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Implementing strategy to sustain Baby-Friendly Hospital Initiative (BFHI)
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Akuwudike, Basilia. Implementing strategy to sustain Baby-Friendly Hospital Initiative (BFHI). Retrieved from https://doi.org/doi:10.7282/t3-cp4f-pr32

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TitleImplementing strategy to sustain Baby-Friendly Hospital Initiative (BFHI)
NameAkuwudike, Basilia (author); Niedz, Barbara A (chair); Cadmus, Edna (internal member); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectSkin-to-skin mother-baby contact, Post-Master's DNP Leadership
Extent1 online resource (81 pages)
DescriptionPurpose: The purpose of this DNP project was to launch a skin-to-skin mother-baby contact in the mother-baby unit, and kangaroo mother care in the NICU with the intention of ultimately improving breastfeeding rates as well as sustaining the Baby-Friendly Hospital Initiative (BFHI) for redesignation in 2021.

Method: A retrospective chart review was carried out from the Electronic Health Record (EHR) for 3 months before offering an educational program for 1 month. Afterwards, post data were collected from the EHR. A total of 93 discharged babies were included in the sample, 77 normal newborn discharges, and 16 preterm NICU babies. Descriptive Statistics was used to summarize the demographic results; the resulting data set was evaluated for normality assumption for the dependent variable extracted. An independent sample t-test was used to compare the differences between variables before and after the education.

Results: The mean value of skin-to-skin mother-baby contact in minutes at the pre-intervention group was (M = 63.59) and the mean value for the post intervention group was (M = 116.84). However, the mean value for kangaroo mother care in minutes was increased in the pre-intervention group than in the post intervention group. The use of radiant warmer was decreased in the post- intervention group. The mean value for use of the radiant warmer in minutes in the pre-intervention group was (M = 84.36), and the mean value for the use of the radiant warmer minutes in the post-intervention group was (M = 30). The number of times during the postpartum stay that babies had a drop in blood sugar and required extra feeding was minimal.

Implications for Practice: The provision of evidence-based education for the staff assisted in the implementation of skin-to-skin mother-baby contact and was effective in the clinical practice setting as demonstrated by the positive findings for newborn neonates. Also, exclusive breastfeeding improved at the DNP site from 39.7% in 2019 to 51.2% in the preintervention period and finally to 68% after the educational workshop. The findings obtained from skin-to-skin mother-baby contact could potentially help the organization in obtaining BFHI re-designation.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-cp4f-pr32
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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