• J Obstet Gynecol Neonatal Nurs · Sep 2014

    Multicenter Study

    Barriers and facilitators to implementing the Baby-Friendly hospital initiative in neonatal intensive care units.

    • Britney Benoit and Sonia Semenic.
    • J Obstet Gynecol Neonatal Nurs. 2014 Sep 1; 43 (5): 614-24.

    ObjectiveTo explore manager, educator, and clinical leader perceptions of barriers and facilitators to implementing Baby-Friendly practice in the neonatal intensive care unit (NICU).DesignQualitative, descriptive design.SettingTwo university-affiliated level-III NICUs in Canada.ParticipantsA purposive sample of 10 medical and nursing managers, nurse educators, lactation consultants, and neonatal nurse practitioners.MethodsIn-depth, semistructured interviews transcribed and analyzed using qualitative content analysis.ResultsParticipants valued breastfeeding and family-centered care yet identified numerous contextual barriers to Baby-Friendly care including infant health status, parent/infant separation, staff workloads and work patterns, gaps in staff knowledge and skills, and lack of continuity of breastfeeding support. Facilitators included breastfeeding education, breastfeeding champions, and interprofessional collaboration.ConclusionDespite identifying numerous barriers, participants recognized the potential value of expanding the Baby-Friendly Hospital Initiative (BFHI) to the NICU setting. Recommendations include promoting BFHI as a facilitator of family-centered care, interdisciplinary staff education, increasing access to lactation consultants, and establishing a group of NICU champions dedicated to BFHI implementation.© 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

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