母乳喂养支持环境中的远程哺乳:拉丁裔父母的经验

IF 2.1 4区 医学 Q2 NURSING
Gabriela Alvarado, Khadesia Howell, Molly Waymouth, Jill Demirci, Rhianna Rogers, Kristin Ray, Lori Uscher-Pines
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引用次数: 0

摘要

研究目的:我们旨在了解接受远程催乳的拉丁裔父母的看法和经历,并评估将远程催乳纳入儿科环境的影响。方法:这项横断面定性研究从参加母乳喂养支持随机对照试验的参与者中招募了 20 名参与者。我们从一项随机对照试验的参与者中招募了 20 名参与者,该试验旨在评估远程催乳对母乳喂养结果的影响。研究设计参考了以公平为中心的模式和真实入口。结果:我们确定了三个主题:(1) 在更广泛的母乳喂养支持范围内的远程催乳;(2) 对远程催乳支持的看法;(3) 在儿科护理中使用远程催乳的建议。我们发现参与者在寻求母乳喂养支持时采用了一种升级方法,并提出了一种新的模式:母乳喂养支持升级协议》,该协议可应用于儿科护理中的哺乳支持。家长们的看法和建议强调了他们对护理协调、远程哺乳参与的更多选择以及护理连续性的渴望,这对于考虑将远程哺乳服务纳入其实践的儿科诊所来说是重要的反思。儿科诊室可以通过与远程催乳服务机构合作,采取措施成为母乳喂养友好型诊室。对于将远程哺乳服务作为儿科实践的一部分所涉及的后勤问题和成本效益,还需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telelactation Within the Landscape of Breastfeeding Support: Experiences of Latina Parents
Background:Despite increasing breastfeeding initiation rates in the United States, disparities in breastfeeding continuation and exclusivity by race and ethnicity persist.Research Aim:We aimed to understand the perceptions and experiences of Latina parents who received access to telelactation, and assessed the implications of integrating telelactation into pediatric settings.Methods:This cross-sectional qualitative study drew from participants enrolled in a randomized controlled trial about breastfeeding support. We recruited 20 participants from among those participating in a randomized controlled trial assessing the effect of telelactation on breastfeeding outcomes. The study design was informed by an Equity-Centered Model and authentic entry. We conducted a thematic content analysis through an iterative approach, where we systematically generated themes to describe code application patterns.Results:We identified three themes: (1) telelactation within the broader landscape of breastfeeding support; (2) perceptions of telelactation support; and (3) recommendations on the use of telelactation in the context of pediatric care. We found that participants had an escalation approach for seeking breastfeeding support and propose a new model: Breastfeeding Support Escalation Protocol, which can be applied to lactation support in pediatric care. Parents’ perceptions and recommendations highlighted their desire for care coordination, expanded options for telelactation engagement, and care continuity, which are important reflections for pediatric offices considering integrating telelactation services into their practice.Conclusions:Latina parents found telehealth to be helpful and an acceptable alternative to in-person services. Pediatric offices can take steps toward becoming Breastfeeding-Friendly by partnering with telelactation services. More research is needed on the logistical implications and cost-effectiveness of telelactation services as part of the pediatric practice.
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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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