Early skin‐to‐skin contact for healthy full‐term infants after vaginal and caesarean delivery: a qualitative study on clinician perspectives

Background Nurses play a crucial role in Kangaroo Mother Care practice, but their application in specific policies and practices involves challenges. A comprehensive literature review is needed to improve understanding of specific barriers that are most relevant to nurses and the improvement of this practice. This review investigates nurses’ barriers in implementing Kangaroo Mother Care, in order to illustrate directions for future research. Methods This study was based on integrative review method and exploring nurses’ barriers in implementing Kangaroo Mother Care, strategies to reduce its barriers. CINAHL, Medline, Web of Science, ProQuest Nursing and Allied Health Database, PubMed and Science Direct Taylor & Francis databases were searched for the following: (i) studies with no year restrictions, (ii) peer‐reviewed journal articles, (iii) original research and (iv) articles written in English. Each article was appraised for methodological validity review using critical appraisal checklist. Results The search revealed 19 articles from diverse countries. Four main themes were generated from the synthesis of the findings: (i) barriers related to nurses’ perspective and emotion towards KMC, (ii) healthcare institution barriers towards KMC, (iii) barriers related to parental experience in providing KMC and (iv) strategy to improve KMC implementation. Conclusions Nurses experience several barriers in successfully implementing KMC in healthcare settings. This review reported strategies to reduce KMC barriers and to improve its utilisation in healthcare settings. Hospitals should establish adequate manpower, clear guidelines, sufficient supplies and equipment, capacity building among staff and proper Kangaroo Mother Care information dissemination for patients.

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“…Seven studies highlighted the healthcare institution barriers towards KMC . For example, Chia et al.…”

Section: Resultsmentioning

confidence: 99%

Nurses’ Kangaroo Mother Care practice implementation and future challenges: an integrative review

Maniago

Almazan

Albougami

2019

Scandinavian Caring Sciences

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“…, Koopman et al . ). Research has highlighted that providing SSC immediately, or soon after caesarean sections can be challenging due to concerns over the safety of the mother and baby, the fear of change and insufficient staffing numbers (Nolan & Lawrence , Gouchon et al .…”

Section: Introductionmentioning

confidence: 97%

“…Skin-to-skin contact (SSC), where a naked baby is placed on the bare chest of his/her mother, is recommended immediately after vaginal births, and as soon as the mother is alert and responsive after a caesarean section (World Health Organization & UNICEF 2009). Few hospitals have implemented SSC after caesarean sections (Phillips 2013, Gregson et al 2016, Koopman et al 2016. Research has highlighted that providing SSC immediately, or soon after caesarean sections can be challenging due to concerns over the safety of the mother and baby, the fear of change and insufficient staffing numbers (Nolan & Lawrence 2009, Gouchon et al 2010, Hung & Berg 2011, Crenshaw et al 2012.…”

Section: Introductionmentioning

confidence: 99%

Video ethnography during and after caesarean sections: methodological challenges

Stevens

Schmied

Burns

et al. 2017

Journal of Clinical Nursing

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“…The research concluded that several factors influence the practice of skin to skin after delivery including inadequate staffing and lack of clinician education. Parental motivation and education were identified as facilitators to SSC (Koopman et al, 2016). The barriers to immediate SSC included the lack of a clinical policy or procedure to guide SSC after delivery, and a lack of maternal-infant eligibility criteria (Koopman et al, 2016).…”

Section: Chapter 2: Review Of Literaturementioning

confidence: 99%

“…Parental motivation and education were identified as facilitators to SSC (Koopman et al, 2016). The barriers to immediate SSC included the lack of a clinical policy or procedure to guide SSC after delivery, and a lack of maternal-infant eligibility criteria (Koopman et al, 2016). The strength of this study is that it provided feedback from members of the interdisciplinary team, not just nurses.…”

Section: Chapter 2: Review Of Literaturementioning

confidence: 99%

Obstetric Nurses’ Perceived Barriers to Immediate Skin to Skin Contact after Cesarean Birth

Balatero

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OBSTETRIC NURSES' PERCEIVED BARRIERS TO IMMEDIATE SKIN TO SKIN CONTACT AFTER CESAREAN BIRTH Despite the strong evidence supporting immediate skin to skin contact (SSC) after birth, research suggests that patients who undergo cesarean births do not have the same opportunities for SSC as patients who undergo vaginal births. There are limited studies regarding provider attitudes surrounding the practice of immediate SSC after cesarean birth. The aim of this research was to understand obstetric nurses' perceived barriers to immediate SSC after cesarean section. An exploratory qualitative design was used for the project. The semi-structured, open-ended interviews were conducted via video conferencing. Conventional contentanalysis methods were used to analyze the data, which yielded the primary overarching theme of "performing safe and effective skin to skin contact after cesarean birth". The participants identified both barriers and facilitators to SSC after cesarean. It was evident from the interviews that nurses strongly believe in the benefits of SSC after cesarean and try to implement it as often as possible, but various factors prevented SSC in the OR from occurring on a regular basis. This research can be used as a starting point for refining the practice of SSC after cesarean births.

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Early skin‐to‐skin contact for healthy full‐term infants after vaginal and caesarean delivery: a qualitative study on clinician perspectives

Abstract: Addressing these factors can help to provide a better understanding of clinician perspectives on early skin-to-skin contact and help guide its implementation as standard of care for healthy full-term infants.

Cited by 37 publications

References 21 publications

Nurses’ Kangaroo Mother Care practice implementation and future challenges: an integrative review

Nurses’ Kangaroo Mother Care practice implementation and future challenges: an integrative review

Video ethnography during and after caesarean sections: methodological challenges

Obstetric Nurses’ Perceived Barriers to Immediate Skin to Skin Contact after Cesarean Birth

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