Hispanic Birthing Parents' Experiences With Lactation Support Received In-Hospital: A Quality Improvement Needs Assessment.

IF 2.1 4区 医学 Q2 NURSING
Journal of Human Lactation Pub Date : 2025-05-01 Epub Date: 2025-03-18 DOI:10.1177/08903344251321777
Cati G Brown-Johnson, Samantha M R Kling, Erika A Saliba-Gustafsson, Zakiyah K Williams, Julie Najar, Anna Sophia Lessios, Sonia Rose Harris, Kate A Shaw, Lisa M Goldthwaite, Jonathan G Shaw, Susan D Crowe
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引用次数: 0

Abstract

Background: Human milk-feeding benefits infants and parents. Exclusive human milk (EHM) feeding is recommended for infants younger than 6 months; however, many U.S. infants do not receive this recommendation. Documented disparities exist between White and historically marginalized populations, including Hispanic/Latino parents.Quality Improvement Needs Assessment Aims:To explore Hispanic birthing parents' experiences with human milk-feeding and lactation support as part of a quality improvement needs assessment project, identifying barriers and facilitators during post-birth hospital recovery.

Methods: We collected and triangulated three data sources for 37 interviews: (1) in-hospital observations that included opportunistic informal interviews, as well as telephone interviews with (2) English- and Spanish-language-preferring Hispanic birthing parents, and (3) pediatric clinician interviews (via snowball sampling recruitment). In-hospital observations were collected in March 2022 at a Northern California academic medical center. Interviews included birthing parents, physicians, nurses, clinical trainees, administrators, and lactation consultants. Telephone interviews occurred between March and May 2022. We used rapid and thematic analysis, subsequently mapping themes to the socioecological model as an organizing framework.

Results: Interpersonal growth opportunities were identified: trust-building through deep listening, better communication between patients and clinicians, particularly at night, and better cross-language understanding. At the hospital level, identified needs included supportive maternity care practices, lactation staff availability, and more perinatal lactation education and resources (e.g., iPads, pumps). Spanish-language-preferring patients reported needing better interpretation services.

Conclusion: This quality improvement project identified opportunities for improvement in relationships with patients, clinician communication, and training and physical resources.

西班牙裔分娩父母在医院接受哺乳支持的经验:质量改进需求评估。
背景:母乳喂养对婴儿和父母都有益。6个月以下的婴儿建议纯母乳喂养;然而,许多美国婴儿并没有接受这一建议。白人和历史上被边缘化的人群(包括西班牙裔/拉丁裔父母)之间存在着有案可查的差异。质量改进需求评估目的:作为质量改进需求评估项目的一部分,探讨西班牙裔分娩父母在母乳喂养和哺乳支持方面的经验,确定分娩后住院康复过程中的障碍和促进因素。方法:我们收集并三角化了37个访谈的三个数据来源:(1)住院观察,包括机会性的非正式访谈,以及电话访谈;(2)偏爱英语和西班牙语的西班牙裔分娩父母;(3)儿科临床医生访谈(通过滚雪球抽样招募)。住院观察于2022年3月在北加州学术医疗中心收集。访谈对象包括分娩父母、医生、护士、临床实习生、管理人员和哺乳顾问。电话采访发生在2022年3月至5月之间。我们使用快速和主题分析,随后将主题映射到社会生态模型作为组织框架。结果:发现人际成长机会:通过深度倾听建立信任,患者和临床医生之间更好的沟通,特别是在夜间,以及更好的跨语言理解。在医院一级,确定的需求包括支持性产妇护理做法、哺乳工作人员的可用性以及更多的围产期哺乳教育和资源(例如ipad、吸奶器)。偏爱西班牙语的患者报告说他们需要更好的翻译服务。结论:该质量改进项目确定了改善与患者关系、临床医生沟通、培训和物理资源的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
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