Knowledge and Skills Related to Developmentally Supportive Feeding Practices for Preterm Infants Among Neonatal Nurses: A Pre–Post-training Study

Abstract

Aim

To determine the effectiveness of a training program on knowledge and skills related to developmentally supportive feeding practices for preterm infants among neonatal nurses.

Methods

A training program on developmentally supportive feeding practices using paladai (a special cup used in South India) was developed. A knowledge questionnaire and skills checklist were also developed to evaluate the training outcomes. Sixty-nine nurses completed the knowledge assessment before, immediately after completion of training and after 1 month. A subgroup of 13 nurses completed the skill assessment before and after the training.

Results

Knowledge of nurses significantly increased from pre-training [Mdn = 5; interquartile range (IQR) = 4, 7] to immediate post-training (Mdn = 9; IQR = 8, 10) and 1-month post-training (Mdn = 8.5; IQR = 7, 10) (P < .001). Similarly, the post-training skills score was significantly higher (Mdn = 11; IQR = 7.5, 12) than the pre-training scores (Mdn = 7; IQR = 6.5, 8.5) (P < .05).

Conclusion

The training program effectively imparted knowledge and skills related to developmentally supportive feeding practices. However, continued skill-based training on implementing developmentally supportive practices is needed for effective system-wide practice changes.