Date of Graduation

Winter 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


Kaiser cohort MSN capstone

First Advisor

Sara Horton-Deutsch, PhD, PMHCNS, RN, FAAN, ANEF




This paper will discuss the Clinical Nurse Leader (CNL) project's specific aim: to decrease maternal dissatisfaction during the night shift related to lactation support in a high-risk maternal department.


Research has shown that adding lactation support improves the decision to exclusively breastfeed and increases the duration. Breastfeeding for all infants starting at birth and continuing until at least 6 months of age has been recommended by the World Health Organization, UNICEF, and the American Academy of Pediatrics. Many studies about lactation support have demonstrated the health benefits to mothers and their infants.


A baseline survey will be given to exclusively breastfeeding mothers with either vaginal or c-section deliveries with singleton or multiple infant births. Based on results, a six-week-night shift lactation pilot program will add 24-hour lactation support for mothers who decide to breastfeed exclusively. A baseline survey highlights the need to ensure that postpartum breastfeeding support provided by lactation consultants is perceived as positive by new mothers. Post survey will identify the success of the six-week pilot. Devoted lactation consultants provide education and support for new mothers desiring to breastfeed to improve breastfeeding outcomes.


The project's process measure will be to implement lactation consultant coverage on the night shift. Each measure in the project will lead to a goal to increase maternal satisfaction. This project's global aim will be to increase exclusive breastfeeding rates from 69% to 75%, by results monitored in an in-house STATIT tracking report. The specific aim of decreasing maternal dissatisfaction during the night shift related to lactation support will be documented by 24 respondents completing a seven-question baseline and post-pilot survey.


The objective of this review was to assess if providing night shift lactation education or support using lactation consultants would improve patient satisfaction and increase exclusive breastfeeding rates. Evidence suggests that developing and improving lactation support increases breastfeeding initiation and improves breastfeeding experiences in an atmosphere of well-being.