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Cross-sectionalIndian journal of ophthalmology · 2026

Knowledge, practices, and challenges among neonatal intensive care unit nurses in retinopathy of prematurity screening: A comparative study of on-site versus telemedicine-based screening approaches.

Aditi Joshi, Sarvesh Tiwari, Anand Subramanyam

OphthalmologyCross-sectional

Only a small minority of neonatal intensive care unit nurses have good knowledge of retinopathy of prematurity screening.

Knowledge, practices, and challenges among neonatal intensive care unit nurses in retinopathy of prematurity screening: A comparative study of on-site versus telemedicine-based screening approaches.

Aditi Joshi … Anand Subramanyam

Indian journal of ophthalmology · 2026

Purpose

To evaluate the knowledge, practices, and perceived challenges of neonatal intensive care unit (neonatal intensive care unit) nurses in retinopathy of prematurity (retinopathy of prematurity) screening and to compare findings between on-site and telemedicine-based models in tertiary hospitals in Mumbai.

Methods

A cross-sectional observational survey was conducted among 54 neonatal intensive care unit nurses across six tertiary care hospitals with either on-site ophthalmologist-led or telemedicine-based retinopathy of prematurity screening.

n = 54 NICU nurses

Results

Just 12.9% of surveyed neonatal intensive care unit nurses scored 'good' on retinopathy of prematurity knowledge testing.

Good knowledge

12.9%

Moderate knowledge

48.2%

Poor knowledge

38.9%

More results

The mean age was 36.1 ± 9.5 years; 90.7% were females, and 87% held a diploma in nursing.

No significant difference was observed between screening models ( P = 0.96).

However, greater neonatal intensive care unit experience was significantly associated with better knowledge ( P = 0.010).

More results

While 83.3% adhered to oxygen saturation targets and 96.3% used continuous oximetry, only 35% had formal oxygen training.

“

Conclusion

Regardless of screening model, gaps in neonatal intensive care unit nurses' retinopathy of prematurity knowledge persist, highlighting the need for structured training and greater nursing involvement to optimize retinopathy of prematurity care.

Post

Knowledge, practices, and challenges among neonatal intensive care unit nurses in retinopathy of prematurity screening: A comparative study of on-site versus telemedicine-based screening approaches.

Only a small minority of neonatal intensive care unit nurses have good knowledge of retinopathy of prematurity screening.

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