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Western Journal of Nursing Research
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Nurses' Experience with Implementing Developmental Care in NICUs

Shahirose S.J.E. Premji

Chedoke-McMaster Hospitals

Jacqueline S. Chapman

Faculty of Nursing, University of Toronto

The aim of this study was to gain insight into nurses '(N = 8) experience of working in a neonatal intensive-care unit (NICU) that incorporated the developmental-care approach Although Als's model isfamily centered, the basic social process identified by nurses was putting the babyfirst. The process of putting the baby first was uncovered using grounded-theory methodology. The process included three phases: learning, reacting, and advocating/nonadvocating. In each of the phases, four main concepts-encountering, appraising, supporting, and gaining sensitivity-emergedfrom the data. Nurses appraised the advantages and disadvantages of this therapeutic approach not only to the infant but also to themselves.

Western Journal of Nursing Research, Vol. 19, No. 1, 97-109 (1997)
DOI: 10.1177/019394599701900107
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