title: Nurses' adherence to the Kangaroo Care Method: support for nursing care management.
abstract: OBJECTIVE
  construct an explanatory theoretical model about nurses' adherence to the Kangaroo Care Method at the Neonatal Intensive Care Unit, based on the meanings and interactions for care management.
  
  
  METHODS
  qualitative research, based on the reference framework of the Grounded Theory. Eight nurses were interviewed at a Neonatal Intensive Care Unit in the city of Rio de Janeiro. The comparative analysis of the data comprised the phases of open, axial and selective coding. A theoretical conditional-causal model was constructed.
  
  
  RESULTS
  four main categories emerged that composed the analytic paradigm: Giving one's best to the Kangaroo Method; Working with the complexity of the Kangaroo Method; Finding (de)motivation to apply the Kangaroo Method; and Facing the challenges for the adherence to and application of the Kangaroo Method.
  
  
  CONCLUSIONS
  the central phenomenon revealed that each nurse and team professional has a role of multiplying values and practices that may or may not be constructive, potentially influencing the (dis)continuity of the Kangaroo Method at the Neonatal Intensive Care Unit. The findings can be used to outline management strategies that go beyond the courses and training and guarantee the strengthening of the care model.
authors.affiliation: Escola de Enfermagem Alfredo Pinto, Universidade Federal do Estado do Rio de Janeiro, RJ, BR.
authors.forename: Laura Johanson
authors.initials: LJ
authors.lastname: da Silva
authors.affiliation: Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro, RJ, BR.
authors.forename: Josete Luzia
authors.initials: JL
authors.lastname: Leite
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
authors.forename: Carmen Gracinda Silvan
authors.initials: CG
authors.lastname: Scochi
authors.affiliation: Escola de Enfermagem Alfredo Pinto, Universidade Federal do Estado do Rio de Janeiro, RJ, BR.
authors.forename: Leila Rangel
authors.initials: LR
authors.lastname: da Silva
authors.affiliation: Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro, RJ, BR.
authors.forename: Thiago Privado
authors.initials: TP
authors.lastname: da Silva
mesh_terms: D000328:Adult; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D060127:Kangaroo-Mother Care Method; D008875:Middle Aged; D016294:Models, Nursing; D017283:Neonatal Nursing; D055815:Young Adult