Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program

International Journal of Environmental Research and Public Health

David Armero-Barranco¹  AntonioJesús Ramos-Morcillo¹  César Leal-Costa¹  María Ruzafa-Martínez¹  David Harillo-Acevedo²  JoséEnrique Moral-García³ 

[1] Faculty of Nursing, University of Murcia, 30100 Murcia, Spain;Maternal-Pediatric Unit, Hospital Rafael Mendez, 30813 Murcia, Spain;Physical Activity and Sports Sciences, Faculty of Education, Pontifical University of Salamanca, 37007 Salamanca, Spain;

关键词: barriers;    guideline;    breastfeeding;    clinical practice guideline;    BPSO;    nursing;   

DOI  :  10.3390/ijerph17176248

来源: DOAJ

【 摘 要 】

International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.

【 授权许可】

Unknown