Abstract
Individualized Developmentally Supportive Care (IDSC) is crucial for improving neonatal outcomes, encompassing neurodevelopment and overall well-being. This study assessed the knowledge, attitudes, perceived self-competence, and key barriers and enablers influencing the implementation of IDSC among 230 nurses (mean age 31.5 ± 4.8 years; 68.7% female) working in ten government-operated NICUs in Jordan. Nurses demonstrated high IDSC knowledge (61.7%), predominantly positive attitudes (65.7%), and moderate to high self-competence (53.9% moderate, 40.0% high). Knowledge, attitudes, and self-competence were strongly correlated (r = 0.51–0.72, p < 0.01). NICU experience and education predicted knowledge (p < 0.01), attitudes were predicted by resuscitation training and education (p < 0.01), and self-competence by neonatal care training and experience (p < 0.01). Enablers included structured training and clinical experience, while barriers included limited specialized education and inconsistent access to training. Findings highlight nurses' strong readiness for IDSC implementation and the need to address modifiable barriers to optimize implementation.
