{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:04:15Z","timestamp":1790820255893,"version":"4.1.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"unspecified","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Skin-to-skin care promotes physiologic stability, growth, bonding, and stress reduction for infants and parents. A skin-to-skin-a-thon is a structured event designed to increase awareness and implementation of skin-to-skin care through staff and family education and engagement. A coordinated, multicentre skin-to-skin-a-thon, focused on infants with CHD, has not previously been described.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Participating sites were recruited through a national collaborative and participated in coordinated planning and implementation supported by shared resources. Sites implemented the skin-to-skin-a-thon within their hospital\u2019s existing skin-to-skin care guidelines using shared resources from a standardised \u201csite champion bundle,\u201d which included educational materials, promotional posters, and printable tools. Site leaders reported educational initiatives and promotional strategies used locally.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    All 22 participating sites had existing holding or skin-to-skin care guidelines at the time of the actual event; however, 9 of 22 sites developed or updated guidelines in the months leading up to the skin-to-skin-a-thon in preparation for the event. Sites adapted materials to local policies, provided staff education, and hosted awareness activities within their cardiac intensive care and\/or step-down units. Internal email communication was the most common promotional strategy, while staff education approaches varied. The perceived difficulty of organising the event ranged from very difficult to easy across sites.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This skin-to-skin-a-thon successfully united 22 hospitals nationwide, with 42% of Cardiac Neurodevelopmental Outcome Collaborative-affiliated centres participating. This initiative demonstrates the feasibility of leveraging multicentre collaboration infrastructure and virtual media to support evidence-based practice implementation.\n                  <\/jats:p>","DOI":"10.1017\/s104795112612349x","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T08:25:59Z","timestamp":1784708759000},"page":"1446-1451","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Development and implementation of a coordinated, multicentre CHD-focused skin-to-skin-a-thon"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6735-5776","authenticated-orcid":false,"given":"Sarah","family":"Schlatterer","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03wa2q724","id-type":"ROR","asserted-by":"publisher"}],"name":"Children\u2019s National Hospital"},{"id":[{"id":"https:\/\/ror.org\/00y4zzh67","id-type":"ROR","asserted-by":"publisher"}],"name":"The George Washington University School of Medicine and Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Overpeck","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Orange County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reagan","family":"Broach","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8576-7179","authenticated-orcid":false,"given":"Samantha C.","family":"Butler","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridy","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Nemours Children\u2019s Hospital Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Baxelbaum","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-7324","authenticated-orcid":false,"given":"Courtney E.","family":"Jones","sequence":"additional","affiliation":[{"name":"Primary Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"LaSalle","sequence":"additional","affiliation":[{"name":"Texas Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8642-2188","authenticated-orcid":false,"given":"Chetna","family":"Pande","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Russell","sequence":"additional","affiliation":[{"name":"Nemours Children\u2019s Hospital Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Watson","sequence":"additional","affiliation":[{"name":"Arkansas Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Jo","family":"Lisanti","sequence":"additional","affiliation":[{"name":"University of Pennsylvania"},{"name":"The Children\u2019s Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"S104795112612349X_ref12","article-title":"Validation of a revised instrument to assess implementation readiness of skin-to-skin care in acute or intensive care for neonates born with complex congenital heart disease","author":"Lisanti","year":"2024","journal-title":"J Neonatal Nurs"},{"key":"S104795112612349X_ref5","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001211"},{"key":"S104795112612349X_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.08.005"},{"key":"S104795112612349X_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002493"},{"key":"S104795112612349X_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002881"},{"key":"S104795112612349X_ref11","unstructured":"11. Kangaroo Care Awareness Day: Embrace the Bond with Skin-to-Skin Care. Int\u2019l Kangaroo Care Awareness Day (May 15). https:\/\/kangaroo.care\/."},{"key":"S104795112612349X_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000612"},{"key":"S104795112612349X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2025.101641"},{"key":"S104795112612349X_ref14","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2022124"},{"key":"S104795112612349X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2025.08.008"},{"key":"S104795112612349X_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2016.02.007"},{"key":"S104795112612349X_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13094"},{"key":"S104795112612349X_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2023.103771"},{"key":"S104795112612349X_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000546"},{"key":"S104795112612349X_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094695"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112612349X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:45:57Z","timestamp":1790819157000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112612349X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S104795112612349X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112612349x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}