Journal article
Growth Measurement Practices from a National Survey of Neonatal Nurses
Journal of pediatric nursing, Vol.52, pp.10-17
05/01/2020
DOI: 10.1016/j.pedn.2020.02.001
PMID: 32062375
Abstract
Purpose: To describe neonatal nurses' growth measurement practices, attitudes, knowledge, bases of practice knowledge, and barriers and facilitators for changing practice; and to identify differences in practices and knowledge by nursing organization, unit type, education, and experience.
Design and methods: A cross-sectional online survey of U.S. neonatal nurses was distributed through two neonatal nursing organizations.
Results: The survey was completed by 301 nurses. Some evidence-based practices (EBPs) were infrequently reported including recording frontal-occipital head circumference (FOC) and length using 0.1 cm increments (17.9% and 17.6%, respectively); measuring FOC, weight, and length more than once before recording (61.9%, 27.2%, and 39.6%, respectively); and for length, using a length board instead of tape measure (19.4%), with a second person assisting (25.1%), with Frankfort plane head positioning (3.3%), and measuring from crown to heels of both feet (19.1%). Most nurses perceived their measurements as accurate or highly accurate (96.7% for FOC, 99.3% for weight, and 87.1% for length). The mean percentage correct on knowledge items was 68.1%. NICU nurses scored slightly better than well-newborn nurses (mean 69.3% correct vs. 65.1% correct, p = .04). Most based measurement practices on clinical practice guidelines (86.6%) and unit policies and procedures (85.9%). Team culture (33.3%) and insufficient resources (32.6%) were the most common barriers to EBP. The support of nurse managers (70.0%) and unit educators (68.5%) were common facilitators.
Conclusions and implications: Knowledge gaps and practice improvement areas were identified. Results can inform interventions to improve the accuracy and reliability of neonatal growth measurement practices. (C) 2020 Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Growth Measurement Practices from a National Survey of Neonatal Nurses
- Creators
- Jan M. Foote - Blank Children's HospitalKirsten Hanrahan - University of IowaPamela J. Mulder - University of IowaAnne K. Nielsen - Univ Iowa Hosp & Clin, Iowa City, IA 52242 USAYelena Perkhounkova - University of IowaMaria Hein - University of IowaSeyedehtanaz Saeidzadeh - University of IowaAnn Marie McCarthy - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric nursing, Vol.52, pp.10-17
- Publisher
- Elsevier
- DOI
- 10.1016/j.pedn.2020.02.001
- PMID
- 32062375
- ISSN
- 0882-5963
- eISSN
- 1532-8449
- Number of pages
- 8
- Grant note
- UL1TR002537 / National Center for Advancing Translational Sciences of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Stead Family Department of Pediatrics; Nursing; Community and Behavioral Health
- Record Identifier
- 9984370751802771
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