NRS433V Burn out And Job Dissatisfaction in Health Care Discussion

Literature Evaluation Table (Sample) Student Name: Summary of Clinical Issue (200-250 words): The importance of feeding human milk to infants is well documented and supported from a variety of national as well as international committees. The American Academy of Pediatrics (AAP) confirmed that given the short-term and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health initiative (AAP, 2012). An increasing number of studies reported an association between breastfeeding and long-term protection against chronic disease in both the infant and mother (Binns, 2016, AAP, 2012). Despite the overwhelming evidence in support of exclusive breastfeeding, the United States current six month breastfeeding rate of 49.4% is well below the goal of 60.6% of infants receiving any breast milk at 6 months set by Healthy People 2020 (CDC, 2015). The current rate of infants being exclusively breastfed at 6 months is 18.8%, with a goal rate of 25.5% as reported in the 2016 Breastfeeding Report Card published through the Center for Disease Control (CDC, 2015). The challenge with the reported data was that the information comes predominately from maternal recall of their feeding practices of full-term healthy infants leaving to question the accuracy of this information (CDC, 2015). Very little information was available regarding the breastfeeding rates of hospitalized infants during the first seven days of life. These infants and mothers were often placed into a healthcare system that was not prepared to address the mother infant dyad, but rather a system focused primarily on the needs of the infant. Pediatric health care systems were not prepared for the breastfeeding mother and infant during the first week of life and were challenged to provide effective support that would allow for the mother to continue to breastfeed while the infant was hospitalized. When an interruption in breastfeeding occurred during the first week, this caused significant changes to a mother’s milk supply, the amount of milk the infant demanded, and other barriers created a significant challenge for mothers to reach their breastfeeding goals (Binns, 2016). PICOT Question: Does providing a breastfeeding educational program for pediatric nurses within Cook Children’s Medical Center increase their knowledge of breastfeeding support to hospitalized infants as compared to nurses having no breastfeeding education? P = Pediatric nurses within a specific medical center © 2019. Grand Canyon University. All Rights Reserved. I = Implementation of a breastfeeding education program C = Nurses that received no breastfeeding education O = Increase breastfeeding support to hospitalized infants T = Within a 6 month time frame Criteria Article 1 Article 2 Article 3 Garner, C.D., Ratcliff, S.L., Thornburg, L.L., Wethington, E., Howard, C.R., & Rasmussen, K.M. (2016). Discontinuity of breastfeeding care: “There’s no captain of the ship”. Breastfeeding Medicine, 11(1), 32-39. By learning what health care professionals understand about breastfeeding and support. Qualitative design – Semi structured in-depth interview Cross-Barnet, C., Augustyn, M., Goss, S., Resnik, A., & Paige, D. (2012). Longterm breastfeeding support: Failing mothers in need. APA-Formatted Article Citation with Permalink Radzyminski, S., & Callister, L.C. (2015). Health professionals’ attitudes and beliefs about breastfeeding. The Journal of Perinatal Education, 24(2), 102-109. How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Looking at how health care professional’s perceptions impacts breastfeeding support. Qualitative design – descriptive study using a convenience sampling of staff using interview sessions. The purpose of this study was To understand health professionals to determine the perceptions of perspectives on their experiences health care providers regarding providing breastfeeding care across the continuum. Purpose Statement 2 By identifying how healthcare has failed breastfeeding mothers allows for a better understanding. Qualitative study using semi-structured interviews. Sought to explore the comprehensive infant feeding education and support experiences of mothers enrolled in the Maryland WIC program. Research Question breastfeeding and support of breastfeeding. Does the perception of breastfeeding and support impact how healthcare professionals support breastfeeding mothers and infants? Does a health professionals personal perspective impact the support that they provide to breastfeeding mothers. Does a comprehensive breastfeeding educational program at different levels of health care, improve the rate of breastfeeding. Outcome Four themes identified: 1. Understanding the benefits of breastfeeding 2. Lacking consistency 3. Not knowing how to help 4. Understanding the barriers to breastfeeding Six themes identified: 1. Gaps within healthcare system structure 2. Reliance on other health professionals 3. Time: limited or not the right time. 4. NRS433V Burn out And Job Dissatisfaction in Health Care Discussion

Lack of skills or not their role. 5. Inconsistent message 6. Potential strategies to improve continuity This study looked at mothers breastfeeding at three different stages: 1. Prenatal care – the intent of the mothers to breast feed. Almost half of mothers received some education. 2. Hospitals – of the mothers identified as wanting to breastfeed, there were approximately 20% of mothers that received no breastfeeding education. 3. Pediatricians – many mothers identified their pediatrician as their primary source of breastfeeding information. Setting (Where did the study take place?) Sample Within one health care setting including pediatricians, OB’s , nurse midwife 53 health care professional providing care to breastfeeding mothers and infants. Qualitative descriptive study Two central New York counties. Three different Maryland WIC office Purposive sampling used from different health professional settings. 34 health professionals interviewed. Qualitative semi structured in depth interviews Convenience sample of 75 mothers Method 3 In depth semi-structured interview Key Findings of the Study Identification of themes that relate to breastfeeding. Clinical implications: improve education, assess maternal knowledge Provide additional education to health care providers that support breastfeeding mothers and infants. Identified theses associated with the limitation of the health professionals knowledge associated with breastfeeding. This study identified different opportunities to offer breastfeeding education. Identification that more breastfeeding education is needed across all areas of health care. Breastfeeding education is critical at all levels of healthcare to support the breastfeeding mother. Article 4 Article 5 APA-Formatted Article Citation with Permalink Cobb, M.S. (2014). Nurses’ current breastfeeding knowledge: An evidence-based change project. Clinical Scholars Review 7(1), 42-47. Bozzette, M., & Posner, T. (2013). Increasing student nurses’ knowledge of breastfeeding in baccalaureate education. Nurse Education in Practice, 13, 228-233. How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement By assessing the current knowledge that nurses have to identify what is needed. Quantitative design using a pre – post survey design. Identifying the amount of education that is provided in the baccalaureate program. Quantitative design using a convenience sample using a pre and post survey. To examine the changes in student knowledge after receiving content on breastfeeding and lactation in their obstetrical course. Recommendations of the Researcher Criteria Discuss the application of an evidence-based practice project to postpartum nurses to support, protect and promote breastfeeding in the hospital setting. 4 Article 6 Rosen-Carole, C., Waltermaurer, E., Goudreault, M., Larimer, A., PokharelWood, M., Rajupet, S., & Kouba, N. (2016). Assessing the efficacy of a breastfeeding-friendly quality improvement project in a large federally qualified health center network. Journal of Human Lactation, 32 (3), 489-497. By reviewing the effectiveness of a quality improvement project. Quantitative design using a pre-post design. Evaluate the effect of a BreastfeedingFriendly Initiative in the complex environment of a Federally Qualified Health Center. Research Question Outcome Setting (Where did the study take place?) Sample Method What is the nurses current knowledge associated with the support of breastfeeding information. Using a paired t test analysis of the pretest and posttest scores. Statistical significance established and demonstrated that education improved the participants breastfeeding knowledge. Nurses within a single postpartum unit. Does education increase the knowledge that students provide to mothers during their baccalaureate education. Improvement was noted within each course objective from pre- and posttest. Does a breastfeeding friendly initiative influence the breastfeeding rates of a large federally funded health center A single baccalaureate nursing program. 41 nurses agreed to participate. All staff members that are in contact with the breastfeeding mother were solicited. 28 nurses were in attendance and the final sample was 24 students 31 health centers stratified by size and location in order to randomly assign half of the 709 direct contact employees to either of 2 interventions 31 health centers recruited. 709 direct care providers participated. 220 attended the face-to-face education 150 staff members accessed the webbased education Postpartum nurses were solicited to participate in a pretest prior to the initiation of an individual breastfeeding education session and completion of the same questionnaire after the session. Two phase study with a pre and post design. Pre-test was used to evaluate the beginning knowledge and a post test was used to evaluate the knowledge after an educational program. 5 Of those that completed both the pre survey, the education and then the post survey, there was a statistical difference in the knowledge that the providers had regarding breastfeeding. Two interventions evaluated, one was a face-to-face education session and the other was a web-based module process. Two questionnaires were administered to participants. Key Findings of the Study Recommendations of the Researcher Postpartum nurses play a key role in the support of breastfeeding mothers. It is critical that they have a solid breastfeeding knowledge. Increase the amount and type of breastfeeding education that is provided. Benefits of breastfeeding have been clearly established and nurses have been identified as having a significant impact. This study showed that face to face education was a better mechanism to provide comprehensive breastfeeding as compared to the web-based education. Develop and provide breastfeeding education in all nursing and physician programs. Breastfeeding education should be included in all health care settings that work with mothers and infants. 6 Reference AAP. (2012). Breastfeeding and the Use of Human Milk. Pediatrics, 129(3), e827-e841. Binns, C. L. (2016). The long-term public health benefits of breastfeeding. Asia-Pacific Journal of Public Health, 28(1), 7-14. CDC. (2015). Breastfeeding Report Card. Retrieved 11 18, 2016, from Center for Disease Control and Prevention: cdc.gov/breastfeeding/pdf/2014breastfeedingreportcard.pdf 7 …