Nancy VanDevanter1, Susan Gennaro, Wendy Budin, Helene Calalang-Javiera, Minh Nguyen. 1. Nancy VanDevanter is an Associate Professor, New York University, College of Nursing, New York, NY. She can be reached via e-mail at nvd2@nyu.edu Susan Gennaro is the Dean and Professor, Boston College, William F. Connell School of Nursing, Boston, MA. Wendy Budin is the Director of Nursing Research, NYU Langone Medical Center, Adjunct Professor, NYU College of Nursing, Research Professor of Nursing, NYU School of Medicine, New York, NY. Helene Calalang-Javiera is an Associate Director Maternal Child Health Nursing, Bellevue Hospital Center, NYC Health and Hospitals Corporation, New York, NY. Minh Nguyen is Staff Nurse, Medical City Dallas Hospital, Dallas, TX.
Abstract
PURPOSE: The study evaluates the implementation of a United Nations Children's Fund (UNICEF)/WHO Baby-Friendly Hospital Initiative (BFHI) in a large urban hospital in New York City that serves primarily poor, minority women. STUDY DESIGN AND METHODS: A descriptive qualitative evaluation study that included focus groups, key informant interviews, and observations of the clinical environment was conducted using a community-based participatory research approach with healthcare providers. RESULTS: Findings revealed strengths and challenges in the implementation process at the system, provider, and patient levels. Strategies for enhancing program implementation and outcomes include expansion of provider education, development of additional patient interventions, enhancement of environmental structural supports, and continuation and expansion of program evaluation activities. CLINICAL IMPLICATIONS: Evaluation of program implementation at multiple levels of the organization in collaboration with providers is critical to understanding program outcomes.
PURPOSE: The study evaluates the implementation of a United Nations Children's Fund (UNICEF)/WHO Baby-Friendly Hospital Initiative (BFHI) in a large urban hospital in New York City that serves primarily poor, minority women. STUDY DESIGN AND METHODS: A descriptive qualitative evaluation study that included focus groups, key informant interviews, and observations of the clinical environment was conducted using a community-based participatory research approach with healthcare providers. RESULTS: Findings revealed strengths and challenges in the implementation process at the system, provider, and patient levels. Strategies for enhancing program implementation and outcomes include expansion of provider education, development of additional patient interventions, enhancement of environmental structural supports, and continuation and expansion of program evaluation activities. CLINICAL IMPLICATIONS: Evaluation of program implementation at multiple levels of the organization in collaboration with providers is critical to understanding program outcomes.
Authors: Allison C Munn; Susan D Newman; Martina Mueller; Shannon M Phillips; Sarah N Taylor Journal: Breastfeed Med Date: 2016-04-15 Impact factor: 1.817