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Evaluation of the implementation process of the model NIDCAP from Neonatal Development Focused Care and Family support (DFC) in Spain.

Hospital Universitari Vall d'Hebron, Paseo del Valle de Hebrón, Barcelona, Espanya
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leticia.bazo@urv.cat

BARCELONA

Nurse in charge: Leticia Bazo Hernández

Entity/Agency in charge: Universitat Rovira i Virgili


Description

The transfer of the introduction and implementation process of the model Newborn Individualized Developmental Care and Assessment Program (NIDCAP) in the two pioneer units in Spain, which are training centres of such model, may be used as an example and motivation for other neonatal units. The project CO-NÉIXER is a formative assistential program of integrative methodology that has facilitated the implementation of Development Focus Care (DFC) and NIDCAP in the Hospital Vall d’Hebron. Its assessment has provided some insight on its effectiveness, strengths and flaws, which are aspects to be taken into consideration by other units that wish to apply a similar implementation program.

The objectives of this investigation have been the following ones:

  • analysing and describing the introduction and implementation process of the DFC and NIDCAP in Spain.
  • Evaluating the effectiveness of the Project CO-NÉIXER.

It consists of two main studies, study I: “Implementation of DFC and NICAP” and study II: “Project CO-NÉIXER”. The DFC are applied to most of the neonatal units, highlighting the early involvement of the parents in the 96.6%, that the 83.1% has a 24h open unit and that the 92.1% uses sacarose as a non-pharmacological method for pain control. In relation with the model NIDCAP, there are currently two centres accredited as training centres, 34 accredited professionals and 21 trainee professionals. One of them has two nurses working exclusively on the implementation of this care model. 185 neonatology units have been identified and NIDCAP is only being applied, to a limited extent, in two of them. The project CO-NÉIXER has been effective, the professionals have displayed a high satisfaction level as for the training and also a higher level of knowledge and applicability of the cares taught in it. The program is repeatable in other neonatal units.

In the last years, the implementation degree of the DFC has increased in most of the neonatology units in Spain, but there is still a lot to be done. The NIDCAP model is in its implementation process. A higher dissemination of this care model and accredited professionals is required for its implementation in the Spanish neonatal units.

Hospital Universitari Vall d'Hebron, Paseo del Valle de Hebrón, Barcelona, Espanya

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