What is stopping us? An implementation science study of kangaroo care in British Columbia's neonatal intensive care units.
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. Kangaro...
| Publicado en: | BMC Pregnancy & Childbirth Vol. 21; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
1/12/2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148072406&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148072406 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712393 1CII jtl: BMC Pregnancy & Childbirth issn: 14712393 maglogo: N pubinfo: dt: 1/12/2021 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 148072406 148072406 NLM33435903 10.1186/s12884-020-03488-5 NLM33435903 148072406 ppf: 1 ppct: 15 formats: tig: atl: What is stopping us? An implementation science study of kangaroo care in British Columbia's neonatal intensive care units. aug: au: Coutts, Sarah Woldring, Alix Pederson, Ann De Salaberry, Julie Osiovich, Horacio Brotto, Lori A. affil: Perinatal Services BC, 260 – 1770 W 7th Ave, V6J 4Y6, Vancouver, BC, Canada sug: subj: Attitude of Health Personnel Kangaroo Care Intensive Care Units, Neonatal Pregnancy Interviews British Columbia Female Infant, Newborn Short Portable Mental Status Questionnaire Scales Infant, Newborn: birth-1 month Female ab: 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 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.Methods: This 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.Results: Four 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.Conclusions: A '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. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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