Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU

ABSTRACT Objective: To identify the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method. Methods: Integrative literature review with a time cut from 02/01/2015 to 06/01/2019, totaling ten articles in the final sample. Results: The findings were categorized into two categories: Potentialities for humanized care from the perspective of the Kangaroo Method; Barriers or difficulties to the implementation of the Kangaroo Method. Several potentialities for humanized care allied to technology and continuing education were identified, as well as several barriers to the implementation of the Kangaroo Method, such as lack of physical space, lack of professionals and team training, lack of knowledge, lack of adherence and professional demotivation. Final considerations: There are still few studies that address the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method, and most of those included in this review were conducted in Brazil and present a qualitative approach.

摘要 研究目的：从袋鼠式护理（Kangaroo Method）的视角，识别人性化照护实施的潜在价值、阻碍与实施难点。研究方法：本研究为整合性文献综述，检索时间范围设定为2015年2月1日至2019年6月1日，最终纳入10篇文献作为有效研究样本。研究结果：本次研究结果被划分为两大类别：一是基于袋鼠式护理视角的人性化照护潜在价值；二是袋鼠式护理实施过程中的阻碍与难点。本研究明确了多项可与技术及继续教育相结合的人性化照护潜在价值，同时识别出袋鼠式护理实施的多项阻碍因素，包括物理空间不足、专业人员与团队培训资源匮乏、专业知识储备不足、依从性欠佳以及专业人员职业动力缺失。最终结论：目前从袋鼠式护理视角探讨人性化照护实施的潜在价值、阻碍与难点的相关研究仍较为稀缺，且本次综述纳入的多数研究均在巴西开展，采用质性研究方法。