Best Beginnings: Initating Kangaroo Care Immediately After Hospital Birth

Saturday, 16 November 2013

Ellee Humphrey, MSN, RN
Norton Suburban Hospital, Norton Healthcare, Louisville, KY
Ermalynn M. Kiehl, PhD, ARNP
Department of Nursing, University of West Florida, Pensacola, FL

Learning Objective 1: The learner will gain experience in assessing stakeholder readiness for change.

Learning Objective 2: The learner will apply the KP model in the planning, development, implementation and evaluation of initiating kangaroo care immediately after birth.

Norton Suburban Hospital is part of a five hospital system.  This large, community hospital delivers approximately 6000 babies/year.  The staff in labor and delivery provide evidence based care to all patients and families.  To further this commitment to the community served, this team embarked upon the journey toward implementing kangaroo care immediately following birth.
   The purpose of this project is to describe one hospital's experience in implementing kangaroo care.  Stakeholder readiness for change was assessed and presented to the team.  A task force was formed with nursing staff from labor and delivery, NICU, and the mother baby unit.  Nurse educators were included ad hoc. The task force was responsible for mapping the current and future state processes. The nursing staff received education on providing kangaroo care, including the operational definition, infants who were appropriate to be placed skin to skin immediately after birth, those to be excluded, as well as scripting this message to our patients as families.
   The labor and delivery nurses aided the task force in evaluating the success of this project.  The nurses we responsible for completing a data collection tool with each delivery.  The data was compiled by a member of the task force and shared monthly.  
   Reward and recognition has been a successful tool in the hard wiring of this process.  Each month, a kangaroo care nurse champion was identified and rewarded.
   On average, 85% of mothers who delivered vaginally participated in kangaroo care.  34% of mothers who delivered via Cesarean Section participated in kangaroo care in the operating room, and 85% participated in the recovery room.  Within the first hour of life, the mother/infant dyad spent an average of 51 minutes in kangaroo care.
   Next steps will focus on evaluating the maternal experience as it pertains to participating in kangaroo care.