Illustrative quotes ‘cognitive participation’
| Subconstruct/theme name | Illustrative quotes |
| 2.1 Initiation It helps when someone’s got an interest in a particular study |
There’s a couple of [staff] who’ve got a real interest in it as well… it really helps as well when you’ve got [consultants] or [nurses] who’ve got an interest in a particularly study because then they will come and approach [research team). That really helps to embed things as well. #16, site A
I was quite excited… once I heard about this study… when people from (research team) were talking to [research lead] about people they wanted to put forward to help they immediately came to me and I said “Okay yeah, I can do that.” #8, site D |
| 2.2 Legitimation As long as it’s safe |
One of my colleagues who was a little bit against it, said, “I don’t see the benefit, I feel that the risks far outweigh the benefit, the fact that this baby is ventilated so the tube could come out. This baby had got central lines that could come out… all these risks of getting this baby out for a cuddle when normally we would wait to day five, what’s the difference?” And actually when she then saw a cuddle happening it changed her mind. #6, site B it’s not been risky, we’ve not had any adverse events. #15, site A
I think it’s a massively positive thing… getting babies out for cuddles, as long as it’s safe to do so, it’s something that we should be prioritising on a daily basis. #14, site D |
| 2.3 Enrolment Senior nurse or medical teams buy-in |
A couple of the cuddles… it was really busy on the unit, and I did ask the consultant if they were happy for me to get the baby out at that time, …they even came up during the cuddle and asked parents, “How are you doing? We really want you to enjoy your cuddle.” So I had quite positive feedback from the consultants… they were actually really supportive. #13, site B
There have been plenty of occasions where the clinic team have come to us and said, “We’ve got a baby that’s being cooled. #15, site A |
| 2.4 Activation It’s about changing people’s mindset | I do think it’s about changing people’s mindset… I got the criteria out and I went and showed [the consultant] and I said, “There’s nothing on the criteria that prevents this baby coming out for a cuddle.” #6, site B |