Knowledge Regarding Kangaroo Mother Care among Nurses in Neonatal Intensive Care Units.

IF 2 Q2 NURSING

SAGE Open Nursing Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI:10.1177/23779608251337320

Ahmad Ayed, Ibrahim Aqtam, Raheeq Abusaif, Rama Abu Tabeekh, Dala'a Zaidan, Miar Abu Alhaijaa

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Abstract

Introduction: Kangaroo Mother Care (KMC) is an evidence-based intervention proven to reduce neonatal mortality by 36% and improve maternal-infant bonding. However, implementation remains inconsistent in low-resource settings like Palestine due to systemic barriers.

Objective: This study assessed KMC knowledge levels among neonatal intensive care unit (NICU) nurses in Palestinian governmental hospitals and identified predictors of knowledge.

Methods: A cross-sectional study surveyed 190 NICU nurses using a validated 20-item questionnaire (CVI = 0.92; α = 0.84). Demographic variables included age, gender, education, work experience, and prior KMC training. Knowledge levels were categorized using Bloom's taxonomy (low: < 60%, moderate: 60-79%, high: ≥ 80%). Data were analyzed via descriptive statistics, t-tests, ANOVA, and multiple linear regression.

Results: The mean knowledge score was 56.8% (SD = 19.5), with 44.4% scoring low. Significant predictors included prior KMC training (B = 16.656, p < 0.001), higher education (B = 6.365, p < 0.001), and older age (B = 9.934, p < 0.001). Male nurses scored lower than females (B = -4.852, p = 0.002). The model explained 81.4% of variance (R² = 0.814).

Conclusion: Suboptimal KMC knowledge among Palestinian NICU nurses highlights the urgent need for structured training programs, curriculum integration, and policy reforms. Future research should address cultural and institutional barriers to improve implementation.

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关于袋鼠妈妈护理在新生儿重症监护病房护士的知识。

袋鼠妈妈护理（KMC）是一种以证据为基础的干预措施，被证明可以将新生儿死亡率降低36%，并改善母婴关系。然而，由于系统障碍，在巴勒斯坦等资源匮乏的环境中，实施仍然不一致。目的：本研究评估巴勒斯坦政府医院新生儿重症监护病房（NICU）护士的KMC知识水平，并确定知识的预测因素。方法：采用横断面调查方法对190名新生儿重症监护病房护士进行问卷调查(CVI = 0.92；α = 0.84)。人口统计变量包括年龄、性别、教育程度、工作经验和之前的KMC培训。结果：平均知识得分为56.8% (SD = 19.5)，其中低得分44.4%。有意义的预测因子包括先前的KMC训练（B = 16.656, p B = 6.365, p B = 9.934, p B = -4.852, p = 0.002）。该模型解释了81.4%的方差（R2 = 0.814）。结论：巴勒斯坦新生儿重症监护室护士的KMC知识不佳突出了迫切需要结构化培训计划，课程整合和政策改革。未来的研究应解决文化和制度障碍，以改善实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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