{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:08:57Z","timestamp":1785830937614,"version":"3.56.0"},"reference-count":47,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T00:00:00Z","timestamp":1664841600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Addiction and Mental Health Strategic Clinic Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Hospital and community healthcare providers have expressed concerns around the continuity and quality of care for infants with neonatal abstinence syndrome (NAS) during hospitalization and transition home. This qualitative study explored the experiences of hospital and community-based healthcare providers and identified themes related to the management of NAS for mothers and infants. Healthcare providers that cared for women with substance use disorders and\/or cared for newborns with NAS in a large urban setting in Canada met inclusion criteria for this study and were interviewed in groups or as individuals. Interview transcripts were reviewed iteratively using inductive thematic analysis to identify an overarching theme linked with primary themes. In total, 45 healthcare providers were interviewed. Qualitative analysis of their experiences derived the overarching theme of hope with five primary themes being: mother\/infant, mental health, system, judgement, and knowledge. The study identified gaps in NAS care including fear, stigma, and language. This research demonstrates that programs and interventions that work with mothers and newborns with NAS must foster hope in mothers, families, and in the extended care provider team and improve communication between hospital and community networks.<\/jats:p>","DOI":"10.3390\/children9101517","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T01:52:21Z","timestamp":1665193941000},"page":"1517","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fostering Hope: Comprehensive Accessible Mother-Infant Dyad Care for Neonatal Abstinence (CAIN)"],"prefix":"10.3390","volume":"9","author":[{"given":"Denise","family":"Clarke","sequence":"first","affiliation":[{"name":"Northern Alberta Neonatal Intensive Care Program, Stollery Children\u2019s Hospital, Alberta Health Services, Edmonton, AB T6G 2B7, Canada"},{"name":"Neonatal Intensive Care, Women\u2019s & Child Health Program, Covenant Health, Edmonton, AB T6L 5X8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Foss","sequence":"additional","affiliation":[{"name":"Northern Alberta Neonatal Intensive Care Program, Stollery Children\u2019s Hospital, Alberta Health Services, Edmonton, AB T6G 2B7, Canada"},{"name":"Neonatal Intensive Care, Women\u2019s & Child Health Program, Covenant Health, Edmonton, AB T6L 5X8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Lifeso","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hicks","sequence":"additional","affiliation":[{"name":"Northern Alberta Neonatal Intensive Care Program, Stollery Children\u2019s Hospital, Alberta Health Services, Edmonton, AB T6G 2B7, Canada"},{"name":"Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1H9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"a039669","DOI":"10.1101\/cshperspect.a039669","article-title":"Neonatal Opioid Withdrawal Syndrome (NOWS): A Transgenerational Echo of the Opioid Crisis","volume":"11","author":"Weller","year":"2021","journal-title":"Cold Spring Harb. 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