22(35),2.

Lee,H.L., Park,J.H., Cho.H. (2022). Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review ,review article ;28(1),10.

Lee,H.N.,Cho,H.(2023). Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study,Heliyon,9 (2023).2

Mohamed,A.A., Abd Al-Moniem,I.I., Abou Khalaa,M.A.M.,& ALI,E.A.(2023). actors Contribute to Non Applicability of the Developmental Supportive Care by Neonatal Nurses at Intensive Care Unit,Egyptian Journal of Health care, Vol.14 No. 4,337

Mohammed, R.E., Khamis, G.M., & Sabry, Y.Y. (2018). Effect of preterm neonates' developmental supportive care program on nurses' performance. IOSR Journal of Nursing and Health Science (IOSR-JNHS),7(4),33.

Mohammed,R.E., Khamis,G.M., & Sabry,Y.Y. (2024).Effect of Developmental Supportive Care on Behavioral Cues of Preterm Neonates. Egyptian Journal of Health Care,,3, Vol.15No. 3,755

Mousa, A., Khalil, A., Mohamed, N., & Mohamed N. (2021). Nurses' knowledge and practice regarding developmental supportive care for preterm and low birth weight infants. Port Said Scientific Journal of Nursing, 8(2), 191

Park, J., & Kim, J. (2019). Factors influencing developmental care practice among neonatal intensive care unit nurses: Journal of pediatric nursing,6(2), 1

Riad,H., Ouda,W.. Hegazy,A., & Ismail,S.(2023).Assessment of Nurses' Performance regarding Developmental Careat Neonatal Intensive Care Units, Egyptian Journal of Health Care,14(1),392.

Rohmah,M., Saputri,N., & Bahari,J.(2020). Effectiveness Of Use Of Nesting On Body Weight, Oxygen Saturation Stability, And Breath Frequency In Prematures In Nicu Room Gambiran Hospital Kediri City, STRADA Jurnal Ilmiah Kesehatan, 9(1),120

Sankar,B.K. Marakkar,R.K.& Varghese,S.(2022).Effectiveness of Developmentally Supportive Education Program on Nursing Knowledge of Retinopathy of Prematurity in Neonatal Intensive Care Unit, Iranian Journal of Nursing and Midwifery Research, 27 (1),68.

Sathisha,Y., Lewisb, L., Noronhac , J., Nayakc., & Altimier P. (2019). Promoting developmental supportive care in preterm infants and families in a level III neonatal intensive care unit (NICU) setting in India, Nurse Education in Practice,4(1), 1

Schmid,S.V., Arnold,C., Jaisli,S.,Bubl1,B., Harju,E., & Kidszun,A. (2024). Parents’ and neonatal healthcare professionals’ views on barriers and facilitators to parental presence in the neonatal unit: a qualitative study, BMC Pediatrics,

Selim,S.,G.,Attia,A.A-E.,& Mohamed,M.F.(2024). Effect of Developmental Supportive Care Program for Preterm Neonates on Nurses' Performance: Trends in Nursing and Health Care Journal,8(3),110.

Shrestha,T.(2022).Developmental Supportive Care for Preterm Infants in Neonatal Intensive Care Units, Journal of Nursing Education of Nepal ,l ( 13),117.

Suryandari,Y. Arief,Y.S., Utami,S.(2021).Factors Affecting the Implementation of Developmental Care in the Care of Premature Babies in NICU Nurses: A Systematic Review, Pediomaternal Nursing Journal,7 (2).78.

Tang,W.,Ma,N., Meng,L.W., Luo, Y.W., Wang,Y.J.,& Di(2023). Zhang*Vitamin D supplementation improved physical growth and neurologic development of Preterm Infants receiving Nesting Care in the neonatal Intensive Care Unit, BMC Pediatrics,2. 23(248)

Toso, B., Viera, C., , Valter, G., Delatore, S., & Barreto, G., (2015). Validation of newborn positioning protocol in Intensive Care Unit. Revista Brasileira de Enfermagen,68(6)835- 41

Wang,H., Zhang,Y,.Liu,X,. Wang,Y., Shi,J,. Yin,T,.Zhao,F,.& Yang,T.(2021); The effect of continuous clustered care on the physical growth of preterm infants and the satisfaction with the nursing care: Original Article, 13(6) 7377, 7380

Yun,E.J.,& Kim,T. (2022). Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study, Child Health Nurs Res,28(1),72.

Zhong,X., Cai1,S., Wang, H., Wu,L., & Sun,Y. (2025). The knowledge, attitude and practice of nurses on the posture management of premature infants: status quo and coping strategies: BMC Health Services Research,25(288),6.