Cultural Interpretations of Patients and Employees in an Organization Certified Through the Baby-Friendly Hospital Initiative: A Focused Ethnographic Study.

IF 2.1 4区 医学 Q2 NURSING
Keri Durocher, Kimberley T Jackson, Richard Booth, Panagiota Tryphonopoulos
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引用次数: 0

Abstract

Background: When organizations are certified through the Baby-Friendly Hospital Initiative, health care providers implement various policies that are intended to support long-term and exclusive breastfeeding. Despite the availability of evidence to support these policies, research findings are inconsistent in whether these goals are met. Exploring cultural interpretations through the lens of individuals within these organizations may reveal new evidence of breastfeeding experiences and needed support.

Research aim: To explore organizational cultural aspects of a Baby-Friendly certified organization from the perspective of patients and employees.

Method: Researchers implemented a focused ethnography design in one certified organization in Ontario, Canada. One-to-one, semi-structured interviews were performed with two participant groups, including 10 patients and eight employees within intrapartum and postpartum care areas between 2023-2024. An inductive data analysis approach followed Roper and Shapira's framework, including (1) coding for descriptive labels, (2) sorting for patterns, (3) identification of outliers, (4) generalizing with constructs and theories, and (5) memoing.

Results: Five core themes emerged from the data, including (1) knowledge is power, (2) community of support, (3) contextual considerations, (4) environment for breastfeeding, and (5) patient factors. Through narrative descriptions, these interrelated themes exhibit how patients and employees have experienced or provided care that is consistent with breastfeeding-supportive policies as well as additional gaps that may not be addressed through policy research.

Conclusion: The results provide implications for breastfeeding support within an organization certified through the Baby-Friendly Hospital Initiative. Understanding cultural interpretations of breastfeeding can provide information for future education and interprofessional development.

通过爱婴医院倡议认证的组织中患者和员工的文化解释:一项集中的民族志研究。
背景:当组织通过爱婴医院倡议认证时,卫生保健提供者实施旨在支持长期和纯母乳喂养的各种政策。尽管有证据支持这些政策,但研究结果在这些目标是否实现方面并不一致。通过这些组织中个人的视角探索文化解释可能会揭示母乳喂养经历和所需支持的新证据。研究目的:从患者和员工的角度探讨爱婴组织的组织文化层面。方法:研究人员在加拿大安大略省的一家认证组织实施了一项重点人种学设计。对两组参与者进行了一对一的半结构化访谈,其中包括2023-2024年间的10名患者和8名产内和产后护理领域的员工。归纳数据分析方法遵循Roper和Shapira的框架,包括(1)对描述性标签进行编码,(2)对模式进行排序,(3)识别异常值,(4)用结构和理论进行概括,以及(5)记忆。结果:从数据中得出了五个核心主题,包括(1)知识就是力量,(2)支持社区,(3)背景考虑,(4)母乳喂养环境,(5)患者因素。通过叙述性描述,这些相互关联的主题展示了患者和员工如何经历或提供符合母乳喂养支持政策的护理,以及可能无法通过政策研究解决的其他差距。结论:该结果为通过爱婴医院倡议认证的组织内的母乳喂养支持提供了启示。了解对母乳喂养的文化解释可以为未来的教育和跨专业发展提供信息。
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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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