Evidence map›Paper›PMID 40597985›Full record

ArticleBMC pediatrics2025

Barriers to the implementation of the Newborn Individualized Developmental Care and Assessment Program in neonatal intensive care units and the proposed solutions to improve its implementation: a scoping review.

Marziyeh Avazeh, Shahla Shahbazi, Leili Borimnejad, Nasib Babaei, Mahnaz Jabraeili

Abstract readScoping Review
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marziyeh AvazehDepartment of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Shahla ShahbaziDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Leili BorimnejadNeonatal and Pediatric Nursing Department, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran.
Nasib BabaeiDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Mahnaz JabraeiliDepartment of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. jabraeilim@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is one of the frameworks for providing developmental care that is associated with improving the short- and long- term developmental outcomes of infants. It is important to implement this care program in the best way possible to benefit from its positive outcomes. The present study aimed to summarize and report the results of various studies conducted on the barriers to the implementation of the NIDCAP in the neonatal intensive care unit and the proposed solutions to improve its implementation.

methodsIn this scoping review, published texts in English from 2007 to 2023 were identified using CINAHL, PubMed, Scopus, Embase, ProQuest, Science Direct, Springer, Web of Science and Google Scholar search engine (for gray literature). Studies were selected based on the inclusion and exclusion criteria and the findings were summarized in an inductive manner.

resultsWe included 15 studies in our review. The results of extracting the findings of the articles included the barriers to the implementation of NIDCAP care in neonatal intensive care units, e.g., organizational and managerial barriers, barriers related to professionals, barriers related to parents, barriers related to infants, and barriers related to the department and equipment. The development of a coherent training program for NIDCAP team members, promotion of parents' participation, development of research in the field of NIDCAP care, promotion of organizational support, optimization of NIDCAP implementation infrastructures and establishment of a developmental care team were identified as the most important proposed solutions.

conclusionBased on the findings, the implementation of NIDCAP care in the neonatal intensive care units faces many barriers in different areas. Managers and planners of the NIDCAP program can plan for the development of this approach in the health care system and improve its implementation to eliminate the identified barriers and benefit from the evidence-based solutions.

Indexed as

Child DevelopmentIntensive Care, NeonatalIntensive Care Units, NeonatalHumansInfant, NewbornBarriersNICUNIDCAPReviewSolutions

Identifiers

PMID40597985
PMCPMC12220400

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.