Applying the plan-do-study-act model to increase the use of kangaroo care

Abstract

The use of the Plan-Do-Study-Act Model framework encourages learning, reflection and validation throughout implementation. Plan-Do-Study-Act Model is a strategy that can promote the effective use of innovative practices in nursing.

Neonatal nurses’ beliefs about almost continuous parent–infant skin‐to‐skin contact in neonatal intensive care

“…, Olsson et al . , Stikes & Barbier ). Although, these concerns of the nurses might be justified when parents and the nurse are getting to know the infant.…”

“…Skin-to-skin contact has also shown improved co-regulation between the mother and her infant (Neu et al 2014). Nevertheless, difficulties in implementing KMC have been described in several studies: heavy workloads, insufficient staff education or experience, lack of organizational support, absence of clear protocols, safety issues for the infant and resistance from some health care professionals (Engler et al 2002, Wallin et al 2005, Charpak & Ruiz-Pelaez 2006, Chia et al 2006, Calais et al 2010, Olsson et al 2012, Stikes & Barbier 2013, Strand et al 2014.…”

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)

“…One study in New York assessed the impact of a simulation--based training program on 30 nurses' attitudes towards and competency in KC, and found that both significantly improved after training (Hendricks--Munoz and Mayer (2010). An earlier study by Stikes and Barbier (2013) in Louisville (USA) aimed to increase the rate of participation in KC in NICU through introducing a Plan--Do--Study--Act quality improvement model, developed by Shewart and Deming (Deming 1994). Education was planned, surveys were developed and strategies implemented to overcome barriers and this resulted an increase in the use of KC by 31% over a four--month timeframe.…”

Critical analyses of the implications of Kangaroo Mother Care on a preterm infant

“…This could be because many health care professionals are unaware of its positive effects, and their care reflects this lack of knowledge. What it highlights is a need to institute clear protocols and standard guidelines and to ensure all health care practitioners within a NICU setting are sufficiently educated to support KMC (Stikes & Barbier 2013). Whilst certain countries have yet to endorse KMC as national policy; in countries where there is national policy the evidence is compelling; there are still too many preterm infants being denied quality KMC (Moore 2012) The recently published Every Newborn Action Plan, co-ordinated by UNICEF and the World Health Organisation, highlights KMC along with breastfeeding as one of the top methods of helping to reduce the global death toll of babies born prematurely (WHO 2012).…”