An evidence based care package to improve motor skills of infants living in foster care according to integrative review approach

Document Type : Narrative and Integrative Review


1 Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran

2 MS in pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical sciences, Mashhad, Iran

3 Full Professor, Pediatrics Department, Mashhad University of Medical Sciences, Mashhad, Iran


Background: Infancy is the most important extra uterine period of brain development. And it requires environmental stimulation for expression of the developmental capabilities. Meanwhile, due to repeated environmental disparities foster care children are at risk for developmental delay.
Aim: designing evidence based care package to improve motor skills of orphan living infants according to integrative review approach.
Methods: In this integrative review after problem identification, search was made with a combination of assigned index (MESH) terms and text words including Motor development, Infant, Stimulation, Intervention, Improvement, Environment between May 2012 to May 2013 and research span of 1970 to 2013, in the following databases: The Cochrane Central Register of Controlled Trials, AMED, CINAHL, EMBASE, Ovid MEDLINE, MEDLINE Advanced, PsycINFO, Google scholar. After the final selection based on the inclusion and exclusion criteria, articles were translated, data were collected using a data collection form, and analysis/ coding were done according to constant comparative analysis method. Then the findings were combined and edited according to the assigned codes, until the various components of the package have been appeared and completed.
Results: Of the 180 citations, 141 citations were excluded
due to lack of the necessary criteria and the data obtained from the 39 citations including appropriate toys, skills, child-care givers interactions, care practices and environments to stimulate motor development, were been integrated to made an evidence-based care package to promote motor development of orphan living infants.
Conclusion: Evidence-based care programs could be achieved, with incorporating rich information obtained from the studies of infant development, in the form of high-quality review studies. Providing similar packages for other communities and areas of development is proposed.


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