title: Necessary resources and barriers perceived by professionals in the implementation of the NIDCAP.
abstract: BACKGROUND
  The implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) requires a significant effort from all professionals involved.
  
  
  OBJECTIVE
  To determine the necessary requirements and barriers perceived by health professionals in the implementation of the NIDCAP.
  
  
  METHODS
  A questionnaire covering requirements and obstacles perceived in the implementation of the NIDCAP was developed and validated in two Spanish level III neonatal intensive care units. The questionnaire was answered by 305 health professionals (response rate of 85%).
  
  
  RESULTS
  The requirements identified in the questionnaire were considered by most respondents as necessary to implementing the NIDCAP, especially more time, education, and staff. Nurses, compared to doctors, thought that more staff was necessary (93% vs. 74%; p < .01). The main obstacle identified in the survey was lack of coordination among different professionals (77%), followed by noise level in the unit (35%). Doctors, in comparison to nurses, considered noise level (61% vs. 23%; p < .01) and nursing staff (56% vs. 29%; p = .05) the most relevant obstacles to NIDCAP implementation. The more experienced professionals perceived their own colleagues as an obstacle, particularly among nursing staff.
  
  
  CONCLUSIONS
  The implementation of the NIDCAP requires a series of conditions that confirm it is not a trivial process but rather a somewhat laborious one. The lack of coordination among different professionals is often considered the main obstacle.
authors.affiliation: Neonatal Unit, 12 de Octubre Hospital, SAMID Network, Madrid, Spain. romospe@hotmail.com
authors.forename: Rocío
authors.initials: R
authors.lastname: Mosqueda
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Castilla
authors.forename: Josep
authors.initials: J
authors.lastname: Perapoch
authors.forename: David
authors.initials: D
authors.lastname: Lora
authors.forename: María
authors.initials: M
authors.lastname: López-Maestro
authors.forename: Carmen
authors.initials: C
authors.lastname: Pallás
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000592:standards; D015931:Intensive Care, Neonatal / Q000379:methods / Q000592:standards*; D008505:Medical Staff, Hospital / Q000523:psychology*; D015397:Program Evaluation; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Barriers; NIDCAP; Neonatal units; Questionnaire; Requirements