Effect of Applying Nesting Technique as a Developmental Care in Preterm Infants: A quantitative Systematic Review.
Effects of Applying Nesting Technique
Premature infants are highly vulnerable group of the population. Premature births accounts the highest mortality rate among infants in the first year of life. Developmental care are interventions taken to support the behavioral organization of each infant, promoting physiological functioning, protecting sleep rhythms and enhancing growth and development. Developmental positioning as nesting technique is a nursing skill used commonly in the developmental care of premature infant. This skill maintain premature infants in a comfortable position; enable spontaneous motor activity for skeletal joint and neuromuscular function and facilitate the monitoring of stable vital signs. Applying nesting technique as a developmental care has a positive effect on physiological functioning and neurobehavioral organization of premature infants.
While a set of frameworks complement and build on each other, the delineation of the concept focuses heavily on vertical versus horizontal dimensions in a time-sliced fashion. That is, time dimension in accountability has not been of primary importance. However, it is worth noting that the time dimension is closely interrelated with a series of conceptual distinctions made in previous literature, and it may cover complementary aspects of the question concerning two sequential lines represented by administrative responsibility versus political accountability. First, the positioning of accountability actors depends on the time dimension. Civil servants usually have longer terms to serve the public interest over the long term. At the same time, they are responsible to the elected representatives of the public who tend to have “a limited time horizon” and “prefer policies that yield tangible benefits for constituents in the near term” (Posner, 2004: 137). For this reason, the priorities expressed by elected officials may be far more related to short-term issues and temporal problems instead of long-term solutions, whereas the long-lasting forms of civil service personnel would prioritize sustainable solutions to secure a long-term perspective of the citizens, both current and in the future. Second, the time frame is essential to distinguishing between two main streams of accountability. Accountability mechanisms focus predominantly on retroactive accountability for the past outcomes, while accountability as a virtue takes a proactive approach to ensuring ethical behaviors in the future. The timeline is also useful to distinguishing between ex ante accountability of the decision-making process leading up to the decision and ex post accountability where the results available from the decision already taken or where questions of compliance are identified and addressed. In other words, ex ante accountability refers to being accountable for the decision before an administrator act, while ex post accountability is suggestive of situations where administrators are accountable for the outcome of their decisions. For example, the focus of traditional bureaucratic administration is very much