Date of Graduation

Fall 12-14-2018

Document Type

Restricted Project - USF access only

Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




DNP Completion

First Advisor

Brian Budds, ESQ

Second Advisor

Nancy W. Selix, DNP, FNP-C, CNM


Necrotizing enterocolitis is a potential life-threatening condition that is the leading cause of death in premature infants. Overwhelming evidence documents the use of an exclusive human milk diet to potentially decrease the rate of occurrence. Not all mothers are able to produce the necessary breast milk for their neonates. Banked human donor milk has become the gold standard of care however disparities of accessibility exist throughout California due to the lack of a healthcare policy providing insurance coverage for this life saving measure. The aim of this project was to present an educational intervention in a limited amount of time to small groups of maternal child health staff with the goal of increasing knowledge surrounding the benefits of human donor milk and increasing awareness and willingness to advocate for healthcare policy change. The pilot was modeled after the time allotment granted for educating state legislators and will be replicated for future healthcare lobbying efforts. Survey results proved the intervention to be successful in both increasing staff knowledge and willingness to advocate for change.

Keywords: necrotizing enterocolitis, human donor milk, policy, nurse advocate

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