Abstract
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: The purpose of this project was to increase breastfeeding knowledge and confidence in healthcare providers (HCPs) involved in the care of pregnant women in rural Obstetrical clinics. Obstetrical healthcare providers are responsible for the care and well-being of pregnant women and their fetuses. One of the most highly effective preventive measures a mother can take to protect the health of her infant is to breastfeed. The breastfeeding success rate among mothers can be greatly improved through active support from their families, friends, communities, and healthcare providers. Methods: The project sites were three separate rural obstetrical clinics in middle Tennessee. Informed Consent was obtained from providers participating in the project. A Pre-Knowledge and Confidence Questionnaire on Breastfeeding was administered to the healthcare providers. An educational program from the American Academy of Pediatrics (AAP), "Breastfeeding Residency Curriculum" consisting of PowerPoints, case studies, and the use of reference tools was presented to all participants. Three presentations were conducted at each site. Healthcare providers counsel pregnant women about breastfeeding using the American Congress of Obstetricians and Gynecologists (ACOG) Perinatal Practice Guidelines. The healthcare providers documented their counseling efforts in the patient's Electronic Medical Record (EMR). Patient charts were reviewed for comparison of pre-implementation to post-implementation breastfeeding counseling documentation by providers. The three month pre-implementation review included patient visits from January 2014 through March 2014. In developing a project baseline, this pre-implementation chart review established the number of times patients received breastfeeding counseling and prenatal visits from the healthcare providers. Once the educational program was implemented, another chart review was conducted, in the same manner as the pre-implementation review. The post-implementation review incorporated the period of April 2015 through June 2015. A comparison was made between the two reviews to determine any effect of the educational intervention on the providers counseling and documentation. At the end of the three month project, a Post- Knowledge and Confidence Questionnaire on Breastfeeding was presented to the healthcare providers. Results: It is projected that healthcare providers who complete the American Academy of Pediatrics (AAP) "Breastfeeding Residency Curriculum" will display enhanced breastfeeding knowledge and confidence, and will exhibit positive changes to breastfeeding practice patterns. Short-term project goals include a 25% increase in utilization of ACOG breastfeeding recommendations (based on retrospective chart review), and a 25% increase in HCP breastfeeding knowledge through pre/post-testing, and a 25% increase in HCP confidence in breastfeeding counseling abilities through pre/post-testing. Long-term goals after completion of the educational program include a 50% increase in utilization of breastfeeding recommendations from ACOG, an increase in the number of patients with intent to breastfeed, and an increase in the number of patients who attempt to breastfeed prior to discharge from the hospital after delivery. Conclusions: The breastfeeding success rate among mothers can be greatly improved through active support from their healthcare providers. More breastfeeding education is required for healthcare providers to become both knowledgeable and confident in their skills to promote breastfeeding and manage the breastfeeding client.
Sigma Membership
Iota Beta
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Breastfeeding, Knowledge, Confidence
Recommended Citation
Lee, Emily A., "Breast is Best: Increasing Healthcare Provider Knowledge and Confidence" (2016). Convention. 449.
https://www.sigmarepository.org/convention/2015/posters_2015/449
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Breast is Best: Increasing Healthcare Provider Knowledge and Confidence
Las Vegas, Nevada, USA
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: The purpose of this project was to increase breastfeeding knowledge and confidence in healthcare providers (HCPs) involved in the care of pregnant women in rural Obstetrical clinics. Obstetrical healthcare providers are responsible for the care and well-being of pregnant women and their fetuses. One of the most highly effective preventive measures a mother can take to protect the health of her infant is to breastfeed. The breastfeeding success rate among mothers can be greatly improved through active support from their families, friends, communities, and healthcare providers. Methods: The project sites were three separate rural obstetrical clinics in middle Tennessee. Informed Consent was obtained from providers participating in the project. A Pre-Knowledge and Confidence Questionnaire on Breastfeeding was administered to the healthcare providers. An educational program from the American Academy of Pediatrics (AAP), "Breastfeeding Residency Curriculum" consisting of PowerPoints, case studies, and the use of reference tools was presented to all participants. Three presentations were conducted at each site. Healthcare providers counsel pregnant women about breastfeeding using the American Congress of Obstetricians and Gynecologists (ACOG) Perinatal Practice Guidelines. The healthcare providers documented their counseling efforts in the patient's Electronic Medical Record (EMR). Patient charts were reviewed for comparison of pre-implementation to post-implementation breastfeeding counseling documentation by providers. The three month pre-implementation review included patient visits from January 2014 through March 2014. In developing a project baseline, this pre-implementation chart review established the number of times patients received breastfeeding counseling and prenatal visits from the healthcare providers. Once the educational program was implemented, another chart review was conducted, in the same manner as the pre-implementation review. The post-implementation review incorporated the period of April 2015 through June 2015. A comparison was made between the two reviews to determine any effect of the educational intervention on the providers counseling and documentation. At the end of the three month project, a Post- Knowledge and Confidence Questionnaire on Breastfeeding was presented to the healthcare providers. Results: It is projected that healthcare providers who complete the American Academy of Pediatrics (AAP) "Breastfeeding Residency Curriculum" will display enhanced breastfeeding knowledge and confidence, and will exhibit positive changes to breastfeeding practice patterns. Short-term project goals include a 25% increase in utilization of ACOG breastfeeding recommendations (based on retrospective chart review), and a 25% increase in HCP breastfeeding knowledge through pre/post-testing, and a 25% increase in HCP confidence in breastfeeding counseling abilities through pre/post-testing. Long-term goals after completion of the educational program include a 50% increase in utilization of breastfeeding recommendations from ACOG, an increase in the number of patients with intent to breastfeed, and an increase in the number of patients who attempt to breastfeed prior to discharge from the hospital after delivery. Conclusions: The breastfeeding success rate among mothers can be greatly improved through active support from their healthcare providers. More breastfeeding education is required for healthcare providers to become both knowledgeable and confident in their skills to promote breastfeeding and manage the breastfeeding client.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`