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Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.

ABSTRACT: BACKGROUND:Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs). METHODS:A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents' knowledge and experience of KMC provision was administered to parents providing KMC. RESULTS:One hundred thirty-five preterm infants received KMC, 21.2% of all preterm infants discharged. 65.2% of those who received KMC were below 32?weeks GA, 60.7% had a birth weight below 1500?g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA

SUBMITTER: Liu X

PROVIDER: S-EPMC7257127 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.

Liu Xin X Li Zhankui Z Chen Xiaohui X Cao Bei B Yue Shaojie S Yang Changyi C Liu Qiongyu Q Yang Chuanzhong C Zhao Gengli G Feng Qi Q

BMC pediatrics 20200529 1

<h4>Background</h4>Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).<h4>Methods</h4>A cross-sectional study of 135 preterm infants discha ...[more]

PMID: 32471391

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Project description:BackgroundThe 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 for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers' perspectives on the barriers and enablers of implementing KC.MethodsThis qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods.ResultsFour overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC.ConclusionsA 'one size fits all' approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.

Dataset Information

Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.

Publications

Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.

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