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. 2021 Feb 23;20:35. doi: 10.1186/s12912-021-00553-y

Table 1.

Final coding structure with categories, themes and codes

Category Themes Codes
Nurse role and training Direct care of mother, baby

Assessment

Cord and circumcision care

Diapering, bathing, swaddling

Feeding

Post-operative care

Parent education

Mother relays info to father

Repeat information for father

Teach whomever is present

Wait for father to arrive

Focus on mothers

Training focuses on mothers

Education directed to mothers

Want, need additional training

Communication

Fathers’ interests, concerns

Providing education

How to engage fathers

Interactions with fathers Father presence or absence at hospital

Home with other children

Incarcerated

Not involved with the mother

Out of country

Transportation issues

Work schedule, lack of leave

Ways to engage fathers

Answer his questions

Ask about his thoughts, feelings

Demonstrate, show him things

Directly acknowledge him

Don’t push too hard

Educate and inform him

Encourage him to ask questions

Tell him he needs to learn, do things

Perceptions of fathers’ level of engagement Level of engagement

As engaged as mothers

Less engaged than mothers

Influences on level of involvement

Depends on the person

First-time fathers more engaged

Cultural influences

Barriers to involvement

Afraid to touch or handle the baby

Feels left out, ignored

Lack of knowledge, confidence

Maternal gatekeeping

Attitudes toward father involvement Benefits of father involvement

Benefits to baby

Benefits to mother

Benefits to family

Father role

Equal partner with mother

Secondary caregiver