The Neonatal Integrative Developmental Care Model: Advanced Clinical Applications of the Seven Core Measures for Neuroprotective Family-centered Developmental Care

Abstract

The Neonatal Integrative Developmental Care Model, which outlines seven core measures for neuroprotective family-centered developmental care of premature infants, is a framework that guides clinical practice in many neonatal intensive care units (NICUs) around the globe. The seven neuroprotective core measures are depicted as overlapping petals of a lotus as the 1) healing environment, 2) partnering with families, 3) positioning & handling, 4) safeguarding sleep, 5) minimizing stress and pain, 6) protecting skin, and 7) optimizing nutrition. Skin to Skin Contact (SSC) is considered the foundation for care of infants in the NICU and its importance as the “normal environment” and the ideal place of care is described. The mother/child dyad is the center of the lotus surrounded closely by symbols representing various aspects of the healing environment, highlighting the physical, extra-uterine environment in which the infant now lives, the significance of the developing infant's sensory system, and the influence of people (patient, family, and staff) who help to create a healing environment for hospitalized infants and their families. The Neonatal Integrative Developmental Care Model utilizes neuroprotective interventions as strategies to support optimal synaptic neural connections, promote normal neurological, physical, and emotional development and prevent disabilities.