'Why do we need a policy?' Administrators' perceptions on breast-feeding-friendly childcare
| Autor: | DeAnne Turner, Ellen J. Schafer, Regina Maria Roig-Romero, Oluyemisi Falope, Taylor A. Livingston, Vinita Sharma, Mary M Wachira, Stephanie L. Marhefka, Adetola Louis-Jacques |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Breastfeeding Medicine (miscellaneous) Day care Nutrition Policy Interviews as Topic 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Duration (project management) Aged 030109 nutrition & dietetics Nutrition and Dietetics Milk Human business.industry Public Health Environmental and Occupational Health Infant Public relations Middle Aged Bottle Feeding Breast Feeding Attitude Caregivers Infant Care Normative Female Implementation research Business Thematic analysis Construct (philosophy) Nurseries Infant Breast feeding Research Paper |
| Zdroj: | Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| Popis: | ObjectiveMothers’ return to work and childcare providers’ support for feeding expressed human milk are associated with breast-feeding duration rates in the USA, where most infants are regularly under non-parental care. The objective of the present study was to explore Florida-based childcare centre administrators’ awareness and perceptions of the Florida Breastfeeding Friendly Childcare Initiative.DesignSemi-structured interviews were based on the Consolidated Framework for Implementation Research and analysed using applied thematic analysis.SettingChildcare centre administrators in Tampa Bay, FL, USA, interviewed in 2015.ParticipantsTwenty-eight childcare centre administrators: female (100 %) and Non-Hispanic White (61 %) with mean age of 50 years and 13 years of experience.ResultsMost administrators perceived potential implementation of the Florida Breastfeeding Friendly Childcare Initiative as simple and beneficial. Tension for change and a related construct (perceived consumer need for the initiative) were low, seemingly due to formula-feeding being normative. Perceived financial costs and relative priority varied. Some centres had facilitating structural characteristics, but none had formal breast-feeding policies.ConclusionsA cultural shift, facilitated by state and national breast-feeding-friendly childcare policies and regulations, may be important for increasing tension for change and thereby increasing access to breast-feeding-friendly childcare. Similar to efforts surrounding the rapid growth of the Baby Friendly Hospital Initiative, national comprehensive evidence-based policies, regulations, metrics and technical assistance are needed to strengthen state-level breast-feeding-friendly childcare initiatives. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|