早产儿和低出生体重儿母乳喂养援助:最佳做法实施项目。

Revista da Escola de Enfermagem da U S P Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-reeusp-2023-0380en
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
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引用次数: 0

摘要

目的:描述早产儿和低出生体重儿母乳喂养援助最佳实践的实施过程:描述早产儿和低出生体重儿母乳喂养援助最佳实践的实施过程:在巴西东南部一所大学医院开展的参与式研究,采用了联合调查研究所的证据实施方法,多学科团队和管理人员参与了研究:阶段:情况诊断、基线审核和反馈、方案制定、培训、实施和监控:结果:确定了七项审核标准。在基线审计中,有三项标准得到了满足,并列出了需要解决的 11 个障碍。所采取的策略是制定方案以及开展多学科和跨部门培训。培训结束后,在第一次跟踪审计中达到了 7 项标准,在第二次跟踪审计中达到了 5 项标准:结论:该项目实现了改进循证实践的目标,并使该机构的首个母乳喂养协议得以实施。然而,这也表明有必要继续开展培训,以促进新做法的遵守和文化融合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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