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Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units.
J Pediatr Nurs. 2021 Mar-Apr; 57:e68-e73.JP

Abstract

PURPOSE

This work aimed to investigate obstacles and facilitators for carrying out Kangaroo Mother Care (KMC) across Italian NICUs.

DESIGN AND METHODS

A survey that investigated Unit's characteristics, policies toward parents and KMC practice and policies was carried out. Data from 86 NICUs (80.4%) was collected. Descriptive statistics and Multiple Regression Models were computed.

RESULTS

Eighty-one NICUs provided KMC. These NICUs had a less restricted parental access policies (chi2 = 7.373, p = .007). More than the 70% of the units did not have adequate facilities for parents. KMC daily length was positively predicted (R2 = 0.18, F = 7.91, p = .001) by repeated sessions and documentation of KMC.

CONCLUSION

The implementation of KMC is characterized by different barriers and facilitators that determine the parent's possibility to provide KMC. Structural factors (e.g., adequate space and facilities) can support families in providing KMC. A unique result of this survey is that KMC documentation on medical records appears critical for improving its practice.

PRACTICE IMPLICATIONS

Although most of the Italian units provide KMC as a routine practice, improving its practical support would be beneficial to its implementation. A more formalized approach to KMC may strengthen staff habits to consider KMC like a standard care treatment.

Authors+Show Affiliations

SOD Neonatology and Neonatal Intensive Care Unit, Careggi Hospital-University, Italy.Department of Mother's and Child's Health, Neonatology and Neonatal Intensive Care Unit, Poliambulanza Foundation Hospital Institute, Italy.0-3 Center for the at-Risk Infant, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy. Electronic address: eleonora.mascheroni@lanostrafamiglia.it.0-3 Center for the at-Risk Infant, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33189484

Citation

Artese, Claudia, et al. "Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units." Journal of Pediatric Nursing, vol. 57, 2021, pp. e68-e73.
Artese C, Paterlini G, Mascheroni E, et al. Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units. J Pediatr Nurs. 2021;57:e68-e73.
Artese, C., Paterlini, G., Mascheroni, E., & Montirosso, R. (2021). Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units. Journal of Pediatric Nursing, 57, e68-e73. https://doi.org/10.1016/j.pedn.2020.10.028
Artese C, et al. Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units. J Pediatr Nurs. 2021 Mar-Apr;57:e68-e73. PubMed PMID: 33189484.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers and Facilitators to Conducting Kangaroo Mother Care in Italian Neonatal Intensive Care Units. AU - Artese,Claudia, AU - Paterlini,Giuseppe, AU - Mascheroni,Eleonora, AU - Montirosso,Rosario, AU - ,, Y1 - 2020/11/12/ PY - 2020/07/16/received PY - 2020/10/20/revised PY - 2020/10/29/accepted PY - 2020/11/16/pubmed PY - 2021/4/28/medline PY - 2020/11/15/entrez KW - Kangaroo Mother Care KW - Neonatal Intensive Care Unit KW - Preterm infant KW - Primary are SP - e68 EP - e73 JF - Journal of pediatric nursing JO - J Pediatr Nurs VL - 57 N2 - PURPOSE: This work aimed to investigate obstacles and facilitators for carrying out Kangaroo Mother Care (KMC) across Italian NICUs. DESIGN AND METHODS: A survey that investigated Unit's characteristics, policies toward parents and KMC practice and policies was carried out. Data from 86 NICUs (80.4%) was collected. Descriptive statistics and Multiple Regression Models were computed. RESULTS: Eighty-one NICUs provided KMC. These NICUs had a less restricted parental access policies (chi2 = 7.373, p = .007). More than the 70% of the units did not have adequate facilities for parents. KMC daily length was positively predicted (R2 = 0.18, F = 7.91, p = .001) by repeated sessions and documentation of KMC. CONCLUSION: The implementation of KMC is characterized by different barriers and facilitators that determine the parent's possibility to provide KMC. Structural factors (e.g., adequate space and facilities) can support families in providing KMC. A unique result of this survey is that KMC documentation on medical records appears critical for improving its practice. PRACTICE IMPLICATIONS: Although most of the Italian units provide KMC as a routine practice, improving its practical support would be beneficial to its implementation. A more formalized approach to KMC may strengthen staff habits to consider KMC like a standard care treatment. SN - 1532-8449 UR - https://www.unboundmedicine.com/medline/citation/33189484/Barriers_and_Facilitators_to_Conducting_Kangaroo_Mother_Care_in_Italian_Neonatal_Intensive_Care_Units_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0882-5963(20)30649-7 DB - PRIME DP - Unbound Medicine ER -