There is growing evidence that continuity of nurse caregivers (CNC) has an effect on outcomes for infants admitted to neonatal intensive care units. Using Levine's conservation model, the relationship of infant acuity and CNC for 50 infants born between 24 and 40 weeks gestation was explored. A statistically significant difference was found between the variable acuity and CNC (F = 8.65, p = .01). Results suggest that high infant acuity is strongly related to high CNC but may be the effect of a third variable. CNC may support the emergence of physiological, structural, and social competencies for convalescing premature infants.
AlsH. (1986). A synactive model of neonatal behavioral organization: Framework for the assessment of neurobehavioral development in the premature infant and for support of infants and parents in the neonatal intensive care unit. Physical and Occupational Therapy in Pediatrics, 6(3–4), 3–53.
2.
Bakewell-SachsS.Medoff-CooperB.EscobarG. J.SilberJ. H., & LorchS. A. (2009). Infant functional status: The timing of physiologic maturation of premature infants. Pediatrics, 123(5), e878–e886.
3.
Burnes BoltonL.AydinC. E.DonaldsonN.BrownD. S.SanduM.FridmanM.AronowH. U. (2007). Mandated nurse staffing ratios in California: A comparison of staffing and nursing-sensitive outcomes pre-and postregulation. Policy, Politics & Nursing Practice, 8(4), 238–250.
4.
CurleyM. A. Q. (2007). Synergy: The unique relationship between nurses and patients. The ANCC synergy model for patient care. Indianapolis, IN: Sigma Theta Tau International.
5.
GastmansC.Dierckx de CasterleB., & SchotsmansP. (1998). Nursing considered as moral practice: A philosophical-ethical interpretation of nursing. Kennedy Institute of Ethics Journal, 8(1), 43–69.
6.
GoldschmidtK. A., & GordinP. (2006). A model of nursing care microsystems for a large neonatal intensive care unit. Advances in Neonatal Care, 6(2), 81–88.
7.
GrayJ. E.DavisD. A.PursleyD. M.SmallcombJ. E.GevaA., & ChawlaN. V. (2010). Network analysis of team structure in the neonatal intensive care unit. Pediatrics, 125(6), e1460–e1467.
8.
GrinspunD. (2002). A flexible nursing workforce: Realities and fallouts. Hospital Quarterly, 6(1), 79–84.
9.
HedgesC. C., & NicholsA.FiloteoL. (2012). Relationship-based nursing practice: Transitioning to a new care delivery model in maternity units. The Journal of Perinatal & Neonatal Nursing, 26(1), 27–36.
10.
HolstiL.GrunauR. E.OberlanderT. F., & WhitfieldM. F. (2004). Specific newborn Individualized Care and Assessment Program movements are associated with acute pain in preterm infants in the neonatal intensive care unit. Pediatrics, 114(1), 65–72.
11.
KalischB. J., & LeeH. (2009). Nursing teamwork, staff characteristics, work schedules, and staffing. Health Care Management Review, 34(4), 323–333.
12.
LevineM. E. (1967). The four conservation principles of nursing. Nursing Forum, 6(1), 45–59.
13.
MarineK.MeehanP.LyonsA. C., & CurleyM. A. (2013). Inequity of patient assignments: Fact or fiction?Critical Care Nurse, 33(2), 74–77.
14.
MeffordL. C., & AlligoodM. R. (2011). Evaluating nurse staffing patterns and neonatal intensive care unit outcomes using Levine's conservation model of nursing. Journal of Nursing Management, 19, 998–1011.
15.
ProfitJ.PetersenL. A.McCormickM.EscobarG. J.Coleman-PhoxK.ZhengZ., … ZupancicJ. A. (2010). Patient-to-nurse ratios and outcomes of moderately preterm infants. Pediatrics, 125, 320–326.
16.
SiowE.WypijD.BerryP.HickeyP., & CurleyM. A. (2013). The effect of continuity in nursing care on patient outcomes in the pediatric intensive care unit. Journal of Nursing Administration, 43(7–8), 394–402.
17.
SpenceK.Tarnow-MordiW.DuncanG.JayasuryiaN.ElliottJ.KingJ., & KiteF. (2006). Measuring nursing workload in neonatal intensive care. Journal of Nursing Management, 14, 227–234.
18.
SpruillC., & HeatonA. (2014). Designing an innovative nursing care delivery model to promote continuity of care. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43, 40.
