An Interdisciplinary Approach to Improving Exclusive Breast Milk Feeding Rate at Discharge

Pisegna, Lily; Pyka, Jeanine

doi:10.1111/1552-6909.12346

Cited by 3 publications

(7 citation statements)

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“…Although causation cannot be assumed, early initiation of SSC (within the first 1 to 3 hours) has been shown by many studies to be associated with increased breastfeeding rates during the hospital stay (Brodribb et al., ; Brown, Kaiser, & Nailon, ; CDC, ; Chiu, Anderson, & Burkhammer, ; Moore, ; Pisegna & Pyka, ), and to improve women's self‐efficacy to breastfeed (Aghdas, Talat, & Sepideh, ). Aghdas et al () also found an increased rate of initiation of breastfeeding, a reduction in time until first feeding and a dose‐dependent relationship on exclusivity of breastfeeding by implementing SSC immediately after birth.…”

Section: Evidence Reviewmentioning

confidence: 99%

Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Hughes

Rodriguez-Carter

Hill

et al. 2015

Nursing for Women's Health

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Section: Evidence Reviewmentioning

confidence: 99%

Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Hughes

Rodriguez-Carter

Hill

et al. 2015

Nursing for Women's Health

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“…Only 9 studies (5.7%), all from the quantitative peer-reviewed literature, used a comparison group design. 38,49,87,90,115,121,138,141,162 Nearly half of all studies (N=75) were analytic observational, 1 , 2 3 , 2 6 , 2 8 , 3 1 , 3 4 , 3 7 , 4 1 , 4 6 -4 8 , 5 0 , 5 1 , 5 5 , 5 8 -6 1 , 6 7 , 7 1 , 7 134,137,140,142,143,[146][147][148]150,153,[157][158][159][160][161]163,[166][167][168]170,172 34.2% (N=54) were experimental or quasi-experimental, 8,11,27,29,32,33,35,38,42,43,45,49,[51][52][53]56,65,70,…”

Section: Methodsmentioning

confidence: 99%

“…More than one-third of the studies (37.3%; N=59) were based on a conceptual rationale, 1,6,11,21,23,27,[30][31][32]35,37,42,47,49,53,54,57,58,[61][62][63]66,67,69,70,73,75,78,83,89,90,94,98,107,115,[119][120][121]123,[125][126][127][128]132,133,135,[145][146][147][148]156,159,…”

Section: Theories and Toolsmentioning

confidence: 99%

“…Seventy studies (44.3%) measured clinical care outcomes 1,11,25,27,30,31,34,36,41,[49][50][51]56,63,72,74,86,89,94,97,[99][100][101]128,130,[132][133][134][135][136][137][138][139]141,144,[149][150][151][152]155,[157][158][159][160][161][162][163][164] , of which all reported the huddle had a positive clinical impact. Positive The CUS assertive statements help frontline staff speak up or speak out in uncomfortable situations.…”

Section: Effectiveness Of Huddlesmentioning

confidence: 99%

“…clinical care outcomes included the following: increased proportion of patients receiving timely and/or evidence-based assessments or care (31.4%; N=22); 27,30,41,51,94,97,[99][100][101][102][103][104][105][106][107][108]132,133,149,[158][159][160] decreased medical errors and adverse drug events (24.3%; N=17); 1,11,25,50,86,[109][110][111][112][113]121,128,[134][135][136]161,163 decreased rate of other negative outcomes, e.g., i n f e c t i o n s , f a l l s , a n d p r e s s u r e u l c e r s ( 2 0 . 0 % ; N=14); 31,89,94,97,[119][120][121][122]125,…”

Section: Effectiveness Of Huddlesmentioning

confidence: 99%

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Huddles and their effectiveness at the frontlines of clinical care: a scoping review

et al. 2021

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BACKGROUND: Brief, stand-up meetings known as huddles may improve clinical care, but knowledge about huddle implementation and effectiveness at the frontlines is fragmented and setting specific. This work provides a comprehensive overview of huddles used in diverse health care settings, examines the empirical support for huddle effectiveness, and identifies knowledge gaps and opportunities for future research. METHODS: A scoping review was completed by searching the databases PubMed, EBSCOhost, ProQuest, and OvidSP for studies published in English from inception to May 31, 2019. Eligible studies described huddles that (1) took place in a clinical or medical setting providing health care patient services, (2) included frontline staff members, (3) were used to improve care quality, and (4) were studied empirically. Two reviewers independently screened abstracts and full texts; seven reviewers independently abstracted data from full texts. RESULTS: Of 2,185 identified studies, 158 met inclusion criteria. The majority (67.7%) of studies described huddles used to improve team communication, collaboration, and/or coordination. Huddles positively impacted team process outcomes in 67.7% of studies, including improvements in efficiency, process-based functioning, and communication across clinical roles (64.4%); situational awareness and staff perceptions of safety and safety climate (44.6%); and staff satisfaction and engagement (29.7%). Almost half of studies (44.3%) reported huddles positively impacting clinical care outcomes such as patients receiving timely and/or evidence-based assessments and care (31.4%); decreased medical errors and adverse drug events (24.3%); and decreased rates of other negative outcomes (20.0%). DISCUSSION: Huddles involving frontline staff are an increasingly prevalent practice across diverse health care settings. Huddles are generally interdisciplinary and aimed at improving team communication, collaboration, and/or coordination. Data from the scoping review point to the effectiveness of huddles at improving work and team process outcomes and indicate the positive impact of huddles can extend beyond processes to include improvements in clinical outcomes. STUDY REGISTRATION: This scoping review was registered with the Open Science Framework on 18 January 2019 (https://osf.io/bdj2x/).

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Standardizing Care of the Late Preterm Infant

Smith,

Yonkaitis,

Reigart

2023

McN: The American Journal of Maternal/Child Nursing

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Background: Late preterm infants are infants born between 34 and 36 6/7 weeks gestation. Compared to term infants, late preterm infants are at increased risk for breastfeeding difficulties, hypoglycemia, hyperbilirubinemia, and hypothermia due to their relative physiologic and metabolic immaturity. Problem: Medical record reviews performed at a level III maternal and newborn hospital in central Illinois revealed only 64% of late preterm infants admitted to the newborn nursery received care per the unit late preterm infant policy. The aim of this quality improvement project was to increase nurse adherence to the policy to 80%. Methods: Between May 2022 and September 2022, several interventions were implemented for maternal–child nurses and support clinicians: an education offering, creation of a late preterm infant-specific breastfeeding log, and electronic medical record updates. Post-intervention medical record reviews measured policy adherence through documentation of feeding sessions, hypoglycemia, hypothermia, and hyperbilirubinemia. Descriptive statistics were performed to determine improvement. Results: Nurse adherence to the late preterm infant policy increased to 90% over the period of the project. Clinical Implications: Late preterm infant care protocols should be in place in all newborn nurseries. Late preterm infant policy adherence can be supported through electronic medical record prompts, use of a late preterm infant-specific breastfeeding log, and continuing education.

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An Interdisciplinary Approach to Improving Exclusive Breast Milk Feeding Rate at Discharge

Cited by 3 publications

References 0 publications

Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Using Skin-to-Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center

Huddles and their effectiveness at the frontlines of clinical care: a scoping review

Standardizing Care of the Late Preterm Infant

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