Kangaroo mother care: A literature review of barriers and facilitators to implementation in the neonatal intensive care unit

Suitor, Chelsea

doi:10.1016/j.jnn.2022.07.003

Cited by 5 publications

(9 citation statements)

References 32 publications

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“…Çoklu hatlar, tüpler, ilaçlar var iken de klinik bir protokol oluşturulup bakım rehberleriyle KB uygulanabilir (Lisanti ve ark., 2020). YYBÜ'de KB uygulamalarının önündeki engelleri aşmak için önerilenler arasında KB protokolleri, politikaları ve rehberleri oluşturmak ve yaymak bulunmaktadır (Suitor, 2022).…”

Section: Discussionunclassified

Bir Rehber Geliştirme Çalışması: Kanguru Bakımı

DEDECİK,

TAŞ ARSLAN

2023

jgehes

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Amaç: Bu çalışmada Larrabee’nin modeli dikkate alınarak literatür bilgisi ve uzman görüşü doğrultusunda klinikte kullanılmak üzere bir Kanguru Bakım (KB) “Endotrakeal tüpü olan/olmayan bebekte kanguru bakımı” rehberi geliştirilmesi amaçlandı. Yöntem: Çalışma metodolojik bir araştırmadır. Taslak rehbere ilişkin yedi uzman görüşü değerlendirildi. Veri toplama aracı olarak uzman görüşlerinin değerlendirilmesini sağlayan uzman görüş formu ve taslak Kanguru Bakım Rehberi kullanıldı. Uzman görüşlerinin değerlendirilmesi için kapsam geçerlilik oranı (KGO) ve Kapsam Geçerlilik İndeksi (KGİ) kullanıldı. Bulgular: Uzman görüşleri Kapsam Geçerlilik İndeksi (KGİ) 0.95 olarak bulundu. Rehberdeki 67 maddenin 46 tanesinin KGO’su +1 olarak, 18 maddenin KGO’su +0.71 olarak, 3 maddenin KGO’su +0.42 olarak belirlendi. KGO’su +1 olan maddeler kabul edildi. Sonuç ve öneriler: Çalışma sonucunda “endotrakeal tüpü olan/olmayan bebekte kanguru bakımı” rehberi Larrabee’nin modeli doğrultusunda oluşturuldu. Rehberde hazırlık, uygulama ve kayıt basamaklarına ilişkin maddeler yer aldı. Bu çalışmada geliştirilen kanguru bakımı rehberinin yenidoğan yoğun bakım ünitelerinde kanguru bakımının daha etkin ve standart şekilde uygulanmasına katkı sağlaması beklenmektedir.

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Section: Discussionunclassified

Bir Rehber Geliştirme Çalışması: Kanguru Bakımı

DEDECİK,

TAŞ ARSLAN

2023

jgehes

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Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

“…Studies have found that a lack of beds and space, privacy issues, inadequate caregiver education, insufficient staff and monitoring devices, and difficulties motivating mothers to devote time to KMC, were common barriers to KMC practice in facilities (22–27). Maternal factors, such as fatigue, depression, and postpartum pain, especially after a caesarean section, may reduce uptake (9, 28, 29). The considerable time needed to provide continuous and extended KMC has been reported as a barrier for mothers and their families, due to competing household and work responsibilities, lack of money for transportation, and time required for commuting (29, 30).…”

Section: Introductionmentioning

confidence: 99%

“…Maternal factors, such as fatigue, depression, and postpartum pain, especially after a caesarean section, may reduce uptake (9,28,29). The considerable time needed to provide continuous and extended KMC has been reported as a barrier for mothers and their families, due to competing household and work responsibilities, lack of money for transportation, and time required for commuting (29,30). At the community level, barriers to KMC adoption and continuity include stigma and guilt related to having a preterm newborn, gender roles in childcare, and adherence to traditional newborn practices (22,(30)(31)(32).…”

Section: Introductionmentioning

confidence: 99%

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Kangaroo Mother Care prior to clinical stabilisation: Implementation barriers and facilitators reported by caregivers and health care providers in Uganda

Tumukunde,

Katongole,

Namukwaya

et al. 2024

Preprint

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Kangaroo mother care (KMC) is an evidence-based method to improve newborn survival. However, scale-up even for stable newborns has been slow, with reported barriers to implementation. We examined facilitators and barriers to initiating KMC before stabilisation amongst neonates recruited to the OMWaNA study in Uganda. A qualitative sub-study was conducted during the OMWaNA randomized controlled trial examining the mortality effect of KMC prior to stabilisation amongst newborns (700-2000g). At the four trial site hospitals, focus group discussions (FGDs) were conducted with caregivers, and separately with healthcare providers and in-depth interviews (IDIs) with caregivers (admitted/recently discharged), and key informant interviews (KII) with hospital administrators/neonatal healthcare providers. The WHO Building Blocks was used to guide thematic analysis. Eight FGDs (4 caregivers, 4 healthcare workers), 41 caregiver IDIs (26 mothers, 8 grandmothers and 7 fathers) and 23 KIIs were conducted. Key themes based on the building blocks were family and community support and involvement, health workforce, medical supplies and commodities, infrastructure and design, financing, and health facility leadership. We found availability of an additional family member in the hospital, and support from healthcare workers, were facilitators for KMC before stability. The caregiver’s positive attitude towards KMC facilitated KMC practice but was impeded by the lack of knowledge on the benefits of KMC or how to perform it. Implementation barriers included: Fear of inadvertently causing harm to the newborn, inadequate space to perform KMC in the neonatal care unit and a limited number of trained healthcare workers coupled with insufficient medical supplies. In the Ugandan government hospital setting, the presence of a family member in the hospital, adequate provision of healthcare workers knowledgeable in supporting KMC prior to stability, and adequate space for KMC beds where neonatal care is being delivered, can enable implementation of KMC before stability.

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“…In their qualitative study, Saltzmann et al14 found that the most frequent parent-reported barrier to SSC was “fear of hurting their infant” during holding. Another systematic review identified the most frequently reported barriers to SSC for parents and healthcare providers: “issues with facility environment/resources” and “negative impression of staff attitudes and interactions.”15 In the exploration of the barriers confronting parents and healthcare providers to implementing SSC in the NICU, Suitor16 identified limited protocols and guidelines, medical concerns, lack of adequate training and support, and decreased buy-in and awareness of the benefits of SSC. When NICU staff are competent and confident in performing SSC, however, the frequency of SSC is increased 3.…”

Section: Background and Significancementioning

confidence: 99%

The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population

Freccero,

Scala,

McLeod

et al. 2023

Advances in Neonatal Care

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Background: Despite well-established benefits of skin-to-skin care (SSC) for preterm infants and parents, standardized guidelines for implementation do not exist. Furthermore, the literature offers little evidence-based information to guide best practice. Purpose: To discover whether SSC using a body wrap to hold preterm infants would increase the duration of SSC, decrease parental stress during SSC, and minimize adverse events to ensure that body wraps are safe and feasible. Methods: Twenty-nine dyads of parents and preterm infants younger than 34 weeks postmenstrual age were enrolled. The first 15 dyads to meet inclusion criteria were assigned to a standard of care group for SSC with no body wrap. The remaining 14 dyads were assigned to an experimental group for SSC with a body wrap. Each dyad performed 2 SSC holds. Parents completed the Parental Stressor Scale and Parent Feedback Form. Adverse events were also documented. Results: No statistically significant differences were found between the 2 groups in total SSC time (P = .33), the number of adverse events (P = .31 for major events; P = .38 for minor events), average parental stress (P = .22), and parental confidence performing SSC (P = .18). Implications for Practice and Research: This study found that SSC with a body wrap is safe for preterm infants in a neonatal intensive care unit (NICU). This is the first study to explore the use, safety, and effectiveness of body wraps during SSC with preterm infants in an NICU. Future research should be conducted with larger sample sizes to further evaluate the safety and efficacy.

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Kangaroo mother care: A literature review of barriers and facilitators to implementation in the neonatal intensive care unit

Cited by 5 publications

References 32 publications

Bir Rehber Geliştirme Çalışması: Kanguru Bakımı

Bir Rehber Geliştirme Çalışması: Kanguru Bakımı

Kangaroo Mother Care prior to clinical stabilisation: Implementation barriers and facilitators reported by caregivers and health care providers in Uganda

The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population

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