Thousands of babies are born prematurely every year and it is a challenge in the neonatal intensive care unit (NICU) to facilitate parent-child attachment while providing the safest clinical environment for the baby . One significant area of research involving premature infants is the effect of early skin-to-skin contact (SSC), or kangaroo care, between parents and the infant during their stay in the NICU. Although early and frequent SSC has been found to promote positive physiological responses in preterm infants, there is mostly speculative data regarding long-term psychosocial effects regarding parent-infant bonding. An important question that the doctor working in this specialty area must find a quantifiable answer to is: “Parents who are allowed to touch and/or hold their baby in the NICU create a better bond with their baby than those to whom I am unable to do so? ?” This type of question is structured in the PICO model, which is one of the most common models used in evidence-based practice (EBP). The application is structured so that the patient population and the practice or intervention are clearly identified, making it easier for the researcher to find relevant research data using the Internet and databases. More specifically, PICO can be divided into: P (patient population or condition of interest), I (intervention of interest), C (comparison of interests) and O (outcome of interest). (Schmidt & Brown, 2012) For the question in question, P (population) were parents of newborns in the NICU, I (intervention of interest) considered was the ability to touch and/or hold their baby, C (comparison) were the parents who were not allowed physical contact with their baby,...... middle of paper... they must realize that they are not only caring for a premature baby, but also for a new family. It is also important for the nurse to understand that mothers' and fathers' approaches to contact and bonding with their baby may be different. Although quantitative data from Chiu and Anderson (2009) revealed no significant differences between the control group and the SSC group at 18 months, data from Latva et al. (2008) showed significant behavioral differences at age six when children were touched as newborns and formed a secure attachment. Therefore, for the health and well-being of both parents and baby, time and opportunity to have SSC and bonding experiences must be priorities in the care plan for newborns in the NICU. As one mother stated, “I need to be allowed to feel that he is mine.” (Fegran, Helseth and Fagermoen, 2007, p. 813)
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