Context is key: New insights on barriers and facilitators influencing the implementation of skin-to-skin care in the pediatric cardiac intensive care unit

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-03-06 DOI:10.1016/j.jnn.2025.101641

Amy Jo Lisanti , Amanda Bettencourt , Tondi Kneeland , Dorothy Vittner , Keith Baxelbaum

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引用次数: 0

Abstract

Skin-to-skin care (SSC) is an underutilized intervention for neonates born with congenital heart disease (CHD) in the acute/critical care setting. The aim of this study was to explore contextual factors influencing the implementation of SSC for neonates with CHD. This study was a secondary analysis of complete survey data from 223 interdisciplinary healthcare professionals collected via convenience sampling. The survey included valid and reliable measures of implementation outcomes. Scores for all outcomes were compared across pre-identified variables of interest. Comparisons included t-tests for predictors with binary values and simple linear regressions when the predictor was continuous. Relevant recent experience appears to be a strong facilitator for SSC implementation. Both general education level and lack of specific knowledge on unit-based policies for SSC may be factors that could be addressed by education. Future research could target factors identified in this study to improve the implementation of SSC for neonates with CHD.

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环境是关键：在儿童心脏重症监护病房影响皮肤对皮肤护理实施的障碍和促进因素的新见解

皮肤对皮肤护理（SSC）是一种未充分利用的干预措施，新生儿先天性心脏病（CHD）在急性/重症监护环境。本研究旨在探讨影响冠心病新生儿SSC实施的环境因素。本研究是对223名跨学科医疗保健专业人员通过方便抽样收集的完整调查数据进行二次分析。该调查包括有效和可靠的实施结果措施。所有结果的得分在预先确定的感兴趣的变量之间进行比较。比较包括对二元值和简单线性回归预测因子的t检验，当预测因子是连续的。最近的相关经验似乎有力地促进了南南合作的实施。一般教育水平和缺乏对以单位为基础的南南合作政策的具体知识可能是可以通过教育解决的因素。未来的研究可以针对本研究中确定的因素，以改善冠心病新生儿SSC的实施。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.