READINESS FOR ENHANCED ORGANIZED
A pattern of modulation of the physiologic and behavioral systems
of functioning (such as autonomic, motor, state-organizational, self-
regulatory, and attentional–interactional systems) in an infant that is
satisfactory but that can be improved
• Use of some self-regulatory behaviors
• Deﬁnite sleep–wake states
• Responsiveness to visual and auditory stimuli
• Stable physiologic measures
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Physical regulation
The parents will
• Express understanding of their role in infant’s behavioral develop-
• Express conﬁdence in their ability to interpret infant’s behavioral
• Identify means to promote infant’s behavioral development.
• Express positive feelings about their ability to care for infant.
• Identify resources for help with infant.
The infant will
• Maintain physiologic stability.
• Maintain an organized motor system.
• Respond to information in an adaptive way.
SUGGESTED NOC OUTCOMES
Knowledge: Child Development: 1, 2, 4, 6, and 12 Months; Infant
Care; Neurological Status; Sleep
INTERVENTIONS AND RATIONALES
Determine: Monitor infant’s responses to ensure effectiveness of
Perform: Demonstrate appropriate ways of interacting with the
infant, such as moderate stimulation, gentle rocking, and quiet
vocalizations, to help the parents identify the most effective methods
of interacting with their child.
Inform: Explain to parents that infant maturation is a developmental
process. Further explain that infants exhibit three behavioral states:
sleeping, crying, and being awake and alert. Also explain that
infants provide behavioral cues that indicate their needs. Education
will help parents understand the importance of nurturing the infant
and prepare them to respond to the infant’s behavioral cues.
Explain to parents that their actions can help promote infant
development. Make it clear, however, that infant maturation isn’t
completely within their control. Explanation may decrease feelings
of anxiety and incompetence and help prevent unrealistic
Help parents interpret behavioral cues from their infant to foster
healthy parent–child interaction. For example, help them recognize
when the infant is awake and alert, and point out to them that this
is a good time to provide stimulation.
Help parents identify ways they can promote the infant’s develop-
ment, such as providing stimulation by shaking a rattle in front of
the infant, talking to the infant in a gentle voice, and looking at the
infant when feeding him. This encourages practices that promote the
infant’s development. Sensory experiences promote cognitive devel-
Attend: Explore with parents ways to cope with stress caused by the
infant’s behavior to increase their coping skills.
Praise parents for their attempts to enhance their interaction with
the infant to provide positive reinforcement.
Manage: Provide parents with information on sources of support
and special infant services to encourage them to continue to foster
their infant’s development.
SUGGESTED NIC INTERVENTIONS
Attachment Promotion; Developmental Care; Environmental
Management: Attachment Process; Family Integrity Promotion:
Childbearing Family; Infant Care; Sleep Enhancement
Byers, J. F., et al. (2006, January–February). A quasi-experimental trial on
individualized, developmentally supportive family-centered care. Journal of
Obstetric, Gynecologic, and Neonatal Nursing, 35(1), 105–115.