Please refer to milestone before completing assignment. MILESTONE 1 Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets For Use May 2018 5/21/18 1. Refer to the guidelines for specific details on how to complete this assignment. 2. Type your answers directly into the worksheets below. 3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT. 4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response. Support for healthy Breastfeeding mothers with healthy term babies. McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD001141. doi:10.1002/14651858.CD001141.pub5 The nursing practice issue identified is the unavailability of resources that can facilitate the teaching of feeding cues to the mothers and expecting mothers in order to provide the best breastfeeding practices. The benefits of breastfeeding for both mother and child is widely accepted across the medical field. The world health organization has made a recommendation that infants should be breastfed until six months exclusively, and even continue for up to two years exclusively as the main part of infant diet. The current level of breastfeeding in most of the countries does not indicate that recommendation. Knowing this, instead of offering brief lactation classes on postpartum units, interactive and in-depth lactation support should be available to all expecting mothers and new mothers. ___ Clinical _x__ Education ___ Administration ___ Other (List): (check all that apply) ___ Safety/risk management concerns ___ Unsatisfactory patient outcomes ___ Wide variations in practice __x_ Significant financial concerns ___ Difference between hospital and community practice ___ Clinical practice issue is a concern ___ Procedure or process is a time waster ___ Clinical practice issue has no scientific base __ Other: For this practice issue, I selected significant financial concerns as a reason to why lactation courses are not as prioritized as they should. Providing the resources needed in order to facilitate an interactive in depth course may illuminate a financial concern. (check all that apply) ___ Literature search ___ Guidelines ___ Expert Opinion ___ Patient Preferences _x__ Clinical Expertise __x_ Financial Analysis ___ Standards (Regulatory, professional, community) ___ Other I selected financial analysis because in order to supply the resources for these lactation courses, the facilities/hospitals financial capacity should be considered. ring additional staff that offer expertise is essential in offering quality care to the specific population. : Please type your answers directly into the worksheet. As previously mentioned, though it has been medically recommended for mothers of infants to breast feed for at least 6 months, the number of mothers that actually follow through with breastfeeding, does not reflect its importance. Expecting and new mothers are not offered enough support in regards to education, to ensure breastfeeding compliance. As a result, the benefits of breastfeeding are not being reaped by mother and infants. Renfrew, M. J., McCormick, F. M., Wade, A., Quinn, B., & Dowswell, T. (2012). Support for healthy breastfeeding mothers with healthy term babies. , (5). To determine the categories of breastfeeding support that haven examined in the controlled research, the timing for the intervention and the setting which the research and interventions are used To determine the efficiency of diverse modes for offering the intervention support for instance, whether the offered intervention is reactive, proactive and over the phone or face to face, and if such intervention has the elements of postnatal and antenatal and their effectiveness. To evaluate the effectiveness of various caregivers and trainings in situations where there was series of trainings. To explore the interactions between the rates of breastfeeding background and support effectiveness. Offering the support for the breastfeeding to women both antenatal and postnatal results in the increase of the exclusivity and duration of breastfeeding, hence better health for mother and child. The practice issue identified, suggests that the resources and the availability of staff may be an issue. Financially, many facilities may not deem these interventions as those that require priority, thus dwarfing the availability interactive lactation support courses. In order to gain success, these courses should be instructed by qualified personnel who are able to provide in depth expertise. The program should provide progressive arranged visits with women on the based on the time that theyre available. The program should be tailored to the setting and need of the group. . The main findings are that the support offered by both the professional and lay persons had positive impact on the outcome of breastfeeding. Factors like the face to face breastfeeding support and personalized trainings encourage the duration and exclusivity of breastfeeding in new mothers. . Evidence-based solutions that increase the rate of breastfeeding includes; patient centered care of mothers who are experiencing issues with breast feeding, giving support in the settings that have high rate of initiation, and education provided by experts that enables mothers both antenatal and postnatal to have access to all the information they need to provide the best care for their infants. Also, the support strategy should include face to face interactions for higher chances of success for the breastfeeding women. The studies were limited to 100 studies, and 73 studies were limited to 29 countries which is even less than 50% of the countries across the globe. Statistics cannot rely on such figure as representatives.
