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Barriers to Kangaroo Care in the NICU: A Qualitative Study Analyzing Parent Survey Responses
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2022-06-01 , DOI: 10.1097/anc.0000000000000907
April M. Saltzmann , Krista Sigurdson , Melissa Scala

Background: 

Despite its benefits, parents in the neonatal intensive care unit (NICU) face significant barriers to kangaroo care (KC). Clinician-reported barriers to KC include staff education, environment, and equipment among others; however, parent-perceived barriers are underexplored.

Purpose: 

To examine parental understanding of KC, parental perception of experiences with KC, and parental views on the key factors that help or hinder KC.

Methods: 

This is an observational, mixed-methods study that used an author-developed survey to assess parental feelings, perceived importance, and barriers to KC. Likert scale responses were analyzed using descriptive statistics. Free-text responses were analyzed using thematic analysis. A comparison of results was made between parents receiving and not receiving infant mental health services.

Results: 

Fifty (N = 50) parents completed surveys. Eighty percent of parents stated they wanted more information on KC. Common barriers to KC were reported by parents, such as issues with space/environment. The most frequently reported barrier when asked openly was fear of hurting their infant. Ninety-six percent of parents believed that KC helped their emotional well-being. Parents receiving mental health services reported more fear but results did not reach significance.

Implications for Practice and Research: 

The frequency with which factors are reported as important to parents may allow a prioritization of barriers to KC, which may help focus quality improvement initiatives. The results of this study underscore the vital role nurses play in supporting KC. Additional attention needs to be given to the mental health of NICU parents and its impact on care practices.



中文翻译:

NICU 中袋鼠式护理的障碍:一项分析家长调查响应的定性研究

背景: 

尽管有好处,但新生儿重症监护室 (NICU) 的父母仍面临着袋鼠式护理 (KC) 的重大障碍。临床医生报告的 KC 障碍包括员工教育、环境和设备等;然而,父母感知的障碍并未得到充分探索。

目的: 

检查父母对 KC 的理解、父母对 KC 体验的看法以及父母对帮助或阻碍 KC 的关键因素的看法。

方法: 

这是一项观察性的混合方法研究,使用作者开发的调查来评估父母的感受、感知的重要性和 KC 的障碍。使用描述性统计分析李克特量表反应。使用主题分析分析自由文本响应。对接受和未接受婴儿心理健康服务的父母的结果进行了比较。

结果: 

五十(N = 50)名家长完成了调查。80% 的家长表示他们想要更多关于 KC 的信息。家长报告了 KC 的常见障碍,例如空间/环境问题。当被公开询问时,最常报告的障碍是害怕伤害他们的婴儿。96% 的父母认为 KC 有助于他们的情绪健康。接受心理健康服务的父母报告了更多的恐惧,但结果没有达到显着性。

对实践和研究的启示: 

报告对父母重要的因素的频率可能允许优先考虑 KC 的障碍,这可能有助于集中质量改进计划。这项研究的结果强调了护士在支持 KC 方面发挥的重要作用。需要额外关注新生儿重症监护室父母的心理健康及其对护理实践的影响。

更新日期:2022-06-04
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