Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study


oral feeding readiness
preterm infants

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Astuti, D. D., Rohsiswatmo, R., Wanda, D., & Utari, D. M. (2023). Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study. Belitung Nursing Journal, 9(5), 478–488. https://doi.org/10.33546/bnj.2772
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Accepted for publication: 2023-09-19
Peer reviewed: Yes

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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.


Supporting Agencies

This study was supported by the Ministry of Health of the Republic of Indonesia. Recipient: Dyah Dwi Astuti


Copyright (c) 2023 Dyah Dwi Astuti, Rinawati Rohsiswatmo, Dessie Wanda, Diah Mulyawati Utari

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

There are no conflicts of interest in this study.

Authors’ Contribution

DDA conceptualized, designed, analyzed, and drafted the manuscript. RW, DW, and DMU contributed to conceptualizing, analyzing, reviewing, and supporting the literature review with intellectual content. All authors provided final approval of the version to be published.

Data Availability

The dataset generated during and analyzed during the current study is available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

Nothing to disclose.


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