• Critical care nurse · Apr 2021

    Assessment of an Educational Tool for Pediatric Cardiac Nurses on Individualized Family-Centered Developmental Care.

    • Spencer Dean, Meghan Long, Edie Ryan, Kelly Tarnoviski, Antara Mondal, and Amy Jo Lisanti.
    • Spencer Dean is an advanced practice provider, Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
    • Crit Care Nurse. 2021 Apr 1; 41 (2): e17-e27.

    BackgroundPrevention of neurodevelopmental sequelae is a high priority in the care of infants with congenital heart defects. Individualized family-centered developmental care has been identified as a promising approach to promote infant neurodevelopment during hospitalization.ObjectiveTo educate nurses on the concept of individualized family-centered developmental care and its application to nursing practice and to reduce perceived barriers to its implementation.MethodsTwo evidence-based visual educational tools called "developmental care flowers" were created and implemented in the inpatient and procedural units of a cardiac center. Each flower petal represented a core component of individualized family-centered developmental care: cue-based care, patient positioning, supportive environment, and parent engagement. Surveys were administered before and after the educational intervention to assess changes in nurses' knowledge and perceptions of individualized family-centered developmental care.ResultsNurses reported that the developmental care flowers improved their understanding of individualized family-centered developmental care. The educational tools reduced some perceived barriers to implementation of this care model and increased nurse-reported inclusion of parents in care. Qualitative feedback from staff members regarding the tools was positive and acknowledged that individualized family-centered developmental care should be an ongoing priority.ConclusionsThe inpatient and procedural developmental care flowers are useful tools for educating nurses about individualized family-centered developmental care. They could be revised into more interactive tools that might be used to educate parents and further support the integration of this care concept into nursing practice.©2021 American Association of Critical-Care Nurses.

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