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Nurses' Views on Using Pasteurized Donor Human Milk for Hypoglycemic Term Infants.

Debi Ferrarello1, Elizabeth B Froh, Tyonne D Hinson

  • 1Debi Ferrarello is Director of Program Development, Women's Health Service Line, Director of Parent Education and Lactation, Penn Medicine's Pennsylvania Hospital, Philadelphia, PA. The author can be reached via e-mail at Debi.Ferrarello@uphs.upenn.edu Elizabeth B. Froh is Nurse Scientist for Pediatric Nursing Research and Evidence-Based Practice, Children's Hospital of Philadelphia, Philadelphia, PA. Tyonne D. Hinson is Director, Nursing Diversity Initiatives, Boston Children's Hospital, Boston, MA. Diane L. Spatz is Professor of Perinatal Nursing & Helen M. Shearer Professor of Nutrition, University of Pennsylvania School of Nursing, Nurse Researcher & Manager of Lactation Program, The Children's Hospital of Philadelphia (CHOP), Clinical Coordinator of the CHOP's Mothers' Milk Bank, Philadelphia, PA.

MCN. the American Journal of Maternal Child Nursing
|March 19, 2019
PubMed
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Maternal child nurses need more education on pasteurized donor human milk (PDHM) for healthy newborns. While nurses believe PDHM is safe, they lack knowledge and have logistical concerns, impacting their ability to support parental decisions.

Area of Science:

  • Neonatal care
  • Pediatric nursing
  • Human milk research

Background:

  • Pasteurized donor human milk (PDHM) is increasingly used for healthy newborns, moving beyond traditional neonatal intensive care units.
  • Understanding nurses' perspectives on PDHM is crucial for safe and effective implementation in well-baby populations.

Purpose of the Study:

  • To explore maternal child nurses' knowledge and beliefs regarding the use of pasteurized donor human milk (PDHM) for treating neonatal hypoglycemia.
  • To identify barriers and facilitators to PDHM use in the well-baby population from a nursing perspective.

Main Methods:

  • Qualitative study utilizing focus groups with maternal child nurses.
  • Analysis of nurse discussions to identify key themes related to PDHM knowledge and beliefs.

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Main Results:

  • Nurses presumed PDHM safety but demonstrated knowledge gaps.
  • Identified themes included nurses' advocacy role, logistical implementation concerns, and confusion between formal PDHM and informal milk sharing.
  • Lack of clarity regarding formal milk sharing versus PDHM was a significant finding.

Conclusions:

  • Increased education on PDHM, its safety, and benefits is essential for nurses caring for well infants.
  • Nurses require enhanced knowledge to effectively advocate for patients and support parental decision-making regarding PDHM versus formula.
  • Addressing nurses' logistical concerns and clarifying milk sharing distinctions will improve PDHM integration.