Evidence map›Paper›PMID 39658294›Full record

ArticleBMJ open2024

Mother-newborn couplet care and the expectations, concerns and educational needs of healthcare professionals: a qualitative study.

Joan Neergaard Larsen, Laura Emdal Navne, Helena Hansson, Ragnhild Maastrup, Porntiva Poorisrisak, Jette Led Sørensen, Lotte Broberg

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joan Neergaard LarsenDepartment of Neonatology, Copenhagen University Hospital, Copenhagen, Denmark joan.neergaard.larsen.01@regionh.dk.ORCID http://orcid.org/0000-0002-3783-5269
Laura Emdal NavneHealth, VIVE, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8996-3222
Helena HanssonDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Ragnhild MaastrupDepartment of Neonatology, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8719-5717
Porntiva PoorisrisakDepartment of Neonatology, Copenhagen University Hospital, Copenhagen, Denmark.
Jette Led SørensenJuliane Marie Centre for Children, Women and Reproduction Section 4074, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7320-2784
Lotte BrobergCentre for Clinical Research and Prevention, Bispebjerg Hospital, Copenhagen, Frederiksberg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur aim was to explore healthcare professionals' (HCPs) expectations, concerns and educational needs regarding preparing for implementing the concept of couplet care, keeping newborns in need of intensive care together with their mothers in need of obstetrical care.

designA qualitative focus group study based on semistructured interviews. We analysed the data using reflexive thematic analysis. This study is part of a comprehensive research project and pre-implementation based on curriculum development principles and implementation theory.

settingWe conducted four focus group interviews from May to June 2023 at a tertiary referral university hospital in Denmark.

participantsNeonatologists, obstetricians, midwives and nurses (n=21) were recruited from neonatal and obstetric departments. INCLUSION CRITERIA: Neonatologists, obstetricians, midwives and nurses with various levels of postgraduate experience.

resultsWe identified the overarching theme of building bridges in relation to HCPs' expectations, concerns and educational needs and five subthemes: Enhancing meaningfulness through increased teamwork; compromising or improving patient safety; challenging professional comfort zones; encountering other cultural and ethical values; and recognising educational requirements.

conclusionsHCPs widely support mother-newborn couplet care and emphasise the need for closer collaboration between neonatal and obstetric departments. Implementing couplet care is seen as meaningful, potentially enhancing the well-being of mothers and newborns and positively impacting HCPs' job satisfaction. Key concerns include patient safety, quality of treatment and care and the well-being of HCPs navigating their skills, psychological safety and professional boundaries. While the importance of couplet care for early closeness and connection is acknowledged, challenges arise in meeting diverse maternal and neonatal needs. Additional research, especially in highly specialised settings, is necessary to understand the complexities associated with changing the care paradigm for newborns and mothers to be cared for together and in implementing couplet care. We found focus groups useful as a tool for needs assessment and uncovering and adapting practices to address challenges in implementing couplet care.

Indexed as

Attitude of Health PersonnelFocus GroupsQualitative ResearchAdultDenmarkFemaleHealth PersonnelHumansInfant, NewbornMaleNeeds AssessmentPregnancyNEONATOLOGYOBSTETRICSParentsQUALITATIVE RESEARCH

Identifiers

PMID39658294
PMCPMC11647370

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.