Evidence map›Paper›PMID 41455988›Full record

ArticleBMC medical education2025

The effect of comprehensive developmental positioning program training on nurses' performance and infant comfort hospitalized in the neonatal intensive care unit.

Tina Karami, Afsaneh Arzani, Ali Zabihi, Hossein-Ali Nikbakht, Zahra Akbarian Rad, Seyedeh Roghayeh Jafarian Amiri

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Tina KaramiStudent Research Committee, Tina Karami (MSc), Babol University of Medical Sciences, Babol, I.R. of Iran.
Afsaneh ArzaniNon-Communicable Pediatric Diseases Research Center, Health Research Center, Associate Professor of Nursing department, Nursing and Midwifery School, Babol University of Medical Sciences, Babol, I.R. of Iran.
Ali ZabihiSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. of Iran.
Hossein-Ali NikbakhtDepartment of Epidemiology and Biostatistics, School of Health, Babol University of Medical Sciences, Babol, I.R. of Iran.
Zahra Akbarian RadDepartment of Pediatrics, School of Medicine, Non- Communicable Pediatric Diseases Research Center Health Research Institute, Amirkola Hospital, Babol University of Medical Sciences, Babol, I.R. of Iran.
Seyedeh Roghayeh Jafarian AmiriNursing Care Research Center, Health Research Center, Associate Professor of Medical Surgical Nursing department, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, I.R. of Iran. jafarianamiri@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopmental positioning that performed by nurses plays a critical role in minimizing complications associated with prematurity and promoting overall neonatal health. Enhancing nurses' knowledge and skills through structured training programs can substantially improve the quality of neonatal care. This study aimed to examine the effect of a comprehensive developmental positioning training program on nurses' performance and the comfort of preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU).

methodsThis quasi-experimental, pretest-posttest study was conducted from January 2024 to April 2025 on 102 hospitalized premature infants and nurses in the NICU of Rouhani Hospital in Babol, (northern Iran). Convenience sampling was used to recruit participants. Nurses' performance in developmental positioning was evaluated using the Infant Position Assessment Tool (IPAT) and infant's comfort was assessed using the COMFORTneo scale. Following a 4 h educational intervention consisting of lectures, visual presentations, and face to face bedside training nurses' performance and infants' comfort were reassessed immediately and four weeks post-training. The data were analyzed using SPSS version 20 and statistical tests including Kolmogorov Smirnov test, Paired samples t tests, Independent samples t tests, Chi square or Fisher's exact tests, One way ANOVA with a significance threshold of p < 0.05.

resultsThe mean IPAT score increased significantly from 6.64 ± 0.91 before the intervention to 10.32 ± 0.53 after one week and 10.41 ± 0.55 after four weeks (p < 0.001). Prior to training, 97.1% of infants required repositioning; this rate dropped to zero after the intervention (p < 0.001). However, changes in infants' comfort scores at both follow-up points were not statistically significant.

conclusionsComprehensive developmental positioning training significantly improved nurses' performance in infant positioning but did not yield measurable changes in infants' comfort. Nursing administrators are encouraged to incorporate developmental positioning training into in service education programs to enhance neonatal care quality and outcomes. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Clinical CompetenceIntensive Care Units, NeonatalNeonatal NursingPatient ComfortPatient PositioningAdultFemaleHumansInfant, NewbornInfant, PrematureIranMaleDevelopmentEducationInfantNICUNursesPositioning

Identifiers

PMID41455988
PMCPMC12853862

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LicenceCC BY-NC-ND
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Registered trials

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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.