Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão, Ana Paula Almeida Brito, Luciana Mara Monti Fonseca, Cândida Caniçali Primo
{"title":"早产儿和低出生体重儿母乳喂养援助:最佳做法实施项目。","authors":"Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão, Ana Paula Almeida Brito, Luciana Mara Monti Fonseca, Cândida Caniçali Primo","doi":"10.1590/1980-220X-reeusp-2023-0380en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the process of best practices implementation for breastfeeding assistance for preterm and low birth weight infants.</p><p><strong>Method: </strong>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.</p><p><strong>Stages: </strong>Situational diagnosis, baseline audit and feedback, protocol development, training, implementation, and monitoring.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230380"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216164/pdf/","citationCount":"0","resultStr":"{\"title\":\"Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project.\",\"authors\":\"Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão, Ana Paula Almeida Brito, Luciana Mara Monti Fonseca, Cândida Caniçali Primo\",\"doi\":\"10.1590/1980-220X-reeusp-2023-0380en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the process of best practices implementation for breastfeeding assistance for preterm and low birth weight infants.</p><p><strong>Method: </strong>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.</p><p><strong>Stages: </strong>Situational diagnosis, baseline audit and feedback, protocol development, training, implementation, and monitoring.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":94195,\"journal\":{\"name\":\"Revista da Escola de Enfermagem da U S P\",\"volume\":\"58 \",\"pages\":\"e20230380\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216164/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista da Escola de Enfermagem da U S P\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-220X-reeusp-2023-0380en\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista da Escola de Enfermagem da U S P","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1980-220X-reeusp-2023-0380en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project.
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.