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Workplace Lactation Support: Using Implementation Climate to Inform a New Model.

Beth H Olson1, Madeleine Sigman-Grant2, Michael T Braun3

  • 1Department of Nutritional Sciences, University of Wisconsin, Madison, Madison, Wisconsin, USA.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|May 8, 2020
PubMed
Summary
This summary is machine-generated.

Workplace lactation support programs need improvement to extend breastfeeding duration. Visible structural supports positively influence manager attitudes, suggesting a need for both tangible and intangible strategies.

Keywords:
breastfeeding and employmentimplementation climateworkplace lactation support

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Area of Science:

  • Implementation Science
  • Organizational Behavior
  • Public Health

Background:

  • Breastfeeding duration is a challenge, particularly for working mothers.
  • Existing workplace lactation support programs have limited success.
  • Implementation Science offers a framework to improve workplace support models.

Purpose of the Study:

  • To develop an improved model for workplace lactation support.
  • To integrate data from the Breastfeeding and Employment Study (BESt) with Implementation Climate theory.
  • To explore factors influencing employee and manager perceptions of lactation support.

Main Methods:

  • Utilized data from the Breastfeeding and Employment Study (BESt).
  • Employed hierarchical linear modeling to analyze associations.
  • Examined company lactation supports, employee perceptions, and manager attitudes.

Main Results:

  • Employee perceptions of support were not associated with company-level support scores.
  • Higher overall company support scores correlated with more positive manager attitudes (p < 0.01).
  • Structural supports, visible to managers, significantly influenced these positive attitudes.

Conclusions:

  • Both tangible (physical) and intangible (people-centered) supports influence employees and managers.
  • Tailored implementation strategies are crucial for diverse workplaces.
  • Understanding implementation climate can enhance workplace lactation support and extend breastfeeding duration.