Examination of the implementation determinants of skin-to-skin care in the pediatric cardiac Intensive Care Unit.
Skin-to-skin care (SSC), where parents hold their unclothed baby directly on their bare chest, is regarded as best practice for hospitalized infants. SSC is not routine for infants with complex congenital heart disease (cCHD) in the Pediatric Cardiac Intensive Care Unit (PCICU). SSC is understudied...
| Publicado en: | Journal of Pediatric Nursing Vol. 85; pp. 321 - 332 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Nov2025
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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=189670512&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189670512 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08825963 4CE jtl: Journal of Pediatric Nursing issn: 08825963 maglogo: N pubinfo: dt: Nov2025 vid: 85 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 189670512 189670512 189670512 10.1016/j.pedn.2025.08.008 189670512 ppf: 321 ppct: 11 formats: tig: atl: Examination of the implementation determinants of skin-to-skin care in the pediatric cardiac Intensive Care Unit. aug: au: Lisanti, Amy Jo Demianczyk, Abigail C. Whittaker, Jennifer Nag, Diya Kellom, Katherine Brennan, Claire Hayden-Rush, Christina Herrup, Elizabeth A. Grabill, Megan O'Brien, Caroline Min, Jungwon Bettencourt, Amanda P. affil: Department of Family and Community Health, School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104, United States of America sug: subj: Kangaroo Care Implementation Science Health Services Accessibility Coronary Care Units Intensive Care Units, Pediatric Human Heart Defects, Congenital Cardiac Patients Infant, Hospitalized Inpatients Multicenter Studies Multimethod Studies Conceptual Framework Interviews United States Purposive Sample Snowball Sample Thematic Analysis Descriptive Statistics Content Analysis Summated Rating Scaling Professional Knowledge Communication Professional Role Patient Safety Attitude of Health Personnel ab: Skin-to-skin care (SSC), where parents hold their unclothed baby directly on their bare chest, is regarded as best practice for hospitalized infants. SSC is not routine for infants with complex congenital heart disease (cCHD) in the Pediatric Cardiac Intensive Care Unit (PCICU). SSC is understudied and the contextual factors influencing its implementation in the PCICU are unknown. This multisite, multi-methods study using the Tailored Implementation for Chronic Diseases implementation determinants framework aimed to identify the contextual factors influencing the implementation of SSC in the PCICU. We interviewed stakeholders across two US PCICUs, one with previous implementation experience of SSC and one with little to no implementation experience. We used purposive snowball sampling, representing the interdisciplinary team of clinicians (n = 25) and parents (n = 21) at each site, until we reached thematic saturation. Clinicians completed a suite of valid and reliable surveys of acceptability, feasibility, and appropriateness. Descriptive statistics were calculated for the acceptability, feasibility, and appropriateness measures, with comparative analysis across clinician characteristics. Cross-cutting key themes were generated from a combined inductive and deductive approach to content analysis. On a five-point Likert scale, clinicians rated their acceptability (mean = 4.7, SD = 0.4), feasibility (mean = 4.2, SD = 0.7), and appropriateness (mean = 4.5, SD = 0.5) of SSC in the PCICU within the agree/completely agree range. Cross-cutting themes included knowledge, communication, role clarity, resources, and safety. Findings will be the foundation for implementation mapping, where identified barriers and facilitators are linked with evidence-based implementation strategies that can be tested to enhance the implementation of SSC in the PCICU. • Skin-to-skin care is underutilized in US pediatric cardiac intensive care units. • Barriers and facilitators to the implementation of skin-to-skin care were identified. • Clinicians perceive skin-to-skin care to be acceptable, feasible, and appropriate. • Implementation science methods may address current practice gaps. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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