Tactile kinaesthetic stimulation to promote gastrointestinal passage in preterm infants with very low birth weight - a qualitative study
Year: 2026
Type: article
Abstract: Background Early enteral feeding in very low birth weight (VLBW) infants (<1500 g) remains challenging in neonatal intensive care. Tactile kinaesthetic stimulation (TKS) may support gastrointestinal passage; however, abdominal massage has been associated with potential adverse effects. Objective To explore neonatal intensive care nurses’ experiences with non-abdominal TKS to promote gastrointestinal function in VLBW infants. Methods Semi-structured interviews were conducted with twelve neonatal intensive care nurses holding TKS qualifications. Data were analysed using qualitative content analysis with deductive and inductive category development. Results Five categories emerged: concept and rationale, applied techniques, effects, implementation, and ethical considerations. Nurses described partial tactile interventions (e.g., foot reflexology, sacral massage), kinaesthetic movements, and positioning strategies. Reported effects included improved stool excretion, reduced flatulence, and enhanced feeding tolerance. Effective implementation required individualized adaptation, parental involvement, and respect for infant cues. Conclusion Across TKS approaches, shared core principles included gentle, partial stimulation, parasympathetic activation, active movement promotion, and individualized, family-centred care. Core principles should be considered in future research and clinical practice.
Source: Journal of Neonatal Nursing
Authors: Natalie Hurst, Cornelia Mahler
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,200
OpenAlex ID: W7141752517