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Promoting Sensitive Mother-Infant Interactions in the Neonatal Intensive Care Unit: Development and Design of a Nursing Intervention Using a Theory and Evidence-Based Approach

Authors :
Andréane Lavallée
Marilyn Aita
José Côté
Linda Bell
Bénédicte Grou
Source :
Science of Nursing and Health Practices, Vol 5, Iss 1 (2022)
Publication Year :
2022
Publisher :
Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ), 2022.

Abstract

Introduction: Sensitive mother-infant interactions are important predictors of long-term mother-infant relationship, which is one factor having a positive impact on infant development. Considering preterm infants’ immaturity, mother-infant interactions and maternal sensitivity may not develop optimally. A systematic review showed that current evidence on the effectiveness of parent-infant interventions promoting parental sensitivity in the neonatal intensive care unit (NICU) is of low to very low quality. Objective: The objective of this paper is to report the development process of a novel nursing intervention, using a theory and evidence-based approach, to enhance maternal sensitivity and preterm infant neurodevelopment in the NICU. Methods: The Medical Research Council’s guidance to develop and evaluate complex health interventions, that is an evidence and theory-based approach, was used for this study. Thus, based on the MRC framework, three main steps were conducted: 1- Identifying existing empirical evidence; 2- Identifying and developing theory; 3- Modeling processes and outcomes. Results: We developed a guided participation intervention for mothers to participate in their preterm infant’s care and positioning (‘GP_Posit’). ‘GP_Posit’ is based upon the Attachment theory, the Guided Participation theory as well as the Synactive theory of development. Conclusion: This novel intervention is being tested in a pilot randomized controlled trial (NCT03677752).

Details

Language :
English, French
ISSN :
25617516
Volume :
5
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Science of Nursing and Health Practices
Publication Type :
Academic Journal
Accession number :
edsdoj.31debf26e03c45c9bf1ed44e49469e72
Document Type :
article
Full Text :
https://doi.org/10.7202/1090530ar