...Running head: CRITIQUE OF THE RESEARCH ARTICLE: PERSPECTIVES OF Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices Kimberly Baird Grand Canyon University Intro. To Nursing Research NRS-433V April 21, 2011 Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices The purpose of this research study is to evaluate the differences in breastfeeding knowledge and the implementation of breastfeeding by registered nurses in the postpartum units and the hospital policies, both formal and informal, related to the implementation and support of breastfeeding. Human milk is accepted as the ideal food source for infants for the first 6 months of life. Breastfeeding is then encouraged as a supplement to other foods until the child is 12 months of age and beyond. Both The Academy of Pediatrics and the International Lactation Consultant Association support these recommendations. CDC statistics report that in 2006 73.9% of women breastfed in the early postpartum period. This drops to 33.1% of those that are exclusively breastfeeding at 3 months of age and then drops again to 13.6% exclusively breastfeeding at 6 months. The Healthy People 2010 goals are 75% of women initiating breastfeeding in the early postpartum period and retaining 60% of those that continue to breastfeed at 3 months and 25% continuing until 6 months. These statistics fall short of those goals...
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...Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices In: Other Topics Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices Running head: CRITIQUE OF THE RESEARCH ARTICLE: PERSPECTIVES OF Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices Kimberly Baird Grand Canyon University Intro. To Nursing Research NRS-433V April 21, 2011 Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices The purpose of this research study is to evaluate the differences in breastfeeding knowledge and the implementation of breastfeeding by registered nurses in the postpartum units and the hospital policies, both formal and informal, related to the implementation and support of breastfeeding. Human milk is accepted as the ideal food source for infants for the first 6 months of life. Breastfeeding is then encouraged as a supplement to other foods until the child is 12 months of age and beyond. Both The Academy of Pediatrics and the International Lactation Consultant Association support these recommendations. CDC statistics report that in 2006 73.9% of women breastfed in the early postpartum period. This drops to 33.1% of those that are exclusively breastfeeding at 3 months of age and then drops again to 13.6% exclusively breastfeeding at 6 months. The Healthy People...
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...Breastfeeding is commonly promoted by different medical organizations because of its benefits on both the mother and the child. Yet, there are still stigmas connected to the topic that determine the mother’s view of breastfeeding. This stigmas often correlates to the factors that influence mother’s feeding choices, initiation of breastfeeding and even the compliance or continuation of breastfeeding. An article on CBC news Canada, in Montreal, reported that a breastfeeding woman, named Candyce Sousa, was asked to stop nursing her child inside Walmart because it was said to be an inappropriate action. Such incidence greatly affects the mother’s attitude towards breastfeeding. These gives rise to the factors that influence her breastfeeding choices....
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...University A.1. Identify and Describe a Current Nursing Practice within your Healthcare Setting that Requires Change. Willow Creek Women’s Hospital is located in Johnson, Arkansas. Willow Creek is a 38 bed hospital specializing in women’s health, including labor and deliver. Currently we practice skin to skin with our mothers and babies post birth for vaginal deliveries. Skin to skin is when an infant is put directly on the mother’s chest after delivery. The infant is dried off and assessed while on the mother’s chest. I work in the operating room and infants are taken to nursey after delivery. The mothers and infants are apart for two to three hours after delivery. I plan to initiate a skin to skin policy in the operating room during cesarean sections. Infants will stay with their mothers in the operating room and will have the opportunity to participate in skin to skin. A.2. Discuss why the Current Nursing Practice needs to be Changed. Approximately 30 percent of deliveries at Willow Creek are performed via cesarean section. Currently, when a mother has a cesarean section, mother and infant are separated for several hours immediately following birth. Separating mother and infant immediately after birth affects them both negatively. Mothers who experience skin-to-skin are more likely to exclusively breastfeed. Infants who experience skin-to-skin immediately after birth have better breastfeeding success, experience quicker body temperature regulation, and...
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...* Private Practice Lactation Consultant Business Plan * * * * * * * * * * * * * * Executive summary Breastfeeding is not only a lifestyle choice but also an important health care choice. Any amount of time that a mother can do it will help both her and the baby. Many benefits of breast milk are noted for mothers, babies, and others. Breast milk has disease-fighting cells called antibodies that help protect infants from germs, illness, and even SIDS. Infant formula cannot match the perfect chemical composition of human milk, specifically the cells, hormones, and antibodies that fight disease. The private practice of lactation consultants has increased over the last decade. According to the CDC (2006), the rates of breastfeeding have slightly increased. Healthy People objectives for breastfeeding in early postpartum period, at six months, and 12 months are 75%, 50%, and 25%, respectively. Healthy People 2010 objectives for exclusive breastfeeding through three and six months of age are 40% and 17%, respectively. National data on exclusive breastfeeding are available only from respondents interviewed after 2005 and thus are not available for children born prior to 2003. The Private Practice of Lactation Consultants (PPLC) will provide care and assistance to any mother who is breastfeeding regardless of financial ability to pay. The need for lactation consultants outside of the hospital...
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...The purpose of this essay is to discuss aspects of care that was witnessed being given to a client. This essay will draw on evidence researched from journals. It aims to discuss and evaluate the postnatal period and the care that is provided during that period. The main aspects of care that will be discussed with in the postnatal period is the length of the postnatal visit and how long should a midwife attend a client and it will also discuss the support and advice that can be given to a client who is having problems breast feeding. The first aspect of care that is going to be discussed is the postnatal period and the care that is provided during that period. The postnatal period is the period after the end of labour and until all reproductive organs have returned to their pre gravid condition. This period is estimated to be about 6 to 8 weeks (Bick, D.2004). Although evidence suggests that recovery from child birth can take longer than this (Bick, D. and MacArthur, C. 1995). The post natal period, until recently, has been defined as not less than 10 days, or more than 28 days after the end of labour (UKCC, 1998). However, it has been acknowledged by the Government that the public health role of the midwife should be further developed (DoH, 1999) and so the NMC defined the post natal period as the period after the end of labour, on which a midwife must attend a women for no less than 10 days and for as long as the midwife deems as necessary (NMC, 2004). Mrs Smith, this is an...
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...in Canada. Breastfeeding has numerous health benefits However, in practice, many women choose not to breastfeed instead replace their breast milk with infant formula milk. In 2010, in the province of Newfoundland and Labrador in Canada breastfeeding had dropped to 64.0%( Canada Statistics). While health risks raises in babies with formula feeding, a significant percentage of mothers are reluctant to change their infant feeding behaviors and decided to continue with formula-feed. In some regions of the province, the rate of breastfeeding is very low due to mother resistance and commitment to infant feeding method. Despite increased breastfeeding promotion and support initiatives, mothers still prefer formula feeding over breastfeeding. There is not sufficient proof that mothers’ decisions to formula-feed due to personal factors. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? The study indicates that women decision to formula-feed their infants due to a lack of support from their mothers, and partners. In addition, decision to formula-feed also influenced by convenience and the awkwardness of breastfeeding in public. Healthcare providers are challenged to ensure best practice through breastfeeding Promotion and support in order to contribute to increased initiation and duration rates. Health professionals are in a unique position to promote and facilitate successful breastfeeding and educate...
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...Thesis statement: Research shows that breastfeeding is the best choice over formula because breastfeeding provides the infant with essential nutrients, helps with recovery from childbirth, and protects the infant against a number of chronic conditions. Annotated bibliography Baumgartel, K. L., & Spatz, D. L. (2013). WIC (The Special Supplemental Nutrition Program for Women, Infants, and Children): Policy versus practice regarding breastfeeding. Nursing Outlook, 61(6). 10.1016/j.outlook.2013.05.010 This article addresses the discrepancy of policy versus practice in the government subsidized program WIC. This article shows how even though the program is meant to support at risk mothers in breastfeeding, the numbers prove that a majority of their budget is spent on formula expenses. Very little of the budget is actually allocated to breastfeeding initiatives. The American Academy of Nursing members create and execute policy related initiatives to reform the American Health system. The academy has more than 2,400 members and is the established leaders in practice and research. They are advocates in healthcare policy making in Washington DC. This source will be relevant to the research paper because it will provide examples of the lack of funding for education and for initiatives for breastfeeding awareness and support, especially for the at risk population. Gianni, M. L., Roggero, P., Morlacchi, L., Garavaglia, E., & Piemontese, P. (2012)...
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...Breastfeeding The International Council of Nurses (ICN) considers that breast milk is the food of choice for infants and that as a general principle; exclusive breastfeeding should be protected, promoted and supported for the duration of six months as a global public health recommendation. ICN supports efforts to promote adoption of the Baby Friendly Hospital Initiative (BFHI) to ensure that all maternities become centers of breastfeeding support (www.icn.ch/pu). ICN holds the mother’s right to make an informed choice about infant feeding. This includes providing information, counseling and guidance to all HIV infected mothers about the risks and benefits of feeding options most suitable for their situation, in line with those recommended in the UNICEF/UNAIDS/WHO guidelines (www.icn.ch/pu). Furthermore, ICN supports the revised International Labor Organization (ILO) Convention 183 on maternity protection. ICN concurs that it is the right of all working women, including those in the informal sector, to have paid daily breaks or a daily reduction of hours of work when breastfeeding a child, and to have hygienic facilities at or near the workplace (www.icn.ch/pu). The ICN’s position is that infants who are breastfed have fewer illnesses and are better nourished than those who are fed other drinks and foods. It is estimated that 1.5 million infant lives would be saved, and the health and development of millions of others would be greatly improved, if exclusive breastfeeding...
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...Controversy around Newborn Breastfeeding In 2000 BC breastfeeding was a norm and was used as "wet nursing" (Stevens, Patrick & Pickler, 2009). According to Stevens, Patrick & Pickler (2009) Breastfeeding was used as a method of safe infant feeding since bottles or formula use did not exist. Wet nursing was defined as, "a woman who breastfeeds another's child" (Davis, 199 3, p. 2111). Wet nursing was used when "mothers were dying from childbirth or lactation failure" (Stevens, Patrick & Pickler, 2009). Ever since bottle feeding and formula use has been discovered, there has been a lot of controversy around which method is the safest for infants. Years ago, in an article written by Hila Spear, Penny, a young mother who gave birth...
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...DOH Breastfeeding TSEK Program 2011 – PRECEDE-PROCEED Analysis Introduction and Program Rationale The protection, promotion, and support of breastfeeding rank among the most effective interventions to improve child’s survival. According to the World Health Organization (WHO), it is estimated that high coverage of optimal breastfeeding practices could avert 13% of the 10.6 million yearly deaths of children five years old and below. Everyday, as many as 4,000 infants and young children die worldwide because they are not breastfed. According to United Nations Children’s Fund (UNICEF), it is because their mothers are not empowered with adequate knowledge about breast-feeding and do not receive enough motivation and support (UNICEF, 1994). Babies, their mothers, their families, their community, their environment, even the economy of the country in which they live, all benefit from breast-feeding (ibid). Realizing the great advantages of breast-feeding and the changing patterns of breast-feeding practice worldwide, the World Health Organization, 1981, recommended that all infants should be “exclusively breastfed for 4 to 6 months of age”(Kaunang, 1999). Moreover, UNICEF(1994) has advocated breast-feeding as one of the strategies for “ Child Survival” and exclusive breast-feeding as a best protective way for infants against infection and malnutrition. Nowadays, promotion of breast-feeding through Family Planning and MCH Programs is increasingly considered to be a public...
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...the introduction of solid food to babies changed from four months to six months. Many parents continue to introduce solid food earlier than six months despite being aware of the recommendations. Delivering key messages about weaning has always been a part of the health visitors role. However, no formal, evidence based weaning intervention is currently being promoted to health visitors and advice continues to be communicated at the discretion of individual practitioners. Very little research exists on this topic, much emphasis has been placed on encouraging breast feeding as the main focus infant nutrition literature. Yet childhood obesity is on the rise and establishing healthy eating habits as a baby could pave the way for healthy eating habits later in life. This paper looks at the ways professionals communicate general messages about weaning and attempts to provide some clarity and guidance for health visitors about a humanistic intervention to educate parents about the benefits of waiting till six months, rather than using ‘scare tactics’ as to what could happen if they wean earlier. It is hoped that not only will this paper provide guidance about best practice, it will also highlight the importance of the subject and the pressing need for urgent research on the specific topic of delivering weaning advice. Table of Contents Page Abstract 1 Table of Contents 2 Section 1 : Introduction ...
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...Oxford journals Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia Results The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%. Conclusions This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region. Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia 1. Michael E Thompson1,* and 2. Tsovinar L Harutyunyan2 +Author Affiliations 1. 1 Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA. 2. 2 Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia. 1. * Corresponding author. Department of Public...
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...article I read was titled, “Evidence Based Maternity Care: Can New Dogs Learn Old Tricks?” It was written by Merilyn Curl. Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This observation strengthens the argument that research based best practices were not synonymous with current practices. She presents the proposed research based practices as time old patient centered...
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...| Ethics Paper Nestlé Infant Formula Prepared by Mohammad Ul Haque Id:0147217 MG660- Strategic Marketing Prepared for Professor Jorge Zavala-Vinces 1. If you had been an executive with Nestlé, would you have changed your marketing approach after the boycotts began? Nestlé’s marketing tactics in promoting the use of infant formula in Third World countries wasn’t moral. Nestlé was not acting within the boundaries of moral standards. Every corporation must understand and realize the corporate ethics and responsibilities they should have. The problem was that Nestlé used unqualified sales girls, the distribution of free samples, marketed to people who were incapable to fulfil the minimum requirements for giving formula safely to the baby, and the association of bottle-feeding with healthy babies to promote the use of infant formula to mothers who would have been better off breast-feeding their babies. The first Nestlé boycott in 1977 led by Infant Formula Action Coalition (INFACT) had a large impact on Nestlé’s revenues. Their products were boycotted in the U.S. to end the promotion of infant formula. This was a small part of the major problem which is to improve total infant nutrition throughout the Third World that must be resolved on a global basis if the health of babies in the developing nations is to be improved. If I had been an executive with Nestlé, I would have changed the marketing approach after the boycotts began...
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