Perceived Enablers And Barriers Of Kangaroo Mother Care Among Mothers And Nurses At Neonatal Intensive Care Unit Of Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia 2020g.c

Background: Kangaroo mother care is care of preterm and low birth weight infants withrnearly, continuous and prolonged skin- to-skin contact between the mother and the baby, andrnwith exclusive breastfeeding. It is recommended for the routine care of newborns weighingrn2000 g or less at birth. It improves outcomes of premature and low birth weight infants. Evenrnthough kangaroo mother care is now recognized by global experts as an integral part ofrnessential newborn care, the adoption and implementation of the kangaroo mother care is stillrnchallenging. Despite the high impact and apparent feasibility of kangaroo mother care,rncurrently, only a few preterm babies in low-income countries have access to this intervention;rncoverage of kangaroo mother care has remained low. rnObjective: To explore perceived enablers and barriers of kangaroo mother care amongrnmothers and nurses in neonatal intensive care unit of Tikur Anbessa Specialized Hospital,rnAddis Ababa, Ethiopia. rn rnMethods: qualitative phenomenological study design was used in the study. A semistructuredrnrnin-depth interview was applied to explore the perceived enablers and barriers ofrnkangaroo mother care among mothers and nurses in Neonatal Intensive Care Unit of TASH. Arntotal of 13 mothers and 7 nurses were included in study with in-depth interview from Mayrn2020 - July 2020 and thematic analysis was conducted.rnrnResult: The study explored major health staff and setting related, medical condition related,rnfamily support related, community support related and caregiver related enablers and barriersrnof practicing kangaroo mother care among mothers and nurses. Mothers reported that lack ofrnunderstanding of KMC by their family and the presence of family responsibility and workloadrnwere barriers to practice KMC. Lack of awareness of KMC by community, social practice and rntraditional adaptation were also mothers reported barriers. In addition mothers also reported rnthat poor supervision and follow-up, limited resource especially sanitation resource were thernmajor barriers related to health staff and setting. The presence of back pain and fatigue during kangaroo care also was the barriers reported by mothers. Nurses also reported that scale- up ofrnkangaroo care was influenced by absence of training, poor attention given by managers andrnadministrative, shortage of rooms and facilities workload and time shortage related to limitedrnprofessionals in the ward.rnrnConclusion and recommendation: This study offers how different factors influence KMCrnutilization among mothers with preterm infants and nurses working at NICU. The findingrnindicates that a complex array of barriers and enablers determine a mother’s and nurses abilityrnto provide KMC. To improve mothers’ and nurse’s performance and promote the health ofrnpreterm infants, supports, such as family, community, and health professional support arernrequired. Addressing these factors through policy changes and hospital interventions isrnessential to enabling optimal neonatal care service.

Get Full Work

Report copyright infringement or plagiarism