Thesis(M. A. (Nursing)) -- University of Limpopo, 2021 / BACKGROUND The quality Kangaroo Mother Care (KMC) continues to be sub-standard as it is not managed properly, despite the maternal and neonatal services provided by the midwives during postpartum and neonatal period, as this can lead to increased neonatal mortality rate and maternal depression at selected hospitals of Limpopo Province, therefore the researcher is interested in developing strategies to enhance quality KMC at selected hospitals of Limpopo Province. KMC has been found to have physiological, behavioural, psychosocial and cognitive developmental benefits, and it enhances motherinfant bonding. The aim of the study was to develop strategies to enhance quality Kangaroo Mother Care in selected hospitals of Limpopo Province. RESEARCH METHOD A quantitative descriptive cross-sectional research method was used to collect numerical data with regard to the factors that hinders the quality Kangaroo Mother Care in selected hospitals of Limpopo Province. Population size was 77, Simple Random Probability Sampling was used in this study with the sample size of 65 midwives. Data were collected using self-administered questionnaires and analysed using Statistical Package for Social Sciences (SPSS) version 24. Quantitative analysis is the numerical representation and manipulation of observations for the purpose of describing and explaining the phenomenon reflected on observations (Babbie & Roberts, 2018). RESULTS The study revealed that the factors that hinders quality of Kangaroo Mother Care are lack of education and training to midwives regarding Kangaroo Mother Care, and other sources suggested that all categories of nurses should also be trained. The midwives are knowledgeable with regard to KMC, however, the problem remains the work overload when they have to monitor both the mother and neonate during feeding. It was further indicated that family members can also assist with regard to KMC. Strategies were developed, as optimal KMC environment, optimal KMC interventions, enhance optimal mother attitude to KMC crate gender sensitive environment. CONCLUSION The study concluded that the quality of KMC should be enhanced through both the promotion of education and training to all midwives, and involvement of families to assist in KMC at selected hospitals of Limpopo Province

No description available.

Kangaroo Mother Care (KMC) is an evidence-based intervention, recommended by the World Health Organization, with the potential to prevent neonatal deaths and morbidity among low-birthweight and preterm babies. In Bangladesh, where the number of neonatal deaths is high, KMC is identified as a priority intervention to be scaled up in the country. Our aim was to explore the experiences of caregivers and healthcare providers (HCPs) of KMC in Bangladesh. We conducted semi-structured interviews in two hospitals in Dhaka, where KCM service was provided. In Study I, we interviewed fifteen caregivers. The results showed conducive conditions for caregivers to perform KMC at the hospital and at home, but support is needed from both healthcare providers and their families. Caregivers felt empowered and motivated when they observed improvements in the child's well-being. However, there are challenges to KMC implementation due to the struggle to keep the baby skin-to-skin, pain after caesarean section, delayed initiation of KMC, and routines that promote an initial separation between the mother and baby. In Study II, we interviewed eleven HCPs. The results showed that HCPs experienced KMC as a continuous process that requires both support and counselling, adapted to caregivers’ needs. Commitment, supervision, and training are necessary. However, there are structural conditions that challenge KMC implementation, including clinical routines that promote the initial separation of the mother and baby, staff shortages, and incomplete follow-up. In conclusion, the findings from this exploratory research can inform the design of interventions for scaling up KMC in Bangladesh. Caregivers' and HCPs' experiences show that continuous support, counselling, and family involvement are essential in the care, and that providing KMC empowers caregivers. Their experiences also indicate that KMC is sub-optimally implemented due to structural conditions and routines that need to be addressed to scale up KMC in the country by avoiding the initial separation of mother and baby, meeting the mothers' needs for care and support, and strengthening the follow-up. Our results also suggest a need to update clinical practices in line with the new WHO recommendations. / <p></p><p></p><p></p>

SAMMANFATTNING Bakgrund: Kängurumetoden, även kallat Kangaroo Mother Care (KMC) är en omvårdnadsmetod som främjar hudkontakten mellan förälder och barn, särskilt prematura eller underviktiga. KMC har positiva effekter för både föräldrar och barn. Därför är det väsentligt att ta reda på föräldrars upplevelse av KMC för att kunna optimera vården då metoden är essentiell för det nyfödda barnet.  Syfte: Syftet med denna litteraturöversikt var att undersöka föräldrars upplevelser av kängurumetoden med barn som vårdas på neonatalavdelningen.  Metod: En litteraturöversikt med kvalitativ design där 10 kvalitativa artiklar samlades in från databaserna PubMed och Cinahl.  Resultat: Föräldrars upplevelse av KMC uttrycktes i fyra kategorier och åtta subkategorier. Kategorierna som presenteras är Insikten om att ha blivit förälder, Emotionell upplevelse av kängurumetoden hos föräldrarna, Växande ansvar som förälder och Kommunikation med vårdpersonal under KMC. Upplevelsen av KMC var i helhet positiv, inklusive ökad lycka och lugn men även negativa upplevelser av KMC uttrycktes, såsom rädsla för att skada sitt barn och att kommunikationen med vårdpersonalen var påverkad.  Slutsats: Resultaten visar en mångfald av mestadels positiva men även negativa erfarenheter, däribland; förstärkt föräldraroll, ökad känsla av kompetens och ansvar för barnet. KMC kunde ge känslan av att känna sig som ett verktyg, men deltagandet i vården möjliggör för föräldrar att känna sig betydelsefulla vilket gör en positiv skillnad för sitt barn. Genom att lyssna på och integrera föräldrarnas perspektiv kan neonatalvården fortsätta att utvecklas och anpassas för att möta både barnets och föräldrarnas behov. / ABSTRACT Background: Kangaroo method, also called Kangaroo Mother Care (KMC) is a nursing method that promotes skin-to-skin contact between parent and child, especially for children born prematurely or underweight. KMC has positive effects for both parent and child. Therefore, it is important to find out parents' experience of KMC to optimize the care as the method is essential for the newborn child. Aim: The purpose was to investigate parents’ experience of Kangaroo Mother care with children in the neonatal unit. Method: A literature review with qualitative design where 10 qualitative articles were collected in databases PubMed and Cinahl.  Results: Parents' experience of KMC was expressed in four categories and eight subcategories that answered the purpose of this literature review. The categories presented are The realization that one has become a parent, Emotional experience of the kangaroo method by the parents, Increasing parental responsibility and Communication with healthcare staff during KMC. The experience of KMC was overall positive, including increased happiness and calmness but also negative experiences of KMC, such as fear of harming their child and that communication with healthcare professionals was affected. Conclusion: The results show a diversity of mostly positive but also negative experiences, including; strengthened parental role, increased sense of competence and responsibility for the child. KMC could give a sense of being used as a device, but participating in the care enables parents to feel meaningful for their child. By listening to parents' perspectives, neonatal care can continue to develop and adapt to meet needs of both children and parents

Die doel van hierdie studie is die ontwikkeling van 'n ouerleidingsprogram vir moeders wat hul premature babas in 'n kangaroemoedersorgprogram versorg. Die program het ten doel om die moeders in die onmiddelikke versorging, sowel as die toekomstige begeleiding van hut kinders, toe te rus. 'n Literatuuroorsig word gegee van prematuriteit as fenomeen en van kangaroemoedersorg (KMS) as versorgingswyse, met spesifieke verwysing na die toepassing daarvan in Kalafonghospitaal. Die grondslae van ouerteiding word uit die literatuur opgesom en riglyne word ook gestef vir die samestelling van 'n ouerfeidingprogram. Die kwalitatiewe navorsingsmetode word gebruik om die inhoud van die ouerfeidingsprogram te bepaal en om ondersoek in te stel na die mees geskikte aanbiedingswyses. Die verslag word afgesluit met riglyne vir die samestelling van 'n prakties-toepasbare ouerleidingsprogram waarin inhoudsmoontlikhede, idees vir aanbieding en wyses vir die bepaling van gestelde uitkomste uiteengesit word. / The aim of this study is the development of parental guidance for mothers who take care of their premature babies in a programme of Kangaroo Mother Care. The programme aims to equip mothers for immediate and future care of their children. A literature review of prematurity as phenomenon and of kangaroo mother care as care method is presented with specifK: reference to the way it is applied in Kalafong-hospital. The basics of parental care are summated from literature and guidelines are set to design a parental guidance programme. The qualitative research method is put into operation to determine the content of the parental guidance programme and to investigate the most appropriate method of presentation. The report is concluded with guidelines for setting up a practical and applicable parental guidance programme in which subject possibilities, ideas for presentation and means for determining set outcomes are explained. / Educational Studies / M.Ed.(Spesialisering in voorligting)

<p>Kangaroo mother care (KMC) was first initiated in Colombia due to shortages of incubators and the incidence of severe hospital infections of new-born infants during hospital stay (Feldman, 2004). Currently it is identified by UNICEF as a universally available and biologically sound method of care for all new-borns, particularly for low birth weight infants (Department of Reproductive Health and Research, 2003) in both developed and developing countries. The Western Cape Provincial Government implemented a policy on KMC as part of their strategy to decrease the morbidity and mortality of premature infants in 2003 (Kangaroo Mother Care Provincial task team, 2003). Essential components of KMC are: skin-to-skin contact for 24 hours per day (or as great a part of the day as possible), exclusive breastfeeding and support to the motherinfant dyad. Successful implementation of KMC requires relevant education of nurses, education of mothers on KMC by nursing staff, monitoring of the implementation of KMC by nurses, planning for a staff mix with varying levels of skill and experience with KMC, the identification of institution specific barriers to the implementation of KMC, and the implementation of institution specific strategies to overcome these barriers (Wallin,et al., 2005 / Bergman &amp / Jurisco, 1994 / Cattaneo, et al., 1998). This study aims to determine the knowledge of and attitude towards kangaroo mother care, of nursing staff and kangaroo mothers in the Eastern sub-district of Cape Town.</p>

<p>Kangaroo mother care (KMC) was first initiated in Colombia due to shortages of incubators and the incidence of severe hospital infections of new-born infants during hospital stay (Feldman, 2004). Currently it is identified by UNICEF as a universally available and biologically sound method of care for all new-borns, particularly for low birth weight infants (Department of Reproductive Health and Research, 2003) in both developed and developing countries. The Western Cape Provincial Government implemented a policy on KMC as part of their strategy to decrease the morbidity and mortality of premature infants in 2003 (Kangaroo Mother Care Provincial task team, 2003). Essential components of KMC are: skin-to-skin contact for 24 hours per day (or as great a part of the day as possible), exclusive breastfeeding and support to the motherinfant dyad. Successful implementation of KMC requires relevant education of nurses, education of mothers on KMC by nursing staff, monitoring of the implementation of KMC by nurses, planning for a staff mix with varying levels of skill and experience with KMC, the identification of institution specific barriers to the implementation of KMC, and the implementation of institution specific strategies to overcome these barriers (Wallin,et al., 2005 / Bergman &amp / Jurisco, 1994 / Cattaneo, et al., 1998). This study aims to determine the knowledge of and attitude towards kangaroo mother care, of nursing staff and kangaroo mothers in the Eastern sub-district of Cape Town.</p>

Die doel van hierdie studie is die ontwikkeling van 'n ouerleidingsprogram vir moeders wat hul premature babas in 'n kangaroemoedersorgprogram versorg. Die program het ten doel om die moeders in die onmiddelikke versorging, sowel as die toekomstige begeleiding van hut kinders, toe te rus. 'n Literatuuroorsig word gegee van prematuriteit as fenomeen en van kangaroemoedersorg (KMS) as versorgingswyse, met spesifieke verwysing na die toepassing daarvan in Kalafonghospitaal. Die grondslae van ouerteiding word uit die literatuur opgesom en riglyne word ook gestef vir die samestelling van 'n ouerfeidingprogram. Die kwalitatiewe navorsingsmetode word gebruik om die inhoud van die ouerfeidingsprogram te bepaal en om ondersoek in te stel na die mees geskikte aanbiedingswyses. Die verslag word afgesluit met riglyne vir die samestelling van 'n prakties-toepasbare ouerleidingsprogram waarin inhoudsmoontlikhede, idees vir aanbieding en wyses vir die bepaling van gestelde uitkomste uiteengesit word. / The aim of this study is the development of parental guidance for mothers who take care of their premature babies in a programme of Kangaroo Mother Care. The programme aims to equip mothers for immediate and future care of their children. A literature review of prematurity as phenomenon and of kangaroo mother care as care method is presented with specifK: reference to the way it is applied in Kalafong-hospital. The basics of parental care are summated from literature and guidelines are set to design a parental guidance programme. The qualitative research method is put into operation to determine the content of the parental guidance programme and to investigate the most appropriate method of presentation. The report is concluded with guidelines for setting up a practical and applicable parental guidance programme in which subject possibilities, ideas for presentation and means for determining set outcomes are explained. / Educational Studies / M.Ed.(Spesialisering in voorligting)

Submitted by Fernando Souza (fernandoafsou@gmail.com) on 2017-09-08T14:42:01Z No. of bitstreams: 1 arquivototal.pdf: 3017374 bytes, checksum: 992b3bd4f1ee14178ecc46c753714ca0 (MD5) / Made available in DSpace on 2017-09-08T14:42:01Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 3017374 bytes, checksum: 992b3bd4f1ee14178ecc46c753714ca0 (MD5) Previous issue date: 2017-04-18 / Introduction: In recent years, the Ministry of Health has been carrying out actions to contain the fragmentation of care provided to pregnant women and newborn babies and reduce the neonatal morbidity and mortality in Brazil. The Kangaroo Mother Method was incorporated as a health policy for improving care to the newborn premature, with active participation of Primary Health Care. Objective: To analyze the maternal care with the newborn in the third step of the Kangaroo Mother Method and the assistance given by professionals of the Family Health Strategy to the mother-baby kangaroo. Method: This is a qualitative research, descriptive-exploratory, submitted to the Research Ethics Committee at the Lauro Wanderley University Hospital, getting opinion 1,515,237 CAAE 54391316.7.0000.5183.The participants were 10 mothers of newborn infants whose parturition was performed in one of the maternities entered the study. The data were collected by means of interviews, in the months of May and June of 2016, analyzed from the content analysis technique proposed by Bardin. Had as its backdrop the obstetrical clinic of a university hospital and a public maternity hospital that meet the preterm and/or low birth weight babies, in addition to Family Health Units in the city of João Pessoa, PB. Results: The reports of mothers-kangaroo show feelings like fear, insecurity and tiredness, to take care of the child in the household; experienced lack of family support and professionals for continuity of method, resulting in weakness of the assistance to the mother-baby at this stage of the kangaroo mother method. Conclusion: To continue to provide care to the mother-baby kangaroo, it is necessary to train professionals in the Family Health Strategy in relation to the method, strengthen the bond of family healthcare team with the community, establish a home visit to this dual, in the routine of teams, and propitiate the comprehensiveness of care. / Introducción: En los últimos años, el Ministerio de Salud ha venido llevando a cabo acciones para contener la fragmentación de la atención prestada a las mujeres embarazadas y los niños recién nacidos y reducir la morbilidad y mortalidad neonatal en Brasil. El Método Madre Canguro fue incorporado como una política de salud para mejorar la atención al recién nacido prematuro, con la activa participación de la Atención Primaria de la Salud. Objetivo: Analizar la atención materna con el recién nacido en el tercer paso del método madre canguro y la ayuda prestada por profesionales de la Estrategia Salud de la Familia a la madre-bebé canguro. Método: Se trata de una investigación cualitativa, descriptiva-exploratoria, presentada a la Comisión de Ética en Investigación del Hospital Universitario Lauro Wanderley, obtención de opinión 1,515,237 CAAE 54391316.7.0000.5183. Los participantes fueron 10 madres de recién nacidos, cuyo parto se realiza en una de las maternidades que entraron en el estudio. Los datos fueron recolectados por medio de entrevistas, en los meses de mayo y junio de 2016, analizó a partir de la técnica de análisis de contenido propuesto por Bardin. Tuvo como telón de fondo la clínica obstétrica de un hospital universitario y un hospital público de maternidad que cumplen los recién nacidos prematuros o de bajo peso al nacer, además de unidades de salud familiar en la ciudad de João Pessoa, Paraíba. Resultados: Los informes de las madres-canguro muestran sentimientos como el miedo, la inseguridad y el cansancio, a cuidar al niño en el hogar; el experimentado falta de apoyo familiar y profesionales para la continuidad del método, resultando en debilidad de la atención a la madre-bebé en esta etapa del método madre canguro. Conclusión: En seguir prestando atención a la madre-bebé canguro, es necesario capacitar a los profesionales de la Estrategia Salud de la Familia en relación con el método, fortalecer el vínculo de la familia con el equipo de salud de la comunidad, establecer una visita a la casa a este doble, en la rutina de los equipos, y propiciar la integralidad de la atención. / Introdução: Nos últimos anos, o Ministério da Saúde vem realizando ações para conter a fragmentação da assistência prestada às gestantes e aos recém-nascidos e reduzir a morbimortalidade neonatal no Brasil. O Método Canguru foi incorporado como política de saúde para melhorar a assistência ao recém-nascido prematuro, com participação ativa da Atenção Primária à Saúde. Objetivo: Analisar o cuidado materno com o recém-nascido na terceira etapa do Método Canguru e a assistência dada pelos profissionais da Estratégia Saúde da Família ao binômio mãe-bebê canguru. Método: Trata-se de uma pesquisa qualitativa, descritivo-exploratória, submetida ao Comitê de Ética em Pesquisa do Hospital Universitário Lauro Wanderley, obtendo parecer 1.515.237 CAAE 54391316.7.0000.5183. Participaram da pesquisa dez mães de recém-nascidos, cujo parto foi realizado em uma das maternidades inseridas no estudo. Os dados foram coletados por meio de entrevista semiestruturada, nos meses de maio e junho de 2016, analisados a partir da técnica de análise de conteúdo proposta por Bardin. Teve como cenário a Clínica Obstétrica de um Hospital Universitário e uma maternidade pública que atendem a recém-nascidos pré-termo e/ou de baixo peso, além de Unidades de Saúde da Família do município de João Pessoa-PB. Resultados: Os relatos das mães-canguru evidenciam sentimentos como medo, insegurança e cansaço, ao assumir os cuidados com o filho no domicílio; vivenciaram falta de apoio familiar e de profissionais para continuidade do método, resultando em fragilidade da assistência ao binômio mãe-bebê nessa etapa do método canguru. Conclusão: Para continuar a prestar cuidados ao binômio mãe-bebê canguru, é necessário capacitar os profissionais da Estratégia Saúde da Família em relação ao método, fortalecer o vínculo da equipe de saúde da família com a comunidade, instituir visita domiciliar para essa dupla, na rotina das equipes, e propiciar a integralidade da assistência.

Magister Public Health - MPH / Kangaroo mother care (KMC) was first initiated in Colombia due to shortages of incubators and the incidence of severe hospital infections of new-born infants during hospital stay (Feldman, 2004). Currently it is identified by UNICEF as a universally available and biologically sound method of care for all new-borns, particularly for low birth weight infants (Department of Reproductive Health and Research, 2003) in both developed and developing countries. The Western Cape Provincial Government implemented a policy on KMC as part of their strategy to decrease the morbidity and mortality of premature infants in 2003 (Kangaroo Mother Care Provincial task team, 2003). Essential components of KMC are: skin-to-skin contact for 24 hours per day (or as great a part of the day as possible), exclusive breastfeeding and support to the motherinfant dyad. Successful implementation of KMC requires relevant education of nurses, education of mothers on KMC by nursing staff, monitoring of the implementation of KMC by nurses, planning for a staff mix with varying levels of skill and experience with KMC, the identification of institution specific barriers to the implementation of KMC, and the implementation of institution specific strategies to overcome these barriers (Wallin,et al., 2005; Bergman & Jurisco, 1994; Cattaneo, et al., 1998). This study aims to determine the knowledge of and attitude towards kangaroo mother care, of nursing staff and kangaroo mothers in the Eastern sub-district of Cape Town. / South Africa