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Perspectives on promoting breastmilk feedings for premature infants during a quality improvement project.

CPQCC Publication
TitlePerspectives on promoting breastmilk feedings for premature infants during a quality improvement project.
Publication TypeJournal Article
Year of Publication2013
AuthorsLee HChong, Martin-Anderson S, Lyndon A, R Dudley A
JournalBreastfeed Med
Volume8
Pagination176-80
Date Published2013 Apr
ISSN1556-8342
KeywordsBreast Feeding, California, Communication, Female, Health Knowledge, Attitudes, Practice, Health Personnel, Health Promotion, Humans, Infant, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Male, Maternal Health Services, Observation, Parents, Patient Care Team, Qualitative Research, Quality Improvement, Risk Factors
Abstract

OBJECTIVE: This study investigated clinicians' perspectives during a quality improvement project to promote breastmilk feedings in premature infants.

STUDY DESIGN: From 2009 to 2010, 11 hospitals in the California Perinatal Quality Care Collaborative participated in a project to promote breastmilk feedings in premature infants. Audio recordings of monthly meetings held to encourage sharing of ideas were analyzed using qualitative methods to identify common themes related to barriers and solutions to breastmilk feeding promotion.

RESULTS: Two broad categories were noted: communication and team composition. Communication subthemes included (1) communication among hospital staff, including consistent documentation, (2) communication with family, and (3) communication between transfer hospitals. Team composition subthemes included (4) importance of physician buy-in and (5) integrated teams designed to empower leaders.

CONCLUSIONS: Optimizing communication among health professionals and parents and improving team composition may be key components of facilitating breastmilk feeding promotion in premature infants.

DOI10.1089/bfm.2012.0056
Alternate JournalBreastfeed Med
PubMed ID23186387
PubMed Central IDPMC3616405
Grant ListK23 HD068400 / HD / NICHD NIH HHS / United States
K23HD068400 / HD / NICHD NIH HHS / United States