Henry Laura S, Christine Hansson M, Haughton Vivian C, Waite Alyssa Livengood, Bowers Margi, Siegrist Vickie, Thompson Elizabeth J
Nurs Womens Health. 2017 Oct-Nov;21(5):372-382. doi: 10.1016/j.nwh.2017.07.007.
Creating an environment that optimally supports exclusive breastfeeding can require a cultural transformation. Our initial attempt at obtaining Baby-Friendly Hospital Initiative (BFHI) designation was unsuccessful when surveyors determined insufficient enculturation of BFHI practices. Using Kotter's theory of change, we overcame the barriers, enhanced our practices, and effectively transformed the culture, and our facility ultimately became the first maternity hospital in Pennsylvania to obtain BFHI designation. Nursing leadership was essential to this process. Our experience serves as a template for others seeking to achieve Healthy People 2020 goals related to breastfeeding.
营造一个能最佳支持纯母乳喂养的环境可能需要进行文化变革。当评估人员认定对“爱婴医院倡议”（BFHI）相关做法的文化融入不足时，我们最初申请“爱婴医院倡议”认证的尝试未成功。我们运用科特变革理论，克服了障碍，改进了做法，有效转变了文化，我们的机构最终成为宾夕法尼亚州第一家获得“爱婴医院倡议”认证的妇产医院。护理领导层在这一过程中至关重要。我们的经验可为其他寻求实现与母乳喂养相关的《2020年美国人健康目标》的机构提供借鉴。
