International Journal of Clinical Case Reports, 2025, Vol.15, No.4, 182-189 http://medscipublisher.com/index.php/ijccr 183 2 Design and Implementation Characteristics of Rooming-In Intervention Study with Baby 2.1 Selection of Intervention subjects and population characteristics Research on rooming-in with infants usually selects research subjects based on clinical needs and related risk factors. For instance, the NASCENT project mainly studies mothers who use opioids during pregnancy and their infants at risk of neonatal withdrawal syndrome. Therefore, this study is particularly suitable for this high-risk group (Wine et al., 2023). For instance, in some studies in the field of pediatrics, such as for children undergoing hematopoietic stem cell transplantation (HSCT), caregivers and children are also invited to participate together. These families need to arrange more complex care after discharge. Therefore, it is suitable for evaluating the feasibility of rooming-in with infants and whether caregivers are prepared for care (Gladbach et al., 2020). These studies will record in detail the characteristics of the participants, such as the health status of the mothers, their medication history, and the medical needs of the infants. This information helps to identify which small groups may benefit the most from room-sharing with infants, and also eliminates other factors that affect the research results, such as postpartum depression or infant health, etc. (Gladbach et al., 2020; Wine et al., 2023). Through such targeted selection, the research results are also more valuable for reference in actual clinical practice. 2.2 Settings for the duration, timing and frequency of intervention The intervention time and arrangement for rooming-in with infants may vary depending on specific circumstances and research objectives. In the NASCENT program, infantile rooming-in begins after the mother is hospitalized and continues throughout the hospitalization. Mothers and infants are together 24 hours a day, during which breastfeeding guidance and pre-discharge care preparation support are provided (Nielsen et al., 2021; Wine et al., 2023). This approach enables a comprehensive observation of short-term impacts, such as whether it reduces the time newborns spend in the NICU or increases the degree of mothers' participation in care. The frequency of intervention is generally uniformly stipulated to ensure the consistency of implementation among different hospitals. For example, in the HSCT study, infan-in-room arrangement was carried out before discharge, and caregivers could practice care skills under the guidance of hospital staff (Gladbach et al., 2020; Goldkuhl et al., 2023). This standardized approach facilitates the comparison of differences between the group with infants in the same room and the conventional care group, and also enables a better assessment of the implementation and effectiveness of the intervention. 2.3 Comparison of the control group design with conventional care In studies with infants in the same room, the control group usually received routine care, which typically meant that mothers and infants were cared for separately or discharged according to the standard procedure without additional support measures (Gladbach et al., 2020; Wine et al., 2023). This design can more directly compare the differences between the two groups in terms of the health of mothers and infants, the degree of care readiness and the use of medical services. Comparing room-sharing with infants with routine care is of great significance for evaluating their effectiveness. For instance, the NASCENT project used a grouped, staged randomized controlled trial to compare the baseline data before the intervention with the results after the intervention, thereby providing stronger evidence (Figure 1) (Wine et al., 2023). Similarly, the HSCT study compared the subjects who received infantile room care with those who had not participated in this care before, and analyzed the differences in their discharge preparation and care experience (Gladbach et al., 2020). This research design helps to more reliably understand the advantages and possible disadvantages of rooming-in with infants. 3 Core Concepts and Nursing Components of the Rooming-In Care Model 3.1 Definition and practical concept of rooming-in with infants Room-sharing with infants refers to the situation where the mother and the baby remain in the same room from birth until discharge, rather than being assigned to different wards or nursery rooms (Loughlin, 2018). The idea of this approach is that spending a long time together with the baby helps build an intimate relationship, promotes
RkJQdWJsaXNoZXIy MjQ4ODYzNA==