Creating Environments to Support Breastfeeding: The Challenges and Facilitators of Policy Development in Hospitals, Clinics, Early Care and Education, and Worksites
| Autor: | Donna B. Johnson, Lina P. Walkinshaw, Jean O'Leary, Jennifer J. Otten, Victoria A. Bradford, Amy Ellings, Kari Fisher, Lesley Steinman |
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| Rok vydání: | 2017 |
| Předmět: |
Postnatal Care
Washington medicine.medical_specialty Policy development Epidemiology Breastfeeding Health Promotion Diffusion of innovations Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Health care medicine Humans 030212 general & internal medicine Policy Making Workplace Qualitative Research business.industry Public health Administrative Personnel Public Health Environmental and Occupational Health Social Support Obstetrics and Gynecology Organizational Policy Breast Feeding Pediatrics Perinatology and Child Health Workforce Tracking (education) business Qualitative research |
| Zdroj: | Maternal and Child Health Journal. 21:2188-2198 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-017-2338-4 |
| Popis: | Objectives Supportive organizational breastfeeding policies can establish enabling environments for breastfeeding. In this qualitative study we identify facilitators and barriers to the development, adoption, and implementation of supportive breastfeeding policies and practices in four influential sectors for breastfeeding women: hospitals, clinics, early care and education settings, and worksites. Methods We interviewed 125 individuals representing 110 organizations in Washington State about their breastfeeding policy development and implementation process between August 2014 and February 2015. Greenhalgh's diffusion of innovations framework guided the interviews and qualitative analysis. Results Breastfeeding policy facilitators across the sectors include national and state laws and regulations, performance tracking requirements, and an increasingly supportive sociopolitical climate; barriers include limited resources and appreciation about the need for breastfeeding policies, and certain organizational characteristics such as workforce age. Despite broad support for breastfeeding, organizations differed on perceptions about the usefulness of written breastfeeding policies. Personal breastfeeding experiences of policy makers and staff affect organizational breastfeeding policies and practices. Conclusions for Practice Supportive organizational systems and environments are built through effective policy development processes; public health can support breastfeeding policy development and assure a coordinated continuum of care by leveraging federal health care policy requirements, building networks to support training and collaboration, and disseminating strategies that reflect the personal nature of breastfeeding. |
| Databáze: | OpenAIRE |
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