RNSystematic ReviewJournal of advanced nursing2026

Diverse Parental Experiences of Kangaroo Care in Neonatal Units Across Healthcare Systems: A Meta-Synthesis.

Sirinthip Phuwayanon, Maria Healy, Breidge Boyle

PMID 40387354

WHAT IT FOUND

Across 25 studies, parents described Kangaroo Care as emotionally rewarding but physically and psychologically hard.

Staff support, privacy, practical teaching and family help were linked to continuing, especially where resources were limited.

Key findings

01Parents described Kangaroo Care as emotionally rewarding, strengthening their bond with the baby and helping them feel more confident as a mother or father.

02Parents also reported hardship: anxiety about the baby's health, fear of hurting them, and fatigue or discomfort from holding the baby.

03Supportive staff who teach parents about Kangaroo Care, provide emotional support and create private, comfortable spaces were described as important for continuing the practice.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review only included English-language peer-reviewed studies published from January 2010 to 2024 and did not search grey literature, so relevant local reports may be missing. Most included studies were from upper-middle-income countries, so the findings may not apply equally to high-income or low-income settings. It included only parents who had experienced Kangaroo Care, so it cannot describe the reasons parents refused or could not take part. The synthesis reports parents' experiences and themes, not measured infant or parental health outcomes, so it does not establish how effective Kangaroo Care is. Included studies varied in whether they examined intermittent or continuous Kangaroo Care, and some sampled mothers, fathers or both, so differences by Kangaroo Care type or parent sex are not always separated.

Declared interests

No funding or conflict-of-interest declaration is included in the supplied text.

The easy way to misread this

Do not read this as proof that Kangaroo Care improves infant survival, breastfeeding or parental mental health. It synthesises what parents said about their experiences, not measured outcomes. The health benefits mentioned in the paper come from earlier studies, not from this review.

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