Invasive procedures are stressors for preterm infants. Appropriate caregiver responses to stress cues can facilitate the preterm infants’ ability to adapt to the stressors. Therefore, nurses should have skills in recognizing stress cues of preterm infants and respond appropriately to them. The purpose of this quasi-experiment, a pre-post test design without a control group, was to examine effect of coaching on practices of nurses in responding to stress cues of preterm infants during invasive procedures which consisted of venipuncture and suctioning via endotracheal tube. The study samples were thirteen professional nurses working at the neonatal intensive care unit, Chiangrai Prachanukroh hospital. The instruments of this study were a knowledge questionnaire, a power point presentation, and a handbook along with a coaching plan for responding to stress cues of preterm infants during invasive procedures. A video tape and observation form on stress cues of preterm infants during the suctioning were also included. The instruments for data collection were an observation form on nurses’ responding to stress cues of preterm infants during invasive procedures. Data were collected during March and June 2013. Data were analyzed by using descriptive statistics and Chi-square test.
The results of this study revealed that after coaching, a significantly higher proportion of nurses intervened with effective practices when responding to stress cues of preterm infants during both venipuncture and suctioning (p<.001).
The findings of this study indicate that coaching could enhance the practices of nurses when responding to stress cues of preterm infants during venipuncture and suctioning. Therefore, coaching of nurses on stress cues response practices should be conducted by a coach expert to enhance effective nursing care of preterm infants.