Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project
Camila Medeiros Cruvinel Cunha1, Eliane de Fátima Almeida Lima1, Dulce Maria Pereira Garcia Galvão2
1Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Departamento de Enfermagem, Vitória, ES, Brazil.
Insights
Implementing best practices for breastfeeding assistance for preterm and low birth weight infants improved evidence-based care. Continuous training is crucial for sustained adherence to new breastfeeding protocols.
Area of Science:
- Neonatal care
- Evidence-based practice
- Health services research
Background:
- Breastfeeding is crucial for preterm and low birth weight infants.
- Implementing best practices in neonatal care presents challenges.
- Standardized protocols are needed to support breastfeeding in this population.
Purpose of the Study:
- To describe the implementation process of best practices for breastfeeding assistance.
- To establish the first breastfeeding protocol in a university hospital setting.
- To evaluate the effectiveness of evidence implementation strategies.
Main Methods:
- Participatory research utilizing the Joanna Briggs Institute (JBI) evidence implementation methodology.
- Involved a multidisciplinary team and hospital managers in a southeastern Brazilian university hospital.
- Included situational diagnosis, baseline audit, protocol development, training, implementation, and monitoring.
Main Results:
- Seven audit criteria for breastfeeding assistance were established.
- Initial compliance was low (3/7 criteria met), with eleven identified barriers.
- Post-implementation of protocol development and multidisciplinary training, compliance increased significantly (7/7 criteria met in the first follow-up, 5/7 in the second).
Conclusions:
- The project successfully improved evidence-based practice and established a breastfeeding protocol.
- Evidence implementation strategies were effective in increasing compliance with best practices.
- Ongoing training is essential for maintaining adherence and integrating new practices into routine care.
Objective:
To describe the process of best practices implementation for breastfeeding assistance for preterm and low birth weight infants.
Method:
Participatory research that used the evidence implementation methodology of the JBI, held at a university hospital in southeastern Brazil, with the participation of a multidisciplinary team and managers.
Stages:
Situational diagnosis, baseline audit and feedback, protocol development, training, implementation, and monitoring.
Results:
Seven audit criteria were defined. In the baseline audit, three criteria were met, with eleven barriers to be resolved being listed. The strategies carried out were protocol development and multidisciplinary and intersectoral training. After the training, compliance was achieved with the seven criteria audited in the first follow-up audit and five in the second, emphasizing the increase in compliance after the implementation of the outlined strategies.
Conclusion:
The project achieved the objective of improving evidence-based practice, and allowed the implementation of the institution's first breastfeeding protocol. However, it shows the need to maintain training for adherence and enculturation of new practices.
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