Improving Breastfeeding Knowledge, Self-Efficacy and Intent Through a Prenatal Education Program
Location
Hager-Lubbers Exhibition Hall
Description
PURPOSE: Evidence from the literature overwhelmingly indicates that breastfeeding is the optimal form of feeding and is globally accepted as the gold standard for infant nutrition. Following recommendations of evidence-based practices such as the Baby-Friendly Hospital Initiative (BFHI) is an effective way to target the existing low breastfeeding rates and improve health outcomes. The purpose of this practice dissertation project was to work in collaboration with a community hospital on the BFHI designation pathway by implementing breastfeeding education (Step Three of the guidelines). Program goals included improving breastfeeding knowledge, self-efficacy and intent among the targeted population. PROCEDURES: Using the conceptual frameworks of both Donabedian and Breastfeeding Self-Efficacy theory along with evidence-based practice guidelines, a multi-faceted approach was implemented. Helping to create transformational change in organizational culture resulted in development of the prenatal educational program (PEP). Patients received breastfeeding education as a component of their routine care. OUTCOME: Preliminary evaluation did not indicate that there was a difference in the short-term outcomes. However, significant differences were found in breastfeeding knowledge and self-efficacy among both pre-intervention and post-intervention assessment groups in that women who planned to breastfeed had higher confidence when compared to women who were undecided or didn’t intend to breastfeed. IMPACT: Practice implications exist related to implementation science, systems change and addressing breastfeeding barriers. Healthcare providers must have the necessary skills to provide breastfeeding education and support, and to improve health outcomes at the community level. A doctoral prepared nurse can have an integral role in achieving these outcomes.
Improving Breastfeeding Knowledge, Self-Efficacy and Intent Through a Prenatal Education Program
Hager-Lubbers Exhibition Hall
PURPOSE: Evidence from the literature overwhelmingly indicates that breastfeeding is the optimal form of feeding and is globally accepted as the gold standard for infant nutrition. Following recommendations of evidence-based practices such as the Baby-Friendly Hospital Initiative (BFHI) is an effective way to target the existing low breastfeeding rates and improve health outcomes. The purpose of this practice dissertation project was to work in collaboration with a community hospital on the BFHI designation pathway by implementing breastfeeding education (Step Three of the guidelines). Program goals included improving breastfeeding knowledge, self-efficacy and intent among the targeted population. PROCEDURES: Using the conceptual frameworks of both Donabedian and Breastfeeding Self-Efficacy theory along with evidence-based practice guidelines, a multi-faceted approach was implemented. Helping to create transformational change in organizational culture resulted in development of the prenatal educational program (PEP). Patients received breastfeeding education as a component of their routine care. OUTCOME: Preliminary evaluation did not indicate that there was a difference in the short-term outcomes. However, significant differences were found in breastfeeding knowledge and self-efficacy among both pre-intervention and post-intervention assessment groups in that women who planned to breastfeed had higher confidence when compared to women who were undecided or didn’t intend to breastfeed. IMPACT: Practice implications exist related to implementation science, systems change and addressing breastfeeding barriers. Healthcare providers must have the necessary skills to provide breastfeeding education and support, and to improve health outcomes at the community level. A doctoral prepared nurse can have an integral role in achieving these outcomes.