Changing nursing practice through research utilization: consistent support for breastfeeding mothers

This research utilization project was designed to increase staff nurse support for four early postpartum breastfeeding practices: initiation in the delivery room, high frequency feedings, unlimited suckling time, and no supplementation. Research links these practices with lower neonatal bilirubin values and an earlier onset of lactation. An organizational approach to research utilization was taken to encourage nurses to support mothers in the desired breastfeeding practices. A before and after design was used to evaluate the extent to which the intended patient outcomes were achieved with the practice changes. The percent of infants having bilirubin tests decreased significantly. No significant differences were observed in mean bilirubin levels, incidence of hyperbilirubinemia, or lactation onset. The project promoted state-of-the-science nursing care and helped our nurses become more adept in using research to guide practice.