Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil

ABSTRACT Objective: To analyze the implementation of the Kangaroo Method in a tertiary maternity hospital in the city of Recife. Method: Evaluative research analyzing the implementation of the 2nd and 3rd stages of the Kangaroo Method. Conducted between November 2021 and May 2022. A logical model...

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Main Authors: Joice Luiza Alves Cândido, Paulo Germano de Frias, Silvia Wanick Sarinho
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2025-01-01
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200419&lng=en&tlng=en
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author Joice Luiza Alves Cândido
Paulo Germano de Frias
Silvia Wanick Sarinho
author_facet Joice Luiza Alves Cândido
Paulo Germano de Frias
Silvia Wanick Sarinho
author_sort Joice Luiza Alves Cândido
collection DOAJ
description ABSTRACT Objective: To analyze the implementation of the Kangaroo Method in a tertiary maternity hospital in the city of Recife. Method: Evaluative research analyzing the implementation of the 2nd and 3rd stages of the Kangaroo Method. Conducted between November 2021 and May 2022. A logical model of the Kangaroo Method and the respective matrix of indicators were developed, validated by the Delphi technique, referring to the structure, process, definers of the degree of implementation (implemented/partially implemented/incipient), and the outcomes. Professionals from the Kangaroo Unit (n=9), discharge clinic (n=2), basic health units (n=15), municipal manager (n=1) and parents (n=18) were interviewed; medical records were checked along with direct observation. Plausibility relations were established using a deductive approach based on the logical model to compare the degree of implementation of the Kangaroo Method with its outcomes. Results: The 2nd stage was partially implemented (79.2%), as was its integration with the 3rd stage (78.0%). The implementation of the 3rd stage was incipient (58.4%). The mothers adhered to the recommended care and a strengthened bond with their babies (100%). The children were followed up at the discharge clinic (100%), but only 38.8% are in primary health care. Professionals were trained in the maternity ward (90%) and in primary care (37.5%). Conclusion: The Kangaroo Method was partially implemented, showing greater fragility in follow-up after hospital discharge.
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spelling doaj-art-a66d7613834f4373bbf4fa97021f02112025-01-14T07:35:05ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472025-01-0145spe110.1590/1983-1447.2024.20240149.enAnalysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, BrazilJoice Luiza Alves Cândidohttps://orcid.org/0000-0002-7666-2372Paulo Germano de Friashttps://orcid.org/0000-0003-4497-8898Silvia Wanick Sarinhohttps://orcid.org/0000-0002-2556-3323ABSTRACT Objective: To analyze the implementation of the Kangaroo Method in a tertiary maternity hospital in the city of Recife. Method: Evaluative research analyzing the implementation of the 2nd and 3rd stages of the Kangaroo Method. Conducted between November 2021 and May 2022. A logical model of the Kangaroo Method and the respective matrix of indicators were developed, validated by the Delphi technique, referring to the structure, process, definers of the degree of implementation (implemented/partially implemented/incipient), and the outcomes. Professionals from the Kangaroo Unit (n=9), discharge clinic (n=2), basic health units (n=15), municipal manager (n=1) and parents (n=18) were interviewed; medical records were checked along with direct observation. Plausibility relations were established using a deductive approach based on the logical model to compare the degree of implementation of the Kangaroo Method with its outcomes. Results: The 2nd stage was partially implemented (79.2%), as was its integration with the 3rd stage (78.0%). The implementation of the 3rd stage was incipient (58.4%). The mothers adhered to the recommended care and a strengthened bond with their babies (100%). The children were followed up at the discharge clinic (100%), but only 38.8% are in primary health care. Professionals were trained in the maternity ward (90%) and in primary care (37.5%). Conclusion: The Kangaroo Method was partially implemented, showing greater fragility in follow-up after hospital discharge.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200419&lng=en&tlng=enPremature birthKangaroo-mother care methodPrimary healthcareHealth evaluationProgram evaluation
spellingShingle Joice Luiza Alves Cândido
Paulo Germano de Frias
Silvia Wanick Sarinho
Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
Revista Gaúcha de Enfermagem
Premature birth
Kangaroo-mother care method
Primary healthcare
Health evaluation
Program evaluation
title Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
title_full Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
title_fullStr Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
title_full_unstemmed Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
title_short Analysis of the implementation of the Kangaroo Method in a tertiary maternity hospital in Recife, Brazil
title_sort analysis of the implementation of the kangaroo method in a tertiary maternity hospital in recife brazil
topic Premature birth
Kangaroo-mother care method
Primary healthcare
Health evaluation
Program evaluation
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200419&lng=en&tlng=en
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