2025  •  Developmental Observer •  17  

P O S T E R  A B S T R A C T  —  N I D C A P  T R A I N E R S  M E E T I N G  2 0 2 4

Aims 
The FINE program (Family and Infant Neurodevelopmental 
Education) is a very useful tool to improve personal practice in 
the application of the developmental centered care model and 
NIDCAP. 

In 2021, FINE 2 training started in Sant Joan de Déu 
Hospital in Barcelona. As part of this training, trainees 
were asked to answer a questionnaire on the practice of 
Developmental Care in their own centers. Included is the 
‘perception of a professional’s stress when performing a series 
of infant care and procedures.

We aimed to analyze differences between the perception 
of the degree of self-stress by a group of professionals when 
performing usual procedures and care before and after their 
FINE 2 training.

Methods
Scores reported by the 22 trainees from one center for each item 
in their workbook were analyzed. The different variables have a 

rating scale between 1 and 5 with 1 being minimum stress and  
5 being maximum stress. From September 2021 to June 2024,  
22 students (15 neonatal nurses, 2 nurse assistants and 5 neo-
natologists) were trained in FINE 2 at our NIDCAP Center. 
Differences in average stress levels between both groups were 
compared using Student's t-test. Significance set at P <0.05.

Results
Average, standard deviation and statistical significance shown 
in bold of each item is shown in the table below.

Conclusion and Relevance for NIDCAP
Our aim was to make professionals more aware of and sensi-
tive to the stress caused to newborns by most of the routine 
care. In particular, CPAP mask replacement and bottle milk 
feeding were the procedures in which statistically significant 
differences were observed in trainee’s perception before and 
after FINE 2 training.

Analysis of Changes in Stress Perception Before and 
After FINE 2 Training
Riverola A, Rodriguez N, Moreno M, Agut T, Troyano MJ, Cervantes R, Morillo A
Neonatal Unit. Sant Joan de Déu Hospital. Barcelona. Spain

DOI: 10.14434/do.v18i1.40891

Procedure
Professional’s stress 
before FINE 2

Professional’s stress 
after FINE 2 n p

Diaper change 3.27+/- 1.2 3.5   +/-1.1 22 0.25

Remove baby unwrapped from incubator 4  +/-  0.9 4.14+/- 0.8 21 0.37

Remove baby wrapped from incubator 3.3    +/-  0.9 3.3+/- 1 22 0.56

Weighing 3.3+/-1 3.1+/-0.8 21 0.71

Mouth aspiration 2.9+/-1.3 3.3+/-1.3 22 0.15

Peripheral intravenous access 3.6+/-0.9 3.8+/-0.8 21 0.16

Eye cleaning 2.1+/-1.4 2.7+/-1.4 22 0.11

CPAP mask placement 3.3+/-0.8 4+/-0.8 21 0.002

Nasogastric tube insertion 2.5+/-0.9 2.9+/-1.2 21 0.1

Bottle milk feeding 1.5+/-0.6 2.2+/-1.1 21 0.01

ROP screening 4.1+/-1 4.1+/-1 19 0.46

Thoracic or cardiac ultrasound 2.3+/-0.9 2.7+/-1 19 0.08