Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program

Antonio Jesús Ramos-Morcillo, David Harillo-Acevedo, David Armero-Barranco, César Leal-Costa, José Enrique Moral-García and María Ruzafa-Martínez
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Antonio Jesús Ramos-Morcillo: Faculty of Nursing, University of Murcia, 30100 Murcia, Spain
David Harillo-Acevedo: Maternal-Pediatric Unit, Hospital Rafael Mendez, 30813 Murcia, Spain
David Armero-Barranco: Faculty of Nursing, University of Murcia, 30100 Murcia, Spain
César Leal-Costa: Faculty of Nursing, University of Murcia, 30100 Murcia, Spain
José Enrique Moral-García: Physical Activity and Sports Sciences, Faculty of Education, Pontifical University of Salamanca, 37007 Salamanca, Spain
María Ruzafa-Martínez: Faculty of Nursing, University of Murcia, 30100 Murcia, Spain

IJERPH, 2020, vol. 17, issue 17, 1-17

Abstract: International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.

Keywords: barriers; guideline; breastfeeding; clinical practice guideline; BPSO; nursing; science implementation; midwifery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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