Health Care Professional Perceptions About a Proposed NICU Intervention: The Importance of Community and Aligning With Everyday Occupations

Author:

Richter Marinthea1,Smith Joan2,Pineda Roberta1ORCID

Affiliation:

1. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA

2. Department of Quality, Safety and Practice Excellence, St. Louis Children’s Hospital, MO, USA

Abstract

The neonatal intensive care unit (NICU) is a dynamic system with multiple stakeholders and contextual factors impacting the implementation of novel practices. This qualitative study aimed to (a) define health care professionals’ perceptions on the feasibility of implementing a sensory intervention to study its efficacy, and (b) elaborate on transactions occurring between NICU health care professionals and the proposed research. Eleven NICU professionals participated in one of three focus groups that were audio-recorded, transcribed, and analyzed thematically in NVivo first descriptively and then interpretively through a transactionalism lens. The health care professionals implied the intervention was feasible, but provided multiple suggestions to enhance implementation. The modification of familiar occupational practices, ingrained habits, and the potential impact on the collective occupational performance of NICU community members arose. Understanding occupations within the NICU as transactional allows for a broader view of occupational engagement and enhances knowledge of the nuances related to implementing clinical changes.

Funder

Gordon and Betty Moore Foundation and Washington University Research Strategic Alliance

Publisher

SAGE Publications

Subject

Occupational Therapy

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