Abstract:Breastfeeding is an integral part of early childhood interventions as it can prevent serious childhood and maternal illnesses. For breastfeeding support programmes to be effective, a better understanding of contextual factors that influence women's engagement and satisfaction with these programmes is needed. The aim of this synthesis is to suggest strategies to increase the level of satisfaction with support programmes and to better match the expectations and needs of women. We systematically searched for stud… Show more
“…We piloted CONSENSYS in our own systematic review on factors that facilitate or constrain women's engagement and satisfaction with breastfeeding support. It is the first review in which CONSENSYS was featured 28 . The aim of this pilot was to assess the framework's applicability.…”
Section: Methodsmentioning
confidence: 99%
“…Based on CONSENSYS, we produced contextualised implication sections for policy and practice that were judged useful and relevant by reviewers assessing the review prior to publication. The implication sections of the published review can serve as user guidance for interested scholars who wish to apply CONSENSYS to their review 28 …”
Section: Methodsmentioning
confidence: 99%
“…It is the first review in which CONSENSYS was featured. 28 The aim of this pilot was to assess the framework's applicability. We also looked into structural aspects and presentation for reviewers actively involved in developing implication sections.…”
Section: Objective D: Piloting the Consensys Instrumentmentioning
confidence: 99%
“…The implication sections of the published review can serve as user guidance for interested scholars who wish to apply CONSENSYS to their review. 28 Piloting the framework on an ongoing review revealed which parts of the instrument requested further adaptation and refinement. This specifically meant that we re-labelled some of the contextual factors: for example, the contextual factor 'influencer' was changed in 'person of influence' or 'workforce' in 'resources and workplace' or that we merged some factors that showed potential overlap.…”
Section: Objective D: Piloting the Consensys Instrumentmentioning
Contextual factors such as cultural values and traditions impact on implementation processes of healthcare interventions. It is one of the reasons why local stakeholders may decide to role out a programme differently from how it has originally been developed or described in scientific literature. This can result in different but most likely more context‐specific outcomes. Systematic reviews are considered important in answering what works, for whom and in which circumstances. They often include a section on implications for policymakers and practitioners, in which they discuss relevant options to engage with. Implementation sections are coloured by the cultural background, theoretical and disciplinary perspective of the reviewers formulating them. They do not necessarily consider local contexts in which the evidence needs to be applied, hence the recommendations may be too general to be useful. When policy makers and practitioners implement systematic review findings the evidence presented needs to be translated to their local context. We propose CONSENSYS, an instrument that facilitates the transfer from review evidence into practice. CONSENSYS contains 52 contextual factors categorised as either of ecological and socio‐cultural relevance or pitched as influencing actor. CONSENSYS is relevant for reviewers because it supports them in structuring and formulating context‐sensitive implications sections. It may also guide end‐users of systematic reviews in translating review evidence for use in local policies and practices. CONSENSYS is the first rigorously developed instrument that focusses on implications for policy and practice sections in systematic reviews.
“…We piloted CONSENSYS in our own systematic review on factors that facilitate or constrain women's engagement and satisfaction with breastfeeding support. It is the first review in which CONSENSYS was featured 28 . The aim of this pilot was to assess the framework's applicability.…”
Section: Methodsmentioning
confidence: 99%
“…Based on CONSENSYS, we produced contextualised implication sections for policy and practice that were judged useful and relevant by reviewers assessing the review prior to publication. The implication sections of the published review can serve as user guidance for interested scholars who wish to apply CONSENSYS to their review 28 …”
Section: Methodsmentioning
confidence: 99%
“…It is the first review in which CONSENSYS was featured. 28 The aim of this pilot was to assess the framework's applicability. We also looked into structural aspects and presentation for reviewers actively involved in developing implication sections.…”
Section: Objective D: Piloting the Consensys Instrumentmentioning
confidence: 99%
“…The implication sections of the published review can serve as user guidance for interested scholars who wish to apply CONSENSYS to their review. 28 Piloting the framework on an ongoing review revealed which parts of the instrument requested further adaptation and refinement. This specifically meant that we re-labelled some of the contextual factors: for example, the contextual factor 'influencer' was changed in 'person of influence' or 'workforce' in 'resources and workplace' or that we merged some factors that showed potential overlap.…”
Section: Objective D: Piloting the Consensys Instrumentmentioning
Contextual factors such as cultural values and traditions impact on implementation processes of healthcare interventions. It is one of the reasons why local stakeholders may decide to role out a programme differently from how it has originally been developed or described in scientific literature. This can result in different but most likely more context‐specific outcomes. Systematic reviews are considered important in answering what works, for whom and in which circumstances. They often include a section on implications for policymakers and practitioners, in which they discuss relevant options to engage with. Implementation sections are coloured by the cultural background, theoretical and disciplinary perspective of the reviewers formulating them. They do not necessarily consider local contexts in which the evidence needs to be applied, hence the recommendations may be too general to be useful. When policy makers and practitioners implement systematic review findings the evidence presented needs to be translated to their local context. We propose CONSENSYS, an instrument that facilitates the transfer from review evidence into practice. CONSENSYS contains 52 contextual factors categorised as either of ecological and socio‐cultural relevance or pitched as influencing actor. CONSENSYS is relevant for reviewers because it supports them in structuring and formulating context‐sensitive implications sections. It may also guide end‐users of systematic reviews in translating review evidence for use in local policies and practices. CONSENSYS is the first rigorously developed instrument that focusses on implications for policy and practice sections in systematic reviews.
“…However, many mothers decide to breastfeed late in pregnancy or after giving birth [17,21]. Sayres and Visentin [23] show that the rate of breastfeeding doubles if the mother has received advice from the midwife during pregnancy, so it is important to address issues such as nipple care, the benefits of breastfeeding, and correct maternal feeding [21].…”
Section: Factors That Determine Breastfeeding Successmentioning
Breastfeeding is the natural way to feed a baby in the first months of life. It is an option with a low environmental impact, as it is a natural and renewable food that does not pollute. It is the optimal food for the infant, with nutritional and immunological advantages that reduce the prevalence of pregnancy disorders and provide benefits for the infant, the mother, and the environment. Its premature abandonment may have medium- and long-term consequences, as the use of formula milk is much more polluting. A descriptive, observational, cross-sectional study was carried out between December 2020 and January 2021, involving 96 breastfeeding women. Sociodemographic and obstetric variables were collected. A validated Spanish version of the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) was used. Factors that may lead to the early cessation of breastfeeding among the mothers that were studied are a high level of education, a lack of preparation for childbirth, a lack of security, a lack of confidence in preparation for childbirth, a lack of self-confidence, discomfort with breastfeeding in the presence of others, and a low level of maternal satisfaction. Married women and women whose partners support breastfeeding are significantly more satisfied with exclusive breastfeeding than single and divorced women. Adequate and protocolised care must be provided. Education and support for parents to allow for optimal breastfeeding and reduce the environmental impact of formula feeding is essential.
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