J 2023

Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project

HASONOVÁ, Lucia, Andrea POLOKOVA, Michal SYKORA, Tereza VRBOVÁ, Miloslav KLUGAR et. al.

Základní údaje

Originální název

Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project

Autoři

HASONOVÁ, Lucia (703 Slovensko, domácí), Andrea POLOKOVA (203 Česká republika), Michal SYKORA (203 Česká republika), Tereza VRBOVÁ (203 Česká republika, domácí), Miloslav KLUGAR (203 Česká republika, domácí) a Jitka KLUGAROVÁ (203 Česká republika, domácí)

Vydání

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.300 v roce 2022

Kód RIV

RIV/00216224:14110/23:00133710

Organizační jednotka

Lékařská fakulta

UT WoS

001111566500001

Klíčová slova anglicky

audit; breastfeeding; implementation; lactation; newborn

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 1. 3. 2024 12:19, Mgr. Tereza Miškechová

Anotace

V originále

Objectives:The aim of this implementation project was to improve breastfeeding support, and more specifically, to increase compliance with the Baby-Friendly Hospital Initiative (BFHI) and the requirements of the International Code of Marketing of Breastmilk Substitutes (the Code).Introduction:The Ten Steps to Successful Breastfeeding of the BFHI have been shown to improve breastfeeding outcomes at target hospitals. The Code is a minimum standard for the regulation of marketing practices related to breastfeeding support.Methods:We used the JBI evidence implementation model to identify a group of stakeholders in a hospital in the Czech Republic and carried out a best practice implementation project from January 2021 to May 2022. After conducting a baseline audit, the clinical team and external breastfeeding experts discussed challenges and devised an implementation plan using the JBI Getting Research into Practice framework. Follow-up audits were undertaken from January to December 2021 and in May 2022.Results:Compliance improved across all audited criteria, namely, to fully comply with the Code (0% to 100%); to have a written infant feeding policy (0% to 100%); to ensure staff have skills to support breastfeeding (0% to 100%); to discuss breastfeeding with pregnant women (0% to 100%); to facilitate skin-to-skin contact (67.86% to 83.58%); to support and provide help with breastfeeding (67.86% to 82.09%); to not provide fluids other than breast milk (50% to 58.21%); to practice rooming-in (57.14% to 61.19%); to respond to infant cues (50% to 64.18%); to provide information about community support services (32.14% to 62.69%); and to coordinate discharge and ongoing care (0% to 100%).Conclusions:Breastfeeding support requires a sustained long-term effort before it can become fully established. The involvement of national-level policy makers is needed.