title: Factors Influencing Implementation of Developmental Care Among NICU Nurses in China.
abstract: The main aim of this article is to describe current developmental care nursing practices among registered nurses (RNs) working in neonatal intensive care units (NICUs) in China and to explore selected personal and unit characteristics related to developmental care implementation. A convenience sample of 207 RNs participated in this descriptive, cross-sectional exploratory study. A tool of Practice Standards for Individualized, Family-Centered Developmental Care was used to collect the data. The findings indicate that Chinese NICU nurses are not implementing developmental care consistently. Higher patient caseloads, fewer work hours per day, higher level of education, and fewer years worked in NICUs are the significant predictors for lower implementation of developmental care. NICU nurses in China currently carry out developmental care based mainly on their accumulated clinical experience rather than their educational experience. More systematic developmental care training for NICU nurses and more support at both unit and hospital levels are necessary in China.
authors.affiliation: Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Hungkuang University, Taiwan, Republic of China.
authors.forename: Shih-Yu
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
authors.forename: Jingli
authors.initials: J
authors.lastname: Chen
authors.affiliation: Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China huapingliu@vip.126.com.
authors.forename: Huaping
authors.initials: H
authors.lastname: Liu
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002657:Child Development / Q000502:physiology*; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration; D015931:Intensive Care, Neonatal / Q000379:methods*; D008875:Middle Aged; D017283:Neonatal Nursing / Q000193:education* / Q000458:organization & administration; D011795:Surveys and Questionnaires
keywords: China; developmental care; neonatal intensive care; premature infant