Evaluación del proceso de implantación del modelo “Neonatal Individualized Developmental Care and Assessment Program” (NIDCAP) de Cuidados Centrados en el Desarrollo Neonatal y atención a la Familia (CCD) en España

Identificador:  TDX:2473

Handle: https://hdl.handle.net/20.500.11797/TDX2473

Autores:  Bazo Hernández, Leticia

Resumen:
Justification: In Spain, the vast majority of neonatal units are already working through the philosophy of Centered Care Development (CCD) and two of them have become model training centers of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). The transfer of the introduction process and implementation of NIDCAP in the two pioneer units, can be used as an example and motivation other neonatal units. The CO-NÈIXER project is a training program based in integrative care methodology which has eased the implementation of these care models at Vall d'Hebron Hospital. Its evaluation has allowed other units to get to know its effectiveness, strengths and weaknesses and other aspects to consider if they want to implement a similar program in other units. implementation. Objectives: To analyse and describe the implementation process and implementation of the CCD and NIDCAP in Spain. Toevaluate the effectiveness of CO-NÈIXER Project. Methodology: This research is composed by two main studies, study I: 'Implementation of CCD and NICAP' and study II, 'Project CO-NÈIXER'. Study I: 1-Literature review. 2- Descriptive, observational and longitudinal study. 3-Analysis and mapping Spanish neonatology units. 4-Study I: descriptive observational and cross-sectional study to determine the degree of implementation of CCD and NIDCAP in Spain. Study II: CO-NÈIXER Project: Prospective intervention study (before and after) where are rated satisfaction on the training program, acquired knowledge and its impact on clinical practice. Results: The CCD are applied in most neonatal units, highlighting the early involvement of parents in 96.6 % , the units are open units 24 hours in 83.1 % of these cases and 92.1 % use sucrose as a non pharmacological method for pain control but there remains other measures to implement care. In relation to the model NIDCAP, there are currently two centers accredited as training centers,34 accredited professionals and 21 professionals in training NIDCAP. Most of them belonging to the staff of the training centers. One of them has two nurses working exclusively on the implementation of this model of care. 185 have been identified and neonatology units NIDCAP only being applied, and in a limited way, in two of them. The CO-NÈIXER project has been effective, professionals have presen