Maternity‐ward nurses’ kangaroo mother care attitudes and practices: implications and future challenges

Abstract

BackgroundSuccessful implementation of KMC depends on the attitudes and practices of maternity‐ward nurses. This study assessed the attitudes and practices of kangaroo mother care (KMC) by maternity‐ward nurses in the Eastern Philippines.MethodsA cross‐sectional survey design was used in the study. A convenience sample of 138 maternity‐ward nurses working in six rural health units (RHUs), two public hospitals and one private hospital. A questionnaire was used to assess the attitudes and practices of KMC by the recruited maternity‐ward nurses. Data were collected from June to July 2017 in maternity‐ward nurses’ workplace.ResultsMaternity‐ward nurses have a positive attitude towards KMC. Age is associated with attitudes towards KMC. Married maternity‐ward nurses have exhibit better attitudes and practice than single nurses. The attitudes of maternity‐ward nurses with master's degrees towards KMC are more positive than those with BSN degrees. Maternity‐ward nurses from Rural Health Units have better attitudes but fewer support to practice the KMC skills than those from public hospitals.ConclusionsMaternity‐ward nurses who are married, hold master's degrees and are working in RHUs have better KMC attitudes than their counterparts. Maternity‐ward nurses have good KMC attitude but poor KMC practices. The KMC information and skills of maternity‐ward nurses should be continuously updated to implement KMC effectively and efficiently.

Survey of Skin-to-Skin Contact with Obstetrics and Pediatric Nurses

“…The association of nurses’ knowledge, education, and attitudes/beliefs with SSC implementation aligned with several previous studies, which found that confidence increases when the level of knowledge increases [ 29 ] and positive attitudes toward SSC appear [ 20 ]. Education also has an important role in facilitating the faster adoption of SSC practices; when the nurses or health care providers have continuing and updated education regarding SSC practices, the implementation of SSC will also increase [ 20 , 27 , 28 ].…”

“…Interpretation of nurses’ attitudes/beliefs toward SSC: Nurses have a relatively positive attitude toward SSC benefits for the newborn, which is comparable to several studies that showed a positive attitude toward SSC benefits in mother–infant bonding [ 17 , 20 , 22 , 24 ]. Although the overall score of the attitudes dimension was positive, a majority of the nurses disagreed with the statement about the effects of SSC on reducing the discomfort of minor procedures, which is in agreement with Mallet et al’s results [ 22 ].…”

“…Nurses who held a master’s degree had more positive attitudes toward KMC compared to those with bachelor degrees. Continuing education is essential for practicing KMC as recommended [ 20 ]. In their study, Pados et al encouraged the use of SSC to minimize stress in neonates and stressed that nurses with a positive attitude toward SSC had a “key role in maximizing SSC’s use” [ 21 ].…”

Nurses’ Kangaroo Mother Care practice implementation and future challenges: an integrative review

“…An Indian study found that most maternal–child health nurses do not practice KMC, despite a positive attitude towards the method . In the Philippines, they have a positive attitude towards KMC but poor KMC practice .…”

Kanguru Bakımına Yönelik Görüş, İnanış ve Tutum: Ebe ve Hemşire Perspektifi

“…Yapılan bir çalışmada hemşireler, annelerle etkileşim kurmak için yeterli zamanı sağlamada zorluk yaşadıklarını ve KB'nı uygularken kazara ekstübasyon konusunda bazı endişeleri olduğunu bildirmiştir (22). İran'da yapılan bir çalışmada YYBÜ'lerinde aşırı iş yükü nedeniyle KB'nın uygulanması ile zaman yetersizliği yaşadıkları bulunmuştur (21). Bu sorunların, ziyaret sürelerinin uzatılması ve hedefe yönelik yardım yaklaşımlarının uygulanmasıyla aşılabilir.…”