Background/Objectives: Preterm newborns often require specialized care and management. However, exposure to multiple stimuli during hospitalization can adversely affect their neurological development. Developmental-centered care integrates evidence-based practices and neuroprotective strategies to create an optimal care environment that minimizes harmful stimuli in the neonatal intensive care unit (NICU) and supports the neurological development of preterm infants. To identify interventions related to developmental-centered care that support preterm newborns in the NICU. Methods: A scoping review was conducted following the guidelines of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A comprehensive search was performed in MEDLINE, CINAHL, and Web of Science databases. The results were categorized based on the general characteristics of the studies and the main interventions related to developmental-centered care. Results: Out of 163 potentially relevant sources identified, 19 studies met the inclusion criteria. A total of 52 interventions were identified and classified into three thematic categories related to the benefits of the kangaroo care method, the family-centered care model, and the neonatal individualized developmental care and assessment program. Conclusions: The findings underscore the importance of integrating developmental-centered care practices, such as skin-to-skin contact, specialized feeding, and active parental involvement, into clinical practice to support neurodevelopment and improve health outcomes in preterm infants.
Aim: To synthesize scientific evidence on the factors influencing the implementation of cultural competence by nurses in the care of migrant populations. Background/Introduction: Global migration has intensified cultural diversity in healthcare settings, highlighting the need for nurses to develop cultural competence to deliver safe and equitable care. However, evidence on factors influencing its implementation in nursing practice remains fragmented. Methods: An integrative literature review was conducted following the Joanna Briggs Institute methodology and PRISMA guidelines. A systematic search of CINAHL, MEDLINE, Scopus, and Web of Science using the PICo framework identified peer‐reviewed primary studies published between 2014 and 2024 in English, Spanish, or Portuguese. Fourteen studies met the eligibility criteria, were critically appraised using the Joanna Briggs Institute (JBI) Qualitative Checklist, and classified according to Melnyk and Fineout‐Overholt's levels of evidence. Results: All included studies were classified as Level VI evidence, with overall good methodological coherence. Facilitating factors for cultural competence included respect for cultural differences, exposure to multicultural contexts, and continuing education in cultural diversity. Persistent barriers were language difficulties, limited cultural knowledge, and a lack of structured training in cultural competence. Discussion: The findings indicate that cultural competence is a dynamic and context‐dependent process shaped by individual experiences, educational opportunities, and organizational support, consistent with established transcultural nursing frameworks. Conclusion: Effective implementation of cultural competence in nursing requires sustained education, experiential learning, and institutional commitment to address persistent barriers in migrant care. Implications for Nursing: Identifying facilitators and barriers supports the development of strategies to enhance nurses’ cultural competence in diverse care settings. Implications for Nursing Policy: These findings inform institutional policies that promote culturally competent nursing care in multicultural health systems.
12 February 2022 in Journal of Healthcare Quality Research
El propósito de este estudio fue conocer la percepción de enfermeras sobre la seguridad en la preparación y administración de medicamentos en un departamento de salud de atención primaria del Sistema Nacional de Salud de España. Estudio descriptivo transversal. Realizado en el Departamento de Salud 21 (Alicante-España) en los meses de septiembre hasta noviembre del 2021. Sesenta y seis enfermeras, con predominio de mujeres (88,9%). Se utilizó una entrevista semiestructurada con 10 preguntas. El criterio de inclusión tuvo en cuenta las enfermeras con más de dos años de experiencia trabajando en el centro de salud. Se evaluó la percepción de las enfermeras sobre el grado de seguridad en la preparación y administración de medicamentos. El 81,9% de la muestra no notifican los eventos adversos. Los pasos para la administración segura fueron variados. Se observó asociación significativa en la hora correcta de la medicación (p < 0,031) y la antisepsia (p < 0,026), según el número de enfermeras en las zonas básicas de salud. Nuestros resultados indican las percepciones de enfermeras sobre mejoras en el grado de implementación de estándares o herramientas para la administración segura de medicamentos, con especial atención en la falta de conocimientos, la sobrecarga asistencial (elevada ratio paciente/enfermera) y los dilemas asociados con la notificación.