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Objective
The objective of this review was to explore the experiences of mothers with the practice of kangaroo mother care for preterm neonates at home in sub-Saharan Africa.
Introduction
Newborn deaths globally have remained high despite the significant reductions in deaths among under-fives over the past few decades. More than 7000 deaths occur...
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Objective:
To investigate how skin-to-skin contact influences the stress levels in preterm infants in the neonatal intensive care unit and their mothers.
Materials and methods:
The study included 60 preterm infants with gestational age less than 32 weeks, who were treated in the neonatal intensive care unit, and their mothers. The overall design...
Citations
... The SR of Bayo et al. (Bayo et al., 2022), in sub-Saharan Africa, highlights that, despite being a region with a high rate of prematurity and poverty, mothers receive late information about CM and perceive it as more complicated than other traditional forms of care. . They also point out that, in Ethiopia, although 100% of mothers knew about CM, up to 30% were unaware of its main benefits and 69% did not know the recommended duration for its practice. ...
... The support of community and religious leaders is also recommended to promote successful implementation of the CM. Finally, although there are challenges, Bayo et al., emphasize that knowledge of the benefits of CM and the observation of weight gain in premature babies motivate mothers to adopt this practice (Bayo et al., 2022). ...
Objective: Review the current scientific evidence on the physiological effects of kangaroo care, explore the barriers and facilitators to its implementation, and identify areas of knowledge that have not yet been explored. Theoretical Framework: The kangaroo care method, despite its benefits for premature and low birth weight babies, faces implementation challenges. Its acceptance and application vary due to various factors, including cultural and institutional ones, as well as the lack of support for mothers and families. Method: Integrative review of quantitative and qualitative studies. The critical appraisal of the studies was conducted using the Joanna Briggs Institute tool. Principio del formulario Results and Discussion: Evidence supports the effectiveness of kangaroo care in improving physiological parameters of the neonate such as heart rate, body temperature, and oxygen saturation. The main barriers to its implementation include: visiting hour restrictions, healthcare staff workload, negative cultural beliefs, lack of information and empowerment of mothers, and limited involvement of fathers. Research Implications: Provides information on how the implementation of kangaroo care benefits the care of premature newborns, as well as aspects that influence its implementation. Originality/Value: This study contributes to the literature by providing a comprehensive assessment of the effectiveness, safety, and applicability of kangaroo care in neonatal care. It allows for the visualization of barriers and facilitators to its implementation, providing identification of areas for improvement and gaps that may require future studies.
... La Tabla 1, resume las características de los estudios seleccionados para la presente RI, donde se incluyen el objetivo y su evaluación crítica. Bayo et al (2022) [12] Mothers' perceptions of the practice of En la tabla 2 se presentan los resultados, conclusiones, recomendaciones y limitaciones de los estudios mencionados. ...
... Instalaciones: Privacidad, espacio y suministros, temperatura, ropa y dispositivos médicos para bebés, logística relacionada con la implementación de nuevas prácticas. [12] Cuatro hallazgos meta-sintetizados: [22] Entre los recién nacidos con bajo peso al nacer, el MC en comparación con la atención convencional se asoció con Otros hallazgos que se deben mencionar son los de Cai Q, et al., quienes además enfatizan que la barrera más común para la implementación del MC es la falta de protocolos y guías claras en las unidades clínicas, además de la generación de políticas y la integración del MC en el currículo de los estudiantes [9] . ...
... El presente trabajo ha identificado múltiples barreras y facilitadores en la adopción del MC. Los autores Bayo et al., detectaron obstáculos como resistencia comunitaria, dudas sobre su efectividad y percepción de que se trata de un método complejo que amerita demasiado tiempo para su implementación [12] . También se ha reportado falta de estrategias claras acerca del MC en las comunidades y escasez de información temprana sobre MC en las familias. ...
Objetivo. El objetivo es revisar la evidencia científica actual sobre los efectos fisiológicos del método canguro, explorar las barreras y facilitadores para su aplicación, además de identificar áreas de conocimiento aún no exploradas. Materiales y métodos. Revisión Integrativa, que incluyó estudios de revisión cuantitativos y cualitativos, en las bases de datos PubMed, Scopus, Web of Science y Cochrane, sin restricción de idioma. La valoración crítica de los estudios se realizó con la herramienta del Joanna Briggs Institute. Resultados. Se analizaron 16 estudios, entre los cuales se encontró evidencia que respalda la eficacia del método canguro en la mejora de diversos parámetros fisiológicos del neonato. Entre estos parámetros se encuentran la frecuencia cardíaca, la temperatura corporal y la saturación de oxígeno. Sin embargo, los resultados son heterogéneos. Las principales barreras para la implementación del método canguro incluyen: restricciones de las horas de visita, carga de trabajo del personal sanitario, creencias culturales negativas, falta de información y empoderamiento de las madres, además de la limitada participación de los padres. Conclusiones. El método canguro tiene un impacto positivo en el desarrollo los neonatos prematuros o de bajo peso. Sin embargo, su implementación se ve afectada por diversos factores socioculturales. Futuras investigaciones deben identificar los efectos reales sobre los parámetros fisiológicos del neonato. Se necesitan estudios cualitativos para comprender mejor las perspectivas de las familias, de los equipos médicos, y así desarrollar estrategias de adaptación cultural que optimicen la aplicación del este método en diferentes contextos.
... These challenges include fear of exposure of babies to infection, lack of support from healthcare providers, inadequate facilities for KMC, and misinformation about COVID-19 among others. 8,9 Additionally, inadequate supplies of essential items for KMC, such as kangaroo wraps and private 1213472G PHXXX10.1177/2333794X231213472Global Pediatric HealthMukhola et al. ...
... 13,14 Partners and family members often play a big role in decision-making regarding KMC. 8 Even though studies done at the community level among men, pregnant and lactating mothers as well as health care workers reported myths including ideation that Covid-19 did not exist and was a creation of the government 15 with another reporting low Covid-19 risk perception 16 the role of partner support on the influence of KMC at the institutional level cannot be overlooked. ...
Objectives. We investigated the challenges faced by mothers of preterm babies practicing KMC during the Covid-19 pandemic and documented the mothers’ suggestions of possible interventions. Methods. We conducted a cross-sectional descriptive study at the New Born Unit of Kenyatta National Hospital(KNH). We interviewed 82 mothers using a researcher-administered questionnaire with closed and open-ended questions. Qualitative data generated from open-ended questions was analyzed thematically. Results. KMC was majorly affected by; fear of the baby contracting COVID-19, fear of contracting COVID-19, and social distancing restrictions. The mothers’ suggested interventions included; the need for more KMC rooms, provision of appropriate clothing, strict application of COVID-19 prevention guidelines, and greater support of practice by the family. Conclusion. The mother’s pivotal role as a partner in decision-making in regard to the improvement of KMC during pandemics and possibly other settings was demonstrated. Targeted interventions should incorporate the suggestions from the mothers.
Objective
The objective of this methodological scoping review was to investigate ways in which qualitative review teams are addressing equity, diversity, and inclusion (EDI) in the process of conducting and reporting qualitative systematic reviews that use JBI guidelines.
Introduction
To promote health equity, there is a need for evidence synthesis processes and practices to develop approaches that incorporate EDI. Some guidance is available to guide equity-focused review methods and reporting, but this is primarily oriented to quantitative systematic reviews. There is currently limited knowledge about how review teams are addressing EDI within qualitative evidence syntheses.
Inclusion criteria
This review included English-language qualitative systematic reviews, published in 2022, that used all the steps outlined in JBI guidance for qualitative reviews.
Methods
A 1-year sample of published reviews was identified from a search undertaken on March 17, 2023, of 2 health care databases: MEDLINE (Ovid) and CINAHL (EBSCOhost). Data extraction followed a framework approach, using an adapted preexisting equity template. This included attention to i) the reporting of a range of characteristics associated with EDI, ii) search approaches, and iii) analytical approaches (including reflexivity, intersectionality, and knowledge user engagement). Data were analyzed using descriptive statistics and narrative summary.
Results
Forty-three reviews met the inclusion criteria. The majority of reviews (n=30) framed their questions and aims in a generic/universal (rather than EDI-focused) way. Six reviews justified their population focus in terms of an EDI-related issue. Only one review included a knowledge user. The sociodemographic and other key characteristics of the samples in underpinning studies were poorly reported, making it hard to discern EDI-related issues or to undertake EDI-related analyses. Thirteen of the reviews included non-English-language evidence sources, and 31 reviews included gray literature sources. Ten reviews demonstrated an element of intersectional or otherwise critical approaches within their analyses of categories and synthesized findings (whereby issues of power and/or representation were explicitly considered). Only 8 reviews included discussions of review team composition and reflexivity within the review process.
Conclusions
This EDI-focused methodological enquiry has highlighted some limitations within current qualitative evidence synthesis practice. Without closer attention to EDI, there is a danger that systematic reviews may simply serve to amplify, rather than illuminate, existing gaps, silences, and inequitable knowledge claims based on dominant representations. This review sets out a range of suggestions to help qualitative evidence synthesis teams to more systematically embed EDI within their methods and practices.
Review Registration
Open Science Framework https://osf.io/wy5kv/
