EN | TR
    E-ISSN: 2717-9206
    Observations, Opinions and Experiences of the Newborn Team in a Newborn Intensive Care Unit that Implemented the Kangaroo Care: a Qualitative Research
    PDF
    Cite
    Share
    Request
    Research Article
    VOLUME: 6 ISSUE: 2
    P: 85-90
    August 2019

    Observations, Opinions and Experiences of the Newborn Team in a Newborn Intensive Care Unit that Implemented the Kangaroo Care: a Qualitative Research

    J Pediatr Emerg Intensive Care Med 2019;6(2):85-90
    DOI: 10.4274/cayd.galenos.2018.96967
    Ulviye Günay 1
    Didem Coşkun 2
    1. İnönü Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, Malatya, Türkiye
    2. Fırat Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Anabilim Dalı, Elazığ, Türkiye
    No information available.
    No information available
    Received Date: 07.07.2018
    Accepted Date: 27.10.2018
    Publish Date: 17.06.2019
    PDF
    Cite
    Share
    Request

    ABSTRACT

    Introduction:

    This study was carried out with the aim of determining observations, opinions and experiences of newborn team in a newborn intensive care unit (ICU) that implemented kangaroo care.

    Methods:

    The qualitative study was conducted with a neonatologist and 13 newborn ICU nurses between September and December 2016. The data were collected by the focus group and in depth interview technique. In the interviews, a semi-structured questionnaire was used with audio recording. The data obtained from the interviews were evaluated by the content analysis method.

    Results:

    It was determined that the average age of the newborn team participating in the study was 32.5 years, least had bachelor’s degree and all were female. Newborn team stated that they had observed various positive effects of the practice of kangaroo care on the mother and newborn, and that the practice had increased communication and cooperation between the mothers and newborn team. The main themes of the study that was found in the content analysis were as follows: happiness (being happy, making happy), peace (calming, pacifying) and confidence (confidence in parenting role, confidence in newborn team).

    Conclusion:

    Kangaroo care had increased the interaction between the mother and the newborn, improving happiness, peace and confidence. It can be suggested that this practice, which has many benefits for mother and infant, should be popularized in all neonatal ICUs in Turkey and that the number of nurses in neonatal ICUs should be increased and that fathers should be involved in these practises.

    Keywords: Kangaroo care, newborn, newborn team, observation, opinion, experience, qualitative research

    References

    1
    Kurt FY, Aytekin A. Hemşirelik ve ebelik öğrencilerinin kanguru bakımı ile ilgili bilgi ve tutumlarının değerlendirilmesi. Balıkesir Sağlık Bilimleri Dergisi. 2015;4.
    2
    Flynn A, Leahy-Warren P. Neonatal nurses’ knowledge and beliefs regarding kangaroo care with preterm infants in an Irish neonatal unit. J Neonatal Nurs. 2010;16:221-8.
    3
    Solomons N, Rosant C. Knowledge and attitudes of nursing staff and mothers towards kangaroo mother care in the eastern subdistrict of Cape Town. South Afr J Clin Nutr. 2012;25:33-9.
    4
    Lincetto O, Nazir AI, Cattaneo A. Kangaroo mother care with limited resources. J Pediatr 2000;46:293-5.
    5
    Nirmala P, Rekha S, Washington M. Kangaroo mother care: effect and perception of mothers and health personnel. J Neonatal Nurs. 2006;12:177-84.
    6
    WHO. Thermal Control of the Newborn: A Practical Guide. Maternal Health and Safe Motherhood Programme, Division of Family Health. WHO, Geneva, 1993;19-20.
    7
    Chia P, Sellick K, Gan S. The attitudes and practices of neonatal nurses in the use of kangaroo care. Aust J Adv Nurs. 2006;23:20-7.
    8
    Engler AJ, Ludington-Hoe SM, Cusson RM, Adams R, Bahnsen M, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Matern Child Nurs. 2002;27:146-53.
    9
    Feldman R, Weller A, Sirota L, Eidelman AI. Skin-to-skin contact (Kangaroo Care) promotes self-regulation in premature infants: sleep-wake cyclicity, arousal modulation, sustained exploration. Dev Psychol. 2002;38:194-207.
    10
    Nolan A, Lawrence C. A pilot study of a nursing intervention protocol to minimize maternal-infant separation after cesarean birth. J Obstet Gynecol Neonatal Nurs. 2009;38:430-42.
    11
    Derebent E, Yiğit R. Yenidoğanda ağrı: değerlendirme ve yönetim. C.Ü. Hemşirelik Yüksekokulu Dergisi. 2006;10:41-8.
    12
    Moore ER, Anderson GC. Randomized controlled trial of very early mother-infant skin-to-skin contact and breastfeeding status. J Midwifery Womens Health. 2007;52:116-25.
    13
    Walters MW, Boggs KM, Ludington-Hoe S, Price KM, Morrison B. Kangaroo care at birth for full term infants: A pilot study. MCN Am J Matern Child Nurs. 2007;32:375-81.
    14
    Mizuno K, Mizuno N, Shinohara T, Noda M. Mother-infant skinto-skin contact after delivery results in early recognition of own mother’s milk odor. Acta Paediatr. 2004;93:1640-5.
    15
    Nyqvist KH, Anderson GC, Bergman N, Cattaneo A, Charpak N, et al. Towards universal kangaroo mother care: recommendations and report from the first European conference and seventh international workshop on kangaroo mother care. Acta Paediatr. 2010;99:820-6.
    16
    Feldman R, Weller A, Sirota L, Eidelman AI. Testing a family intervention hypothesis: the contribution of mother-infant skinto-skin contact (kangaroo care) to family interaction, proximity and touch. J Fam Psychol. 2003;17:94-107.
    17
    Gouchon S, Gregori D, Picotto A, Patrucco G, Nangeroni M, Di Giulio P. Skin-to-skin contact after cesarean delivery: an experimental study. Nurs Res. 2010;59:78-84.
    18
    De Alencar AE, Arraes LC, de Albuquerque EC, Alves JG. Effect of kangaroo mother care on postpartum depression. J Trop Pediatr. 2009;55:36-8.
    19
    Carfoot S, Williamson P, Dickson R. A randomized controlled trial in the North of England examining the effects of skin-to-skin care on breast feeding. Midwifery. 2005;21:71-9.
    20
    Helth TD, Jarden M. Fathers' experiences with the skin-to-skin method in NICU: Competent parenthood and redefined gender roles. J Neonatal Nurs. 2013;19:114-21.
    21
    Parmar VR, Kumar A, Kaur R, Parmar S, Kaur D, et al. Experience with kangaroo mother care in a neonatal intensive care unit (NICU) in chandigarh, ındia. Indian J Pediatr. 2009;76:25-8.
    22
    Çalık C, Esenay FI, Sezer TA. Yenidoğan yoğun bakım ünitelerinde çalışan hemşirelerin kanguru bakımı uygulama durumları ve engeller. HEMAR-G. 2015;17:1-9.
    23
    Seidman G, Unnikrishnan S, Kenny E, Myslinski S, Cairns-Smith S, et al. Barriers and enablers of kangaroo mother care practice: a systematic review. PLoS One. 2015;10:e0125643.
    24
    Strand H, Blomqvist YT, Gradin M, Nyqvist KH. Kangaroo mother care in the neonatal intensive care unit: staff attitudes and beliefs and opportunities for parents. Acta Paediatr. 2014;103:373-8.
    25
    Johnson AN. Factors influencing implementation of kangaroo holding in a Special Care Nursery. MCN Am J Matern Child Nurs. 2007;32:25-9.
    26
    Ünal M. Dil fenomenolojisi. International Periodical For The Languages, Literature and History of Turkish or Turkic. 2013;8:135-44.
    27
    Corbin JM, Strauss A. Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol. 1990;13:3-21.
    28
    Türnüklü A. Eğitimbilim araştırmalarında etkin olarak kullanılabilecek nitel biraraştırma tekniği: görüşme. Kuram ve Uygulamada Egitim Yönetimi Dergisi. 2000;6:543-9.
    29
    da Silva LJ, Leite JL, Scochi CGS, da Silva RL, da Silva TP. Nurses’ adherence to the kangaroo care method: support for nursing care management. Rev Lat Am Enfermagem. 2015;23:483-90.
    30
    Salimi T, Khodayarian M, Bokaie M, Antikchi M, Javadi S. Mothers’ experiences with premature neonates about kangaroo care: qualitative approaches. International Journal of Pediatrics. 2014;2:75-82.
    31
    Ahn HY, Lee J, Shin HJ. Kangaroo care on premature infant growth and maternal attachment and post-partum depression in south korea. J Trop Pediatr. 2010;56:342-4.
    32
    Lee SB, Shin HS. Effects of kangaroo care on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants. Taehan Kanho Hakhoe Chi. 2007;37:949-56.
    33
    Chia P, Gan S. The attıtudes and practıces of neonatal nurses ın the use of kangaroo care. Aust J Adv Nurs. 2006;23:20-7.
    34
    Blomqvist YT, Rubertsson C, Nyqvist KH. Provision of kangaroo mother care: supportive factors and barriers perceived by parent. Scand J Caring Sci. 2013;27:345–53.
    35
    ChenYC, Chang MY, Chang LY, Mu PF. Experiences of parents providing kangaroo care to a premature infant: a systematic review of the qualitative evidence protocol. JBI Database System Rev Implement Rep 2015;13:112-9.
    36
    Verstraeten MG. How do neonatal nurses involve parents in decision-making regarding kangaroo care in neonatal intensive care: a mixed methods study: Utrecht University. 2015 URL https://dspace.library.uu.nl/handle/1874/316308
    37
    Gathwala G, Singh B, Balhara B. KMC facilitates mother baby attachment in low birth weight infants. Indian J Pediatr. 2008;75:43-7.
    2024 ©️ Galenos Publishing House