My name is Sheren Anwar Siani and I am currently in my second year of the 2-year accelerated Bachelor of Science in Nursing program at Dalhousie University, Halifax, NS. As primary author of this secondary study, I analyzed the questionnaire results as part of a larger study led by Dr. Marsha Campbell-Yeo as primary investigator. I have a passion for bridging the gaps between research and clinical practice and advancing nursing research to enhance quality client care and outcomes. My research interest has been primarily focused on parental participation, use of technology and pain management in neonatal nursing care. Through my experience and research involvement, I aim to advocate for nursing students’ interest in education and research across Canada and to mobilize future generation of nurses in using evidence to inform their practice. For further questions on this study, contact me at firstname.lastname@example.org.
finding: Maternal experience on performing repeated skin-to-skin care as a
procedural pain management in preterm neonates
Sheren Anwar Siani BSc (Hon)1, Britney Benoit MScN RN2, Kim Caddell BN RN4, Marsha Campbell-Yeo PhD NNP-BC RN1,2,3,4
1School of Nursing, Dalhousie University, 2Centre for Pediatric Pain Research, IWK Health Centre; 3Department of Pediatrics, IWK Health Centre; 4Maternal Newborn Program, IWK Health Centre
Background: During their care in Neonatal Intensive Care Unit (NICU), preterm neonates undergo a variety of painful procedures, often inadequately treated for pain and lacking maternal touch. Previous studies have demonstrated maternal skin-to-skin care (SSC) as an effective, natural approach to relieve pain in preterm neonates during painful procedures. Despite characterization of mother’s attitude towards provision of SSC in a single painful procedure, mother’s perception on sustained efficacy of SSC remains to be elucidated.
Purpose: The purpose of this study is to describe perception of mothers on providing SSC as a routine pain relieving strategy during repeated procedures throughout the duration of their infant’s hospitalization
Design/Methods: Using a secondary descriptive analysis, mothers of a preterm infant participating in a larger trial who were randomized to receive one of two SSC intervention groups were asked to complete a questionnaire focused on four issues: how they felt about providing SSC during procedure, whether their feelings changed over the duration of the study, would they recommend it to others and any suggestions for change they would make.
Results: 41 of the 91 eligible mothers completed the questionnaire. The mothers unanimously expressed positive feelings about SSC: 49% related to mothers’ own benefits and 51% related to benefits to both mother and infant. Throughout the period of study, 29% of mothers’ positive feelings remained constant, whereas 71% reported greater positive feelings over time; none reported negative change in their perception of SSC. The mothers unanimously would recommend SSC to others. Parental concerns about inability to participate, greater need for parental facilities, consistent information from health care providers, greater father involvement and twin accommodations were identified as areas of improvement.
Conclusion: Overall, mothers gained confidence and skills over time and felt empowered to provide that unique, maternal comfort to their infants, particularly during painful procedures. Limitations of this preliminary finding include self-selection to participate in the trial.
Implications for practice: Mothers should be given the opportunity to provide SSC with their babies during procedural pain throughout the duration of their neonatal hospital stay. Greater access to parent friendly accommodations and consistent practice guidelines are needed to achieve this goal.