Management challenges for best practices of the Kangaroo Method in the Neonatal ICU(88 Silva LJ, Leite JL, Silva TP, Silva IR, Mourão PP, Gomes TM. Management challenges for best practices of the Kangaroo Method in the Neonatal ICU. Rev Bras Enferm. 2018;71(suppl 6):2783-91. https://doi.org/10.1590/0034-7167-2018-0428 https://doi.org/10.1590/0034-7167-2018-0...
). Brazilian Journal of Nursing. 2018. |
Brazil CINAHL |
Qualitative study n = 8 |
The nurses demonstrated that they had difficulty in implementing the Kangaroo Method, for various reasons, including: lack of institutional management combined with lack of human resources, adherence of some professionals, and professional autonomy. |
VI |
The nursing social practice in the promotion of maternal care to the premature in the neonatal unit(99 Araújo BBM, Pacheco STA, Rodrigues BMRD, Silva LF, Rodrigues BRD, Arantes PCC. The nursing social practice in the promotion of maternal care to the premature in the neonatal unit. Texto Contexto Enferm. 2018;27(4):e2770017. https://doi.org/10.1590/0104-07072018002770017 https://doi.org/10.1590/0104-07072018002...
). Text & Context Nursing. 2018. |
Brazil SciELO |
Critical discourse analysis n = 15 |
It is important that nurses also pay attention to maternal needs, favoring their potential to care for PTNB*. |
VI |
Nurses' adherence to the Kangaroo Care Method: support for nursing care management(1010 Silva LJ, Leite JL, Scochi CGS, Silva LR, Silva TP. Nurses' adherence to the kangaroo care method: support for nursing care management. Rev Latino-Am Enfermagem. 2015;23(3):483-90. http://dx.doi.org/10.1590/0104-1169.0339.2579 http://dx.doi.org/10.1590/0104-1169.0339...
). Latin American Journal of Nursing. 2015. |
Brazil Scopus |
Qualitative research n = 8 |
The importance of each team member as a multiplier of care was evidenced. Each one can be influential or not in the recognition of the Kangaroo Method as a care model, and the nurse is the great protagonist in this process. |
VI |
The value attributed by nursing professionals to the care proposed by the canguru method(1111 Stelmak AP, Mazza VA, Freire MHS. The value attributed by nursing professionals to the care proposed by the canguru method. Rev Enferm UFPE. 2017;11(9):3376-85. https://doi.org/10.5205/1981-8963-v11i9a110236p3376-3385-2017 https://doi.org/10.5205/1981-8963-v11i9a...
). UFPE Journal of Nursing on. 2017. |
Brazil BDENF |
Descriptive study with a qualitative approach n = 37 |
The Kangaroo Method is compared to "life insurance" by nurses for providing care that balances biological, environmental, and family needs in low-birth-weight preterm newborns. The method aims to protect and preserve the NB from the sequelae of prematurity, which provides adequate infant neuropsychomotor development. |
VI |
Conceptions of humanization of health professionals in neonatal intensive therapy unit(1212 Roseiro CP, Paula KMP. Concepções de humanização de profissionais em Unidades de Terapia Intensiva Neonatal. Estud Psicol. 2016;32(1):109-19. https://doi.org/10.1590/0103-166x2015000100010 https://doi.org/10.1590/0103-166x2015000...
). Psychology Studies. 2015. |
Brazil Scopus |
Qualitative research n = 29 |
The professionals are able to understand and work humanization, distancing themselves from the biomedical model. They know the importance of an adequate environment, free of noise and unnecessary lights, and they also understand the relevance of parents' participation in the care of their children. There is demotivation of professionals due to lack of professional recognition. |
VI |
Kangaroo care in the high-technology neonatal unit: exploring evidence-based practice, policy recommendations and education priorities in Northern Ireland(1313 Mcgowan JE, Naranian T, Johnston L. Kangaroo care in the high-technology neonatal unit: exploring evidence-based practice, policy recommendations and education priorities in Northern Ireland. J Neonatal Nurs. 2017;23(4):174-9. http://doi.org/10.1016/j.jnn.2017.03.001 http://doi.org/10.1016/j.jnn.2017.03.001...
). Journal of Neonatal Nursing. 2017. |
Northern Ireland Scopus |
Quantitative Researchn = 78 |
Although nurses recognize the effects and benefits of the Kangaroo Method, there are still barriers to its implementation, such as inadequate environment and insecurity on the part of some professionals to start the method. However, professional experiences showed positive attitudes for the promotion of the method. |
VI |
Neonatal nurses' perceptions of supportive factors and barriers to the implementation of skin-to-skin care in extremely low birth weight (ELBW) infants - A qualitative study(1414 Lim S. Neonatal nurses’ perceptions of supportive factors and barriers to the implementation of skin-to-skin care in extremely low birth weight (ELBW) infants: a qualitative study. J Neonatal Nursing. 2017;24(1):39-43. https://doi.org/10.1016/j.jnn.2017.11.010 https://doi.org/10.1016/j.jnn.2017.11.01...
). Journal of Neonatal Nursing. 2018. |
England Scopus |
Qualitative research n = 7 |
As a significant barrier to the implementation of the method, this study points to the unit, in addition to the lack of support from the medical team. On the other hand, nurses support the Kangaroo Method, skin-to-skin contact with restrictions for NB weighing less than 1,000 g. |
VI |
Knowledge and attitude of personnel, key factors in implementation of neonatal pain management in NICU(1515 Mehrnoush N, Ashktorab T, Heidarzadeh M, Momenzadeh S. Knowledge and attitude of personnel, key factors in implementation of neonatal pain management in NICU: a qualitative study. J Clin Diagn Res. 2017;11(11):SC05-9. https://doi.org/10.7860/JCDR/2017/26290.10851 https://doi.org/10.7860/JCDR/2017/26290....
). Journal of Clinical and Diagnostic Research. 2017. |
Iran Scopus |
Qualitative study n = 35 |
There is a lack of knowledge by doctors and nurses of non-pharmacological methods for the relief of pain in newborns, such as skin-to-skin contact, which can be performed by parents during painful procedures, but is little used. |
VI |
The experiences of professionals regarding involvement of parents in neonatal pain management(1616 Marfurt-Russenberger, K, Axelin A, Kesselring A, Franck LS, Cignacco E. The experiences of professionals regarding involvement of parents in neonatal pain management. J Obstet Gynecol Neonatal Nurs. 2016;45(5):671-83. https://doi.org/10.1016/j.jogn.2016.04.011 https://doi.org/10.1016/j.jogn.2016.04.0...
). Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2016. |
Sweden PubMed |
Qualitative study n = 23 |
For the parents' participation in pain management to be successful, the nurse's action in this process is important, stimulating skin-to-skin contact, non-nutritive sucking, and the use of sucrose. However, some factors hinder the parents' action: the conditions of the NB, lack of organization, space and staff. |
VI |
Kangaroo Care Education Effects on Nurses' Knowledge and Skills Confidence(1717 Almutairi WM, Ludington-Hoe SM. Kangaroo care education effects on nurses' knowledge and skills confidence. J Contin Educ Nurs. 2016;47(11):518-24. https://doi.org/10.3928/00220124-20161017-11 https://doi.org/10.3928/00220124-2016101...
). Journal of Continuing Education in Nursing. 2016. |
USA Scopus |
Quasi-experimental design pre-test and post-test n = 57 |
Although nurses already knew the benefits of the Kangaroo Method, their practice was limited due to lack of knowledge and skills. After taking a course, the nurses felt more prepared, understood the importance of parents staying with the NB, the kangaroo position for as long as possible, and the presence of parents during painful procedures. |
II |