2021
DOI: 10.1186/s12884-020-03488-5
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What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

Abstract: Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence fo… Show more

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Cited by 17 publications
(14 citation statements)
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References 61 publications
(74 reference statements)
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“…There were differences among regions, in which two, the North and Middle regions, had an earlier SSC initiation time, a longer daily duration and a higher proportion of infants cared for in SSC with an umbilical catheter. These regional differences confirm the previous findings by Mörelius 17 and Blomqvist 16 and indicate that in addition to the parental presence in the NICU that is a prerequisite, unit policies, priorities, nurse to patient ratios and staff attitudes have a large impact on how SSC is practiced 29 …”
Section: Discussionsupporting
confidence: 87%
See 1 more Smart Citation
“…There were differences among regions, in which two, the North and Middle regions, had an earlier SSC initiation time, a longer daily duration and a higher proportion of infants cared for in SSC with an umbilical catheter. These regional differences confirm the previous findings by Mörelius 17 and Blomqvist 16 and indicate that in addition to the parental presence in the NICU that is a prerequisite, unit policies, priorities, nurse to patient ratios and staff attitudes have a large impact on how SSC is practiced 29 …”
Section: Discussionsupporting
confidence: 87%
“…These regional differences confirm the previous findings by Mörelius 17 and Blomqvist 16 and indicate that in addition to the parental presence in the NICU that is a prerequisite, unit policies, priorities, nurse to patient ratios and staff attitudes have a large impact on how SSC is practiced. 29…”
Section: Discussionmentioning
confidence: 99%
“…The favourable evidence of its use has made it a recommended practice as part of the care of infants born preterm (macrosystem) (El‐Farrash et al, 2020), not only to promote thermoregulation but also to favour early parent–infant interactions (proximal processes). Despite this evidence and the increasing use of this strategy, in some contexts, it is still relatively unused in NICU settings (Coutts et al, 2021; Moore, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…5,6 As a result, their babies are unable to receive optimal care for their growth and development. 7,8 This is partly due to the lack of knowledge and confidence of health workers in caring for small babies. 1,9…”
mentioning
confidence: 99%
“…5,6 As a result, their babies are unable to receive optimal care for their growth and development. 7,8 This is partly due to the lack of knowledge and confidence of health workers in caring for small babies. 1,9 In effort to address this, focusing on optimizing the care of small babies in the community, the Ministry of Health (MoH) developed the "Little Baby Handbook (LBH)" in 2021, which contains health records and information on the care of small babies.…”
mentioning
confidence: 99%