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Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative
Dyah Dwi Astuti1,2, Rinawati Rohsiswatmo3, Dessie Wanda4
1Postgraduate Program, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
Insights
Indonesian nurses face challenges in preterm infant oral feeding readiness, requiring comprehensive assessment, specialized skills, and collaborative support for improved infant outcomes.
Area of Science:
- Neonatal nursing
- Pediatric critical care
- Infant feeding practices
Background:
- Preterm infants often experience feeding difficulties due to physiological immaturity, increasing risks of aspiration and feeding intolerance.
- These challenges contribute to higher morbidity and mortality rates in premature infants.
- Nurses are crucial in implementing interventions to ensure safe and effective oral feeding for preterm infants.
Purpose of the Study:
- To explore the experiences of Indonesian nurses in enhancing oral feeding readiness in preterm infants.
- To identify key factors influencing the nursing role in preterm infant feeding.
- To understand the challenges and strategies employed by nurses in this specialized area.
Main Methods:
- Qualitative descriptive study design.
- Involved ten nurses from intensive care units in Indonesia.
- Data collected via semi-structured interviews and analyzed using thematic analysis.
Main Results:
- Four major themes emerged: comprehensive nursing assessment, complex nursing challenges, need for nutritional management skills, and importance of collaborative support.
- Nurses highlighted the necessity of a holistic approach to assess feeding readiness.
- Effective feeding requires specialized skills and teamwork.
Conclusions:
- Nurses are central to improving oral feeding readiness in preterm infants.
- Key nursing roles include assessment, managing challenges, and multidisciplinary collaboration, including parental involvement.
- Findings provide a basis for developing targeted interventions to enhance preterm infant feeding outcomes.
Background:
Many preterm infants face feeding difficulties during the transition from enteral to oral feeding due to organ immaturity, resulting in aspiration, airway instability, and oral feeding intolerance. These challenges can increase morbidity and mortality among preterm infants. Nurses play a vital role in providing interventions to minimize negative impacts and enhance the safety of preterm oral feeding.
Objective:
This study aimed to explore the experiences of Indonesian nurses in improving preterm oral feeding readiness.
Methods:
A qualitative descriptive study was conducted involving ten nurses working in intensive care units as participants through purposive sampling. Data were collected through semi-structured, in-depth interviews conducted from January to March 2023. Thematic analysis was applied for data analysis.
Results:
Four key themes developed in this study: 1) comprehensive and holistic nursing assessment, 2) challenging and complex nursing issues, 3) the need for nutritional management skills, and 4) the necessity of collaborative support.
Conclusion:
Nurses play a pivotal role in enhancing oral feeding readiness among premature infants. Their responsibilities include assessing oral feeding readiness, addressing nursing challenges, and implementing multidisciplinary stimulation involving parents. This study provides a foundational framework for developing interventions to improve preterm oral feeding readiness.
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