Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Experiences of Nurses and Physicians Working in the Neonatal Intensive Care Unit on Developmental Care:A Qualitative Study
Yenidoğan Yoğun Bakım Ünitesinde Çalışan Hemşire ve Hekimlerin Gelişimsel Bakıma İlişkin Deneyimleri: Nitel Çalışma
Fatma TAŞ ARSLANa, Sevinç AKKOYUNb
aDepartment of Child Health and Disease Nursing, Selçuk University Faculty of Nursing, Konya, TURKEY
bKonya Ereğli State Hospital, Konya, TURKEY
Turkiye Klinikleri J Nurs Sci. 2021;13(2):231-8
doi: 10.5336/nurses.2020-78544
Article Language: EN
ABSTRACT
Objective: This study was carried out to reveal the experiences of nurses and physicians working in a neonatal intensive care unit (NICU) about developmental care practices. Material and Methods: In this study, the qualitative interpretative approach was adopted. The data were collected in May 2019 through a semi-structured interview form consisting of seven main questions. They were asked in questions including sociodemographic and professional characteristics of the participants. In-depth individual interviews were conducted with a three nurses and two physicians working in a neonatal intensive care unit. The qualitative data obtained were analyzed by the researchers using the content analysis method. Results: Three themes and five subthemes emerged from the data analysis. The three main themes achieved are: (1) working in the NICU (2) developmental care practices (3) establishing and maintaining developmental care in the NICU. Five subthemes are: (1) the known developmental care practices, (2) developmental care practices in the NICU, (3) the benefits of developmental care, (4) difficulties in providing developmental care, (5) different developmental care practices. The findings revealed general views on developmental care practices. Conclusion: Nurses and physicians working in NICU reported their thoughts about developmental care, knowledge and practices, benefits, difficulties in implementation, different practices for developmental care, and difficulties in placing and maintaining this care. As a result of the study, opinions can be made about increasing the awareness of developmental care practices, standardizing the practices, providing training and developing tools for evaluating the practices.

Keywords: Bebek bakımı; yoğun bakım üniteleri; yenidoğan; niteleyici araştırma
ÖZET
Amaç: Bu çalışma yenidoğan yoğun bakım ünitesinde (YYBÜ) çalışan hemşire ve hekimlerin gelişimsel bakım uygulamaları hakkındaki deneyimlerini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Bu çalışmada nitel araştırma yöntemi kullanılmıştır. Veriler Mayıs 2019'da yedi ana sorudan oluşan yarı yapılandırılmış görüşme formu aracılıyla toplanmıştır. Katılımcıların sosyodemografik ve mesleki özelliklerini içeren sorular da sorulmuştur. Yenidoğan yoğun bakım ünitesinde çalışan üç hemşire ve iki hekim ile bireysel derinlemesine görüşme yapılmıştır. Elde edilen nitel veriler araştırmacılar tarafından içerik analizi yöntemi ile analiz edildi. Bulgular: Verilerin analizinden üç ana tema ve beş alt tema elde edilmiştir. Elde edilen üç ana tema: (1) YYBÜ'nde çalışma, (2) gelişimsel bakım uygulamaları, (3) YYBÜ'ne gelişimsel bakımın yerleştirilmesi ve sürdürülmesidir. Beş alt tema ise: (1) gelişimsel bakıma yönelik bilinen uygulamalar, (2) YYBÜ'nde gelişimsel bakıma yönelik yapılan uygulamalar, (3) gelişimsel bakımın yararları, (4) gelişimsel bakım uygularken yaşanılan güçlükler, (5) farklı gelişimsel bakım uygulamalarıdır. Bulgular gelişimsel bakım uygulamaları ile ilgili genel görüşleri ortaya koymuştur. Sonuç: YYBÜ'nde çalışan hemşire ve hekimler gelişimsel bakım hakkındaki düşüncelerini, bilgi ve uygulamalarını, yararlarını, uygulamadaki güçlükleri, gelişimsel bakıma yönelik farklı uygulamaları ve bu bakımı yerleştirme ve sürdürmedeki zorlukları bildirdi. Çalışmanın sonucu olarak gelişimsel bakım uygulamalarına yönelik farkındalığın artırılması, uygulamaların standartlaştırılması, eğitimler verilmesi ve uygulamaların değerlendirilmesine yönelik araç geliştirilmesine yönelik görüşler söylenebilir.

Anahtar Kelimeler: Infant care; intensive care units; neonatal; qualitative research
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