Browse > Article
http://dx.doi.org/10.4094/chnr.2016.22.4.299

Perception and Barriers to Kangaroo-Mother Care Among Neonatal Intensive Care Unit Nurses  

Jeong, Sun Kyung (Department of Nursing, Daejeon University)
Kim, Tae-Im (Department of Nursing, Daejeon University)
Publication Information
Child Health Nursing Research / v.22, no.4, 2016 , pp. 299-308 More about this Journal
Abstract
Purpose: To investigate the perception and barriers of Kangaroo-Mother Care (KMC) among nurses in Neonatal Intensive Care Units (NICU). Methods: Participants were 131 nurses working in NICU who completed self-report questionnaires which included information regarding perception, barriers, and practice of KMC. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. Results: Of the participants, 33.6% reported the practice of KMC in their NICU, with 75.6% wanting to receive training in KMC and 31.3% having received KMC education. Most of the participants agreed that KMC enhances attachment, parental confidence, and effective breast feeding but they reported a negative perception in providing KMC for premature infants weighing less than 1000 grams or intubated premature infants. Major barriers to practicing KMC were safety of infants, possible work overload for nurses, as well as absence of consistent guidelines. Barriers to KMC among nurses who received the KMC training were lower than nurses who did not receive the KMC training (t=-2.11, p=.037). Conclusion: Education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce nurse barriers to KMC.
Keywords
Kangaroo-Mother Care; Intensive care unit; Neonatal; Nurses; Perception;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Statistics Korea. 2015 life tables for Korea [Internet]. Seoul: Statistics Korea; 2016 [cited 2016 July 23]. Available from: http://kosis.kr/statHtml/ statHtml.do?orgId=101&tblId=DT_1B81A15&vw_cd=MT_ TM2_TITLE&list_id=101_B0501&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_TM2_TITLE&p ath=%252FcustomStatis%252FcustomStatis_02List.jsp.
2 Kim KS, Bae CW. Trends in survival rate for very low birth weight infants and extremely low birth weight infants in Korea, 1976-2007. Korean Journal of Pediatrics. 2008; 51(3):237-242.   DOI
3 Blackburn S. Environmental impact of the NICU on developmental outcomes. Journal of Pediatric Nursing. 1998;13(5):279-289.   DOI
4 Kuhn CM, Schanberg SM, Field T, Symanski R, Zimmerman E, Scafidi F et al. Tactile-kinesthetic stimulation effects on sympathetic and adrenocortical function in preterm infants. Journal of Pediatrics. 1991; 119(3):434-440.   DOI
5 Higman W, Wallace LM, Law S, Bartle NC, Blake K. Assessing clinicians' knowledge and confidence to perform kangaroo care and positive touch in a tertiary neonatal unit in England using the neonatal unit clinician assessment tool (NUCAT). Journal of Neonatal Nursing. 2015;21(2):72-82. http://dx.doi.org/10.1016/j.jnn.2014.09.001   DOI
6 Ramezani T, Shirazi ZH, Sarvestani RS, Moattari M. Family-centered care in neonatal intensive care unit: A concept analysis. International Journal of Community Based Nursing and Midwifery. 2014;2(4):268-278.
7 Neu M, Robinson J. Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2010;39(4):401-414. http://dx.doi.org/10.1111/j.1552-6909.2010.01152.x   DOI
8 Jang MY. Effects of kangaroo care on growth in premature infants and on maternal attachment. Journal of Korean Academy of Child Health Nursing. 2009;15(4):335-342. http://dx.doi.org/10.4094/jkachn.2009.15.4.335   DOI
9 Schneider C, Charpak N, Ruiz-Pelaez JG, Tessier R. Cerebral motor function in very premature-at-birth adolescents: A brain stimulation exploration of kangaroo mother care effects. Acta Paediatrica. 2012;101(10): 1045-1053. http://dx.doi.org/10.1111/j.1651-2227.2012.02770.x   DOI
10 Field T, Hernandez-Reif M, Feijo L, Freedman J. Prenatal, perinatal and neonatal stimulation: A survey of neonatal nurseries. Infant Behavior and Development. 2006;29(1):24-31. http://dx.doi.org/10.1016/ j.infbeh.2005.07.006   DOI
11 Bergman NJ, Linley LL, Fawcus SR. Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200 to 2199 gram newborns. Acta Pediatrica. 2004;93(6):779-785. http://dx.doi.org/10.1111/j.1651-2227.2004. tb03018.x   DOI
12 Ludington-Hoe SM, Ferreira C, Swinth J, Ceccardi JJ. Safe criteria and procedure for kangaroo care with intubated preterm infants. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2003;32(5):579-588. http://dx.doi.org/10.1177/0884217503257618   DOI
13 Flynn A, Leahy-Warren P. Neonatal nurses' knowledge and beliefs regarding kangaroo care with preterm infants in an Irish neonatal unit. Journal of Neonatal Nursing. 2010;16(5):221-228. http://dx.doi.org/10.1016/j.jnn.2010.05.008   DOI
14 Renfrew MJ, Craig D, Dyson L, McCormick F, Rice S, King SE, et al. Breastfeeding promotion for infants in neonatal units: A systematic review and economic analysis. Health Technology Assessment. 2009; 13(40):1-146. http://dx.doi.org/10.3310/hta13400
15 Yu M. Work stress, turnover intention and burnout among nurses in neonatal intensive care units. Journal of Korean Academy of Nursing Administration. 2011;17(1):115-126. http://dx.doi.org/10.11111/jkana. 2011.17.1.115   DOI
16 Blomqvist YT, Nyqvist KH. Swedish mothers' experience of continuous Kangaroo Mother Care. Journal of Clinical Nursing. 2011;20(9-10):1472-1480. http://dx.doi.org/10.1111/j.1365-2702.2010.03369.x   DOI
17 Bang BM, Lee SY, Cheong JO. Empirical study on the turn-over intention of university hospital nurse. Journal of Digital Convergencce. 2015;13(2):205-213. http://dx.doi.org/10.14400/JDC.2015.13.2.205
18 Cooper L, Morrill A, Russell RB, Gooding JS, Miller L, Berns SD. Close to me: Enhancing kangaroo care practice for NICU staff and parents. Advances in Neonatal Care. 2014;14(6):410-423. http://dx.doi. org/10.1097/ANC.0000000000000144   DOI
19 Yang NY, Choi JS. Nurse's knowledge, attitude and practice of skin disinfection. Korean Journal of Adult Nursing. 2011;23(3):278-287.
20 Cong X, Cusson RM, Walsh S, Hussain N, Ludington-Hoe SM, Zhang D. Effects of skin-to-skin contact on autonomic pain responses in preterm infants. The Journal of Pain. 2012;13(7):636-645. http://dx.doi. org/10.1016/j.jpain.2012.02.008   DOI
21 Samra NM, Taweel AE, Cadwell K. Effect of intermittent kangaroo mother care on weight gain of low birth weight neonates with delayed weight gain. The Journal of Perinatal Education. 2013;22(4):194-200. http://dx.doi.org/10.1891/1058-1243.22.4.194   DOI
22 Olsson E, Andersen RD, Axelin A, Jonsdottir RB, Maastrup R, Eriksson M. Skin-to-skin care in neonatal intensive care units in the Nordic countries: A survey of attitudes and practices. Acta Paediatrica. 2012;101(11):1140-1146. http://dx.doi.org/10.1111/j.1651-2227.2012.02802.x   DOI
23 Engler AJ, Ludington-Hoe SM, Cusson RM, Adams R, Bahnsen M, Brumbaugh E, et al. Kangaroo care: National survey of practice, knowledge, barriers, and perceptions. The American Journal of Maternal Child Nursing. 2002;27(3):146-153.   DOI
24 Striker R, Barbier D. Applying the plan-do-study-act model to increase the use of kangaroo care. Journal of Nursing Management. 2013; 21(1):70-78. http://dx.doi.org/10.1111/jonm.12021   DOI
25 Hendricks-Munoz KD, Mayers RM. A neonatal nurse training program in kangaroo mother care (KMC) decreases barriers to KMC utilization in the NICU. American Journal of Perinatology. 2014;31(11): 987-92. http://dx.doi.org/10.1055/s-0034-1371359   DOI
26 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 Paediatrica. 2014;103(4):373-378. http://dx.doi.org/10.1111/apa.12527   DOI
27 Chia P, Sellick K, Gan S. The attitudes and practices of neonatal nurses in the use of kangaroo care. The Australian Journal of Advanced Nursing. 2006;23(4):20-27.
28 Ro SJ. The comparison of infant development and maternal psychological characteristics by Kangaroo care [master's thesis]. Seoul: Seoul National University; 2015. p. 1-61.
29 Bang KS. Perception of Nurses and Physicians in Neonatal Intensive Care Units on Kangaroo Care. Journal of Korean Academy of Child Health Nursing. 2011;17(4):230-237. http://dx.doi.org/10.4094/jkachn. 2011.17.4.230   DOI
30 Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211.   DOI