Department of Social Work, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, UK.
Curtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.
Matern Child Nutr. 2024 Oct;20(4):e13704. doi: 10.1111/mcn.13704. Epub 2024 Jul 19.
Breastfeeding rates remain persistently low in the United Kingdom (UK) despite wide-scale rollout of UNICEF Baby Friendly Initiative training and accreditation. More must be done to ensure breastfeeding practitioners can provide effective support. The memory aide CHINS (Close, Head free, In-line, Nose to Nipple and Sustainable) could help practitioners remember, recall, and apply breastfeeding theory in practice and this paper presents a UK evaluation of its impact. A concurrent, convergent mixed methods approach was adopted using Normalisation Process Theory (NPT) as an overarching framework. An online survey targeted breastfeeding practitioners and academics from the UK (n = 115). A sub-set (n = 16) of respondents took part in qualitative focus groups. Survey data was subjected to descriptive and inferential statistical analysis, and the focus group data was analysed, using NPT. CHINS is widely used in breastfeeding education and practice largely because of its simplicity and ease of integration in everyday practice, as well as its sustained inclusion in UNICEF Baby Friendly Initiative training. CHINS has introduced a standardised approach to the principles of positioning for effective breastfeeding. Doing so has helped address inconsistencies and poor practice in this area, and CHINS plays a role in assisting practitioners in building confidence in their breastfeeding practice. More needs to be done to ensure the breastfeeding workforce develop and maintain the requisite skills to promote and support breastfeeding, including the role of memory aides such as CHINS in achieving this.
尽管在英国（UK）广泛推出了联合国儿童基金会婴儿友好倡议培训和认证，但母乳喂养率仍然持续偏低。必须采取更多措施确保母乳喂养从业人员能够提供有效的支持。记忆辅助工具 CHINS（Close、Head free、In-line、Nose to Nipple 和 Sustainable）可以帮助从业人员在实践中记住、回忆和应用母乳喂养理论，本文介绍了其在英国的评估结果。采用了同时进行的、汇聚的混合方法，以规范化进程理论（NPT）作为总体框架。在线调查的对象是来自英国的母乳喂养从业人员和学者（n=115）。一部分受访者（n=16）参加了定性焦点小组。调查数据进行了描述性和推断性统计分析，焦点小组数据则使用 NPT 进行了分析。CHINS 在母乳喂养教育和实践中被广泛使用，主要是因为它简单易用，易于融入日常实践，并且持续包含在联合国儿童基金会婴儿友好倡议培训中。CHINS 为有效母乳喂养的定位原则引入了标准化方法。这样做有助于解决该领域的不一致和不良实践问题，并且 CHINS 在帮助从业人员建立对母乳喂养实践的信心方面发挥了作用。需要采取更多措施确保母乳喂养人员发展和保持促进和支持母乳喂养的必要技能，包括 CHINS 等记忆辅助工具在实现这一目标中的作用。
