ArticleBMJ open2018
Neonatal intensive care nurses' knowledge and beliefs regarding kangaroo care in China: a national survey.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nonpharmacological Interventions on Intramuscular Vaccination Pain among Infants: A Systematic Review and Meta-Analysis of Randomized Control Trials.Journal of caring sciences · 2025Pooled it
- Enhancing perinatal care in Rwanda: building quality improvement into system strengthening.BMJ paediatrics open · 2026Review
- Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network.BMC pediatrics · 2023Article
- Efficacy and safety of non-pharmacological interventions for neonatal pain: an overview of systematic reviews.BMJ open · 2022Review
- Facilitators and Barriers Affecting Implementation of Neonatal Palliative Care by Nurses in Mainland China.Frontiers in pediatrics · 2022Article
- Article
- Implementation science in maternity care: a scoping review.Implementation science : IS · 2021Article
- Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia.PloS one · 2021Article
- Article
- Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.BMC pediatrics · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveKangaroo care (KC), a well-established parent-based intervention in neonatal intensive care units (NICUs), with documented benefits for infants and their parents. However, in China there remains a lack of knowledge and a reluctance to implement KC in hospitals. Therefore, our aim was to investigate the current knowledge, beliefs and practices regarding KC among NICU nurses in China using the 'Kangaroo Care Questionnaire'.
methodsA quantitative descriptive survey was designed. This questionnaire comprised 90 items classified according to four domains: knowledge, practice, barriers and perception. Data were analysed using SPSS V.20.0, and content analysis was used to summarise data derived from open-ended questions.
resultsThe survey involved 861 neonatal nurses from maternity and general hospitals across China (response rate=95.7%). The findings showed that 47.7% (n=411) of the nurses had participated in the implementation of KC. Neonatal nurses in the 'experienced in KC' group showed an overall better understanding of KC and its benefits with a higher 'correct response' rate than those in the 'not experienced in KC' group. In the 'experienced in KC' group, over 90% considered KC beneficial to the parent-baby relationship and attachment, and over 80% believed that KC positively affected outcomes of preterm infants. The 'not experienced in KC' group perceived more barriers to KC implementation than did the 'experienced in KC' group.
conclusionAlthough most nurses working in NICUs in China were aware of the benefits of KC, there remain substantial barriers to its routine use in practice. Education for both staff and parents is necessary, as is the provision of appropriate facilities and policies to support parents in providing this evidence-based intervention.
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