Stakeholder Perspectives on Research, Policy and Practice Priorities to Increase Human Milk Feeding Rates in the United Kingdom

IF 2.1 4区医学 Q2 NURSING Journal of Human Lactation Pub Date : 2024-09-17 DOI:10.1177/08903344241271411

Amy Elizabeth Burton, Alison Owen, Jennifer Taylor, Isobel Lindsay-Wiles, Joanna Heyes, Fiona Cust, Sarah Page

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Abstract

Background:Human milk feeding rates in the United Kingdom are a public health concern. Changes to United Kingdom policy and practice are needed to improve lactation support. These should be informed by those with lived experience of human milk feeding and those who provide support.Research Aim:The aim of this study was to identify research, policy, and practice priorities for increasing human milk feeding rates using insights from a wide range of stakeholders. A secondary aim was to evaluate the influence of a World Café on individual attendees and their interactions within the organizations and communities of which they are a part.Methods:The research employed a participatory qualitative design, incorporating a cross-sectional survey and World Café discussions. World Café is a novel approach to engaging stakeholders in discussion, resulting in consensus-building and participatory-driven recommendations. A pre-event survey was completed by a self-selected sample of 67 participants; 37 of these (55%) took part in World Café discussions or an online focus group. World Café discussions and the online focus groups were recorded and transcribed verbatim. Following the World Café, 12 participants (32%) completed a post-event survey, and eight (22%) completed an additional follow-up survey at 2 months.Results:Priority policy and practice changes were identified, including enhancing education, the need for dedicated funding for human milk feeding support, the need to include family within support provision, and the need to change policy regarding media representations of infant feeding. In addition, World Café methodology proved valuable for facilitating networking and instigating changes in relation to support.Conclusion:World Café generated stakeholder agreed-on priorities for research and policy. Many of the recommendations from historical policy and guidance continue to be areas for further development.

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利益相关者对提高英国母乳喂养率的研究、政策和实践优先事项的看法

背景：英国的母乳喂养率是一个公共卫生问题。英国需要改变政策和做法，以改善哺乳支持。研究目的：本研究旨在通过广泛的利益相关者的意见，确定提高母乳喂养率的研究、政策和实践重点。研究方法：本研究采用参与式定性设计，将横截面调查和世界咖啡馆讨论结合起来。世界咖啡馆 "是一种让利益相关者参与讨论的新方法，其结果是建立共识和提出参与式建议。由 67 名参与者自行选择的样本完成了活动前调查，其中 37 人（55%）参加了世界咖啡馆讨论或在线焦点小组。对世界咖啡馆讨论和在线焦点小组进行了录音和逐字记录。世界咖啡馆活动结束后，12 名参与者（32%）完成了活动后调查，8 名参与者（22%）在活动结束 2 个月后完成了额外的跟踪调查。结果：确定了政策和实践变革的重点，包括加强教育、需要为母乳喂养支持提供专项资金、需要将家庭纳入支持范围，以及需要改变媒体对婴儿喂养的报道政策。此外，"世界咖啡馆 "的方法对于促进网络建设和推动与支持有关的变革也很有价值。历史政策和指南中的许多建议仍有待进一步发展。

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来源期刊

Journal of Human Lactation 医学-妇产科学

CiteScore

5.00

自引率

11.50%

发文量

100

审稿时长

6-12 weeks

期刊介绍： Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.

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