Background: Use of Continuous Positive Airway Pressure (CPAP) in the management of Respiratory Distress Syndrome (RDS) and Transient Tachypnoea of the Newborn (TTN) for infants was introduced in Special Care Nurseries, Victoria, Australia approximately ten years ago. There has been scant evidence on outcomes on CPAP utilization in neonates cared for in developed countries. This study aimed to explore the associations between CPAP outcomes and nursery characteristics for infants with RDS and TTN. Method: A retrospective cross-sectional study using a paper-based anonymous survey was utilized. Participants were Nurse Managers of Special Care Nurseries (SCN) in Victoria, Australia. Multiple correspondence analysis was applied to explore the structural relationships between the nursery background characteristics and the outcome variables. Ethical approval was provided by Peninsula Health. Results: The response rate was 40% (N = 8); 10–100 + infants were treated in the SCN and not transferred and 0–16 required unplanned transfer. Positive CPAP outcomes were associated with preferable nursery characteristics such as higher bed capacity, more years’ experience using CPAP and shorter distances to a NICU. In contrast, unfavourable outcomes (Increased work stressors on nurses and disagreement on general improvement within 6 h when referral was otherwise recommended) were related to a disadvantaged nursery environment. Conclusion: Transfers have been reduced; outcomes have been positive for infants, parents and staff, yet education of nursing staff varied between nurseries. A survey of Special Care Nursery Nurse Unit Managers exploring association between nursery characteristics and CPAP outcomes. Overall positive outcomes for infants, parents and staff.
- Continuous positive airway pressure
- Parent craft