You are on page 1of 9

Survey for NICU nurses

Start of Block: Default Question Block

Q2 Gender

o Male (1)
o Female (2)
o Other (3)
o Do not wish to specify (4)

Q3 Race

o White, not Hispanic (1)


o Black, not Hispanic (2)
o Hispanic (3)
o Other (4) ________________________________________________

Page 1 of 9
Q4 Age

o 18-24 (1)
o 25-34 (2)
o 35-44 (3)
o 45-54 (4)
o 55-64 (5)
o 65+ (6)

Q5 Highest level of education completed

o Associate's Degree (1)


o Bachelor's Degree (2)
o Master's Degree (3)
o Doctorate Degree (4)
o Other (5) ________________________________________________

Q6 Have you worked as a full time NICU nurse for at least one year?

o No (1)
o Yes (2)

Page 2 of 9
Q7 If yes, how long?

________________________________________________________________

Q8 Have you ever cared for infants born with Neonatal Abstinence Syndrome (NAS)? 

o No (1)
o Yes (2)

Q9 How often do you treat infants in the NICU born with NAS?  

o Never (not at all) (1)


o Rarely (once a month) (2)
o Sometimes (a few times a month) (3)
o Often (several times a month) (4)
o Always (every shift) (5)

Q10 Describe what the typical intervention is when working with infants in the NICU born with
NAS who have sensory difficulties.

________________________________________________________________

Page 3 of 9
Q11
Describe the qualities of the environmental stimulation experienced by infants in the NICU
  
Very low (1) Low (2) Moderate (3) High (4)

Lighting (1) o o o o
Sound (2) o o o o
Tactile input
from medical
interventions (3)
o o o o

Q13 What do you believe to be the biggest contributor to overstimulation of infants in the NICU
born with NAS? 

________________________________________________________________

Q14 How often do infants in the NICU born with NAS present with sensory processing
disturbances? 

o Never (1)
o Rarely (2)
o Sometimes (3)
o Often (4)
o Always (5)

Page 4 of 9
Q15 What sensory integration techniques or treatments are used on infants in the NICU born
with NAS?  

________________________________________________________________

Q16 Have you used sensory integration techniques or treatments on infants in the NICU born
with NAS? 

o No (1)
o Yes (2)

Q17
 
Does the typical daily care for infants in the NICU born with NAS differ from infants born without
NAS in the NICU? 

o Never (1)
o Rarely (2)
o Sometimes (3)
o Often (4)
o Always (5)

Page 5 of 9
Q18 Is there a difference in the medical routine provided by NICU nurses for infants born with
NAS and have sensory issues compared to those who are not born with NAS?

o No (1)
o Yes (2)

Q19 If so, what are the differences?

________________________________________________________________

Q20 Are occupational therapy (OT) services available for NICU patients? 

o No (1)
o Yes (2)

Q21 Are OT services routinely ordered as a protocol of treatment for infants born with NAS?   

o No (1)
o Yes (2)
o N/A (3)

Page 6 of 9
Q22 If not, approximately how often do physicians order OT services for infants born with
NAS?  

o Never (0%) (1)


o Rarely (25%) (2)
o Sometimes (50%) (3)
o Often (75%) (4)
o Always (100%) (5)

Q23 How often do you collaborate with an occupational therapist when working with infants born
with NAS? 

o Never (1)
o Rarely (2)
o Sometimes (3)
o Often (4)
o Always (5)

Page 7 of 9
Q24

Do you think occupational therapy services directed at sensory processing issues are effective
for infants born with NAS while in the NICU? 
  

o No (1)
o Yes (2)

Q25 Do families/caregivers receive training on sensory integration methods prior to taking their


child home? 

o No (1)
o Yes (2)

Q26 Who provides the training? (select all that apply)

▢ Nursing (1)

▢ Occupational therapy (2)

▢ Other (3) ________________________________________________

Page 8 of 9
Q27 When does the training occur? (select all that apply)

▢ At an initial diagnosis of NAS (1)

▢ Throughout admission (2)

▢ Just prior to discharge (3)

Q28 What key elements of training on sensory integration methods are included in


family/caregiver training? 

________________________________________________________________

Q29 Is there anything else that you think is is relevant to sensory integration and/or
occupational therapy interventions for infants in the NICU born with NAS?

________________________________________________________________

End of Block: Default Question Block

Page 9 of 9

You might also like