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J Caring Sci. 2021;10(3): 137-144.
doi: 10.34172/JCS.2021.005
  Abstract View: 79
  PDF Download: 26

Original Article

Implementation Barriers for Practicing Continuous Kangaroo Mother Care from the Perspective of Neonatologists and Nurses

Marzieh Mohammadi 1 ORCID logo, Niloufar Sattarzadeh 2 ORCID logo, Mohammad Heidarzadeh 3 ORCID logo, Mohammad Bagher Hosseini 4 ORCID logo, Sevil Hakimi 5* ORCID logo

1 Student’s Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz, Iran
2 Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz, Iran
3 Pediatric Health Research Center, Tabriz University of Medical Science, Tabriz, Iran
4 Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Science, Tabriz, Iran
5 School of Nursing and Midwifery, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Science, Tabriz, Iran
* Corresponding Author: Sevil Hakimi, Email: hakimis@tbzmed.ac.ir

Abstract

Introduction: Kangaroo mother care (KMC), as a complement to incubator care, is one of the ten recommendations of the World Health Organization (WHO) for the care of preterm infants. The KMC stabilizes the heart rate, improves oxygen saturation, makes weight gain better, and reduces crying in the infant. In order to launch KMC unit, the barriers for implementing this type of care should be recognized.

Methods: This qualitative research was conducted using a focus group discussion and individual semi-structured interview with nurses, doctors, executive and management staff of a neonatal unit of a third level teaching hospital in Tabriz, northwest Iran. The participants were selected using purposeful sampling. Content analysis was used for analyzing data. Data were analyzed by MAXQDA 10 software.

Results: After analyzing data, four main themes were extracted including mother-related barriers, father-related barriers, physician- related barriers, and system-related barriers.

Conclusion: Based on the findings of the research, it seems that in order to facilitate practicing continuous KMC, much emphasis should be placed on training the parents and health care providers. Furthermore, in some cases, reforming the payment system for physicians, providing an instruction for performing continuous KMC, and continuous assessment of hospitals annually are necessary.


Keywords: Continues Kangaroo Care, Health care provider, Barrier, Content analysis

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Submitted: 16 Dec 2020
Accepted: 01 Jan 2021
ePublished: 14 Feb 2021
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