Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol

Breastfeeding is internationally recognized as the optimal form of infant nutrition. The Baby-Friendly Initiative (BFI) is an evidence-informed program that leads to improved breastfeeding outcomes. Despite the benefits of breastfeeding, Nova Scotia has one of the lowest breastfeeding rates in Canad...

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Main Authors: Britney Benoit, Christine Cassidy, Marsha Campbell-Yeo, Doris Gillis, Sara Kirk, S. Meaghan Sim, Michelle LeDrew, Sally Loring, Gail Tomblin Murphy, Annette Elliott Rose, Claire Betker, Leanne MacKeen, Lindsay Arseneau, Kim Shebib, Trudy Reid, Ripu Daman
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/13/4/143
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author Britney Benoit
Christine Cassidy
Marsha Campbell-Yeo
Doris Gillis
Sara Kirk
S. Meaghan Sim
Michelle LeDrew
Sally Loring
Gail Tomblin Murphy
Annette Elliott Rose
Claire Betker
Leanne MacKeen
Lindsay Arseneau
Kim Shebib
Trudy Reid
Ripu Daman
author_facet Britney Benoit
Christine Cassidy
Marsha Campbell-Yeo
Doris Gillis
Sara Kirk
S. Meaghan Sim
Michelle LeDrew
Sally Loring
Gail Tomblin Murphy
Annette Elliott Rose
Claire Betker
Leanne MacKeen
Lindsay Arseneau
Kim Shebib
Trudy Reid
Ripu Daman
author_sort Britney Benoit
collection DOAJ
description Breastfeeding is internationally recognized as the optimal form of infant nutrition. The Baby-Friendly Initiative (BFI) is an evidence-informed program that leads to improved breastfeeding outcomes. Despite the benefits of breastfeeding, Nova Scotia has one of the lowest breastfeeding rates in Canada. Additionally, only two birthing hospitals in the province have BFI designation. We aim to address this gap using a sequential qualitative descriptive design across three phases. In Phase 1, we will identify barriers and facilitators to BFI implementation through individual, semi-structured interviews with 40 health care professionals and 20 parents. An analysis of relevant policy and practice documents will complement these data. In Phase 2, we will develop implementation interventions aimed at addressing the barriers and facilitators identified in Phase 1. An advisory committee of 10–12 administrative, clinical, and parent partners will review these interventions. In Phase 3, the interventions will be reviewed by a panel of 10 experts in BFI implementation through an online survey. Feedback on the revised implementation interventions will then be sought from 20 health system and parent partners through interviews. This work will use implementation science methods to support integrated and sustained implementation of the BFI across hospital/community and rural/urban settings in Nova Scotia. This study was not registered.
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spelling doaj.art-39e924ec44f24903a6ae969408e1e9ae2023-12-22T14:29:46ZengMDPI AGNursing Reports2039-439X2039-44032023-12-011341731174110.3390/nursrep13040143Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study ProtocolBritney Benoit0Christine Cassidy1Marsha Campbell-Yeo2Doris Gillis3Sara Kirk4S. Meaghan Sim5Michelle LeDrew6Sally Loring7Gail Tomblin Murphy8Annette Elliott Rose9Claire Betker10Leanne MacKeen11Lindsay Arseneau12Kim Shebib13Trudy Reid14Ripu Daman15Rankin School of Nursing, Faculty of Science, St. Francis Xavier University, Antigonish, NS B2G 2W5, CanadaSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaHuman Nutrition Department, Faculty of Science, St. Francis Xavier University, Antigonish, NS B2G 2W5, CanadaSchool of Health & Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, CanadaResearch, Innovation, & Discovery, Nova Scotia Health, Halifax, NS B3S 0H6, CanadaBreastfeeding Committee for Canada, Glen Margaret, NS B3Z 3H8, CanadaBreastfeeding Committee for Canada, Glen Margaret, NS B3Z 3H8, CanadaResearch, Innovation, & Discovery, Nova Scotia Health, Halifax, NS B3S 0H6, CanadaIWK Health, Halifax, NS B3K 6R8, CanadaNational Collaborating Centre for Determinants of Health, St. Francis Xavier University, Antigonish, NS B2G 2W5, CanadaReproductive Care Program of Nova Scotia, Halifax, NS B3H 1Y6, CanadaRankin School of Nursing, Faculty of Science, St. Francis Xavier University, Antigonish, NS B2G 2W5, CanadaPublic Health, Nova Scotia Health, Halifax, NS B3S 1B8, CanadaPublic Health, Nova Scotia Health, Halifax, NS B3S 1B8, CanadaRankin School of Nursing, Faculty of Science, St. Francis Xavier University, Antigonish, NS B2G 2W5, CanadaBreastfeeding is internationally recognized as the optimal form of infant nutrition. The Baby-Friendly Initiative (BFI) is an evidence-informed program that leads to improved breastfeeding outcomes. Despite the benefits of breastfeeding, Nova Scotia has one of the lowest breastfeeding rates in Canada. Additionally, only two birthing hospitals in the province have BFI designation. We aim to address this gap using a sequential qualitative descriptive design across three phases. In Phase 1, we will identify barriers and facilitators to BFI implementation through individual, semi-structured interviews with 40 health care professionals and 20 parents. An analysis of relevant policy and practice documents will complement these data. In Phase 2, we will develop implementation interventions aimed at addressing the barriers and facilitators identified in Phase 1. An advisory committee of 10–12 administrative, clinical, and parent partners will review these interventions. In Phase 3, the interventions will be reviewed by a panel of 10 experts in BFI implementation through an online survey. Feedback on the revised implementation interventions will then be sought from 20 health system and parent partners through interviews. This work will use implementation science methods to support integrated and sustained implementation of the BFI across hospital/community and rural/urban settings in Nova Scotia. This study was not registered.https://www.mdpi.com/2039-4403/13/4/143Baby-Friendly Initiativebreastfeedingimplementationbarriersfacilitatorsqualitative
spellingShingle Britney Benoit
Christine Cassidy
Marsha Campbell-Yeo
Doris Gillis
Sara Kirk
S. Meaghan Sim
Michelle LeDrew
Sally Loring
Gail Tomblin Murphy
Annette Elliott Rose
Claire Betker
Leanne MacKeen
Lindsay Arseneau
Kim Shebib
Trudy Reid
Ripu Daman
Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
Nursing Reports
Baby-Friendly Initiative
breastfeeding
implementation
barriers
facilitators
qualitative
title Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
title_full Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
title_fullStr Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
title_full_unstemmed Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
title_short Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol
title_sort development of interventions to support provincial implementation of the baby friendly initiative a study protocol
topic Baby-Friendly Initiative
breastfeeding
implementation
barriers
facilitators
qualitative
url https://www.mdpi.com/2039-4403/13/4/143
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