Graduation Semester and Year
Spring 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Sara Moore
Abstract
Background
The American Academy of Pediatrics recommends exclusive breastfeeding for all infants until six months of age. In the United States, the exclusive breastfeeding rate is 52%, with a goal of 73% by Healthy People 2030 at six weeks of age. Breastfeeding difficulty will occur 70% of the time in mother-baby dyads, requiring some intervention by the primary care provider during the breastfeeding course. This study aims to build a clinical practice guideline that can guide interventions to improve successful breastfeeding rates in a birthing center.
Methods
The literature search was performed and condensed to an evidence table where studies were graded by evidence level and quality. The evidence gathered guided the development of nine guideline statements focused on successful interventions for clinicians in the birthing center to address breastfeeding difficulty for the mother-infant dyad.
Results
When ranked by the stakeholders, the nine guideline statements had a mean range from 3.4 to 4.0 (scale of 1-4), with an average mean of 3.8, indicating an overall excellent or high recommendation based on the stakeholders’ rankings. The data was analyzed with the Related-Samples Friedman’s Two-Way Analysis of Variance by Ranks test to evaluate the stakeholder rankings and found that there were no statistically significant differences (significance of .376, significance level of .05) between the rankings showing statically similar rankings by all stakeholders.
Conclusion
The project aim was successful in developing a guideline by using a diverse guideline development team and evidence-based literature from a systematic literature review that was guided by stakeholder input. Optimistically, this guideline can be a foundation for similar birthing centers and other outpatient facilities caring for the mother-infant dyad experiencing breastfeeding difficulty to build and implement new clinical practices.
Keywords
Breastfeeding, Breastfeeding difficulty, Infant health, Maternal health, Practice guideline
Disciplines
Maternal, Child Health and Neonatal Nursing | Pediatric Nursing
License
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License.
Recommended Citation
Naugher, Collin, "Guideline for Breastfeeding Difficulty" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 12.
https://mavmatrix.uta.edu/nursing_dnpprojects/12