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
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.