ArticleBMC pregnancy and childbirth2021
What is stopping us? An implementation science study of kangaroo care in British Columbia's neonatal intensive care units.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 40 citations in OpenAlex.
- The effect of post discharge Kangaroo mother care with and without telephone advice on anthropometric indexes of preterm newborns: a randomized clinical trial.BMC pediatrics · 2025Trial
- Kangaroo Care as an intervention in randomised controlled trials in neonatal intensive care.Pediatric research · 2026Review
- Surrogate skin-to-skin care: the "donor milk" of kangaroo mother care.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Tracing the threads: a system dynamics and network diffusion model of kangaroo care implementation in neonatal care.Implementation science communications · 2026Article
- Implementation of optimized kangaroo care for infection prevention and control in neonatal intensive care units (NeoIPC): Protocol for the implementation elements of a multicenter parallel cluster randomized hybrid type 2 implementation-effectiveness study.Implementation science : IS · 2026Article
- Neonatal Twin Cobedding: A Mixed Method Study of Policy, Practice and Staff Perceptions in Australia.Journal of advanced nursing · 2026Article
- Practice-informed barriers and contextual solutions in neonatal habilitation across Indian Neonatal Intensive Care Units: A qualitative exploration of therapists' perspectives.BMC pediatrics · 2026Article
- Implementation mapping to develop strategies for skin-to-skin care in the pediatric cardiac intensive care unit: planning for a hybrid trial.Frontiers in pediatrics · 2026Article
- Skin-to-skin contact in neonatal intensive care units: a narrative review of implementation challenges and strategies within infant- and family-centered care.Frontiers in pediatrics · 2026Review
- Kangaroo Method Care: Benefits, Proponents and Barriers: A Narrative Review.Iranian journal of public health · 2025Review
- Physiological Stability During Kangaroo Mother Care Among Very-Low-Birthweight Premature Infants, Supported by Non-Invasive Respiratory Support.Journal of paediatrics and child health · 2025Observational
- The role of mother-infant interaction and infant temperament in predicting the rate of post-NICU physical development in low birth weight infants: a prospective cohort study.BMC pregnancy and childbirth · 2025Article
- Article
- Barriers and facilitators to the implementation of the kangaroo mother care in NICUs of high-income and low- and middle-income countries: a scoping review.Frontiers in public health · 2025Review
- Challenges and enhancement of health: a dual impact of kangaroo care on parents and infants-systematic review.mHealth · 2025Review
- 'Counselling is the only thing to do': healthcare providers' experience of Kangaroo Mother Care in Bangladesh - a qualitative study.BMJ public health · 2024Article
- Kangaroo Mother Care Practices: Sustainability Is Important.Indian journal of pediatrics · 2021Article
- Maternal-fetal and neonatal characteristics associated with Kangaroo-Mother Care Method adherence.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers' perspectives on the barriers and enablers of implementing KC.
methodsThis qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods.
resultsFour overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC.
conclusionsA 'one size fits all' approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.