Date of Graduation

Winter 12-13-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Scout Hebnick

Abstract

Problem Low breastfeeding rates remain a global challenge and a cause of adverse infant health outcomes despite the benefits of exclusive breastfeeding. In response, UNICEF and the WHO developed the Baby-Friendly Hospital Initiative (BFHI) to promote, protect, and support breastfeeding for infant growth and development. Context Hospital A is a mid-size hospital in Northern California. It has 24 labor, 13 antepartum, and 33 postpartum beds and serves a diverse population of patients. Intervention After a literature review, microsystem assessment, stakeholder survey, and root cause analysis, a standardized infant feeding nurse patient education checklist was developed and aligned with Baby-Friendly teaching guidelines. The checklist aimed to improve the consistency and completeness of education provided to patients regarding infant feeding. Measure The checklist utilization rate was used as a process measure to evaluate nurse participation and acceptance of the intervention. The patient knowledge retention rate (KRR) was evaluated as the outcome measure, evaluating each patient’s ability to recall education points as outlined on the infant feeding education checklist. Results Despite the low checklist utilization rate of 21%, this implementation increased patient KRR by 29.3%. According to patient interview data, 94% of patients received education, and 82% retained the information. Conclusion Findings suggest that a standardized patient education checklist can improve the patient knowledge retention rate regarding breastfeeding and infant feeding practices.

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