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A Caregiver-Infant Interaction Framework to Guide Nursing Approaches to Supporting Early Relational Health: From Theory to Nursing Action.

Journal articles  - Journal Article
Hepler, B; Gondwe, KW; Brandon, D
Published in: ANS. Advances in nursing science
April 2026

Early Relational Health, as prioritized by the American Academy of Pediatrics, emphasizes relationships that are safe, stable, and nurturing. The mechanisms that cultivate or harm such relationships are moment-to-moment caregiver-infant interactions (eg, actions or behaviors between 2 partners), which are influenced by the larger socioecological environment. The concepts that explore caregiver-infant interaction are plentiful, but how these concepts relate to each other and to the emerging field of early relational health remains underexplored. This theory development paper responds to this gap, proposing a framework grounded in Chinn and Kramer's (2023) theory generation and evaluation process. Additionally, the manuscript explores how nurses can support caregiver-infant dyads during their interactions, meaning-making processes, relational outcomes, and socioecological realities.

Duke Scholars

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Published In

ANS. Advances in nursing science

DOI

EISSN

1550-5014

ISSN

0161-9268

Publication Date

April 2026

Volume

49

Issue

2

Start / End Page

184 / 194

Related Subject Headings

  • Parent-Child Relations
  • Nursing Theory
  • Nursing
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Female
  • Caregivers
  • 4205 Nursing
 

Citation

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Hepler, B., Gondwe, K. W., & Brandon, D. (2026). A Caregiver-Infant Interaction Framework to Guide Nursing Approaches to Supporting Early Relational Health: From Theory to Nursing Action. ANS. Advances in Nursing Science, 49(2), 184–194. https://doi.org/10.1097/ans.0000000000000638
Hepler, Bonnie, Kaboni Whitney Gondwe, and Debra Brandon. “A Caregiver-Infant Interaction Framework to Guide Nursing Approaches to Supporting Early Relational Health: From Theory to Nursing Action.” ANS. Advances in Nursing Science 49, no. 2 (April 2026): 184–94. https://doi.org/10.1097/ans.0000000000000638.
Hepler, Bonnie, et al. “A Caregiver-Infant Interaction Framework to Guide Nursing Approaches to Supporting Early Relational Health: From Theory to Nursing Action.” ANS. Advances in Nursing Science, vol. 49, no. 2, Apr. 2026, pp. 184–94. Epmc, doi:10.1097/ans.0000000000000638.

Published In

ANS. Advances in nursing science

DOI

EISSN

1550-5014

ISSN

0161-9268

Publication Date

April 2026

Volume

49

Issue

2

Start / End Page

184 / 194

Related Subject Headings

  • Parent-Child Relations
  • Nursing Theory
  • Nursing
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Female
  • Caregivers
  • 4205 Nursing