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J Obstet Gynecol Neonatal Nurs · Nov 2013
Multicenter Study Comparative StudyMaternal satisfaction with administering infant interventions in the neonatal intensive care unit.
- Diane Holditch-Davis, Rosemary White-Traut, Janet Levy, Kristi L Williams, Donna Ryan, and Susan Vonderheid.
- J Obstet Gynecol Neonatal Nurs. 2013 Nov 1; 42 (6): 641-54.
ObjectiveTo examine mothers' satisfaction with administering interventions for their preterm infants and with the helpfulness of the study nurse by comparing massage with auditory, tactile, visual, and vestibular stimulation (ATVV intervention), kangaroo care, and education about equipment needed at home and to explore whether mother and infant characteristics affected maternal satisfaction ratings.DesignThree-group experimental design.SettingFour neonatal intensive care units (NICUs) (two in North Carolina, two in Illinois).ParticipantsTwo hundred and eight (208) preterm infants and their mothers.MethodsWhen the infant was no longer critically ill, mother/infant dyads were randomly assigned to ATVV, kangaroo care, or the education group all taught by study nurses. At discharge and 2 months corrected age, mothers completed questionnaires.ResultsAll groups were satisfied with the intervention and with nurse helpfulness, and the degree of satisfaction did not differ among them. Intervention satisfaction, but not nurse helpfulness, was related to recruitment site. Older, married, and minority mothers were less satisfied with the intervention but only at 2 months. Higher anxiety was related to lower intervention satisfaction at discharge and lower ratings of nurse helpfulness at discharge and 2 months. More depressive symptoms were related to lower nurse helpfulness ratings at 2 months.ConclusionsMothers were satisfied with interventions for their infants regardless of the intervention performed. Maternal satisfaction with the intervention was related to recruitment site, maternal demographic characteristics, and maternal psychological distress, especially at 2 months. Thus, nursing interventions that provide mothers with a role to play in the infant's care during hospitalization are particularly likely to be appreciated by mothers.© 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
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