利益相关者视角下的英国提高人乳喂养率的研究、政策和实践重点。
Stakeholder Perspectives on Research, Policy and Practice Priorities to Increase Human Milk Feeding Rates in the United Kingdom.
机构信息
Centre for Applied Psychology and Performance, Staffordshire University, UK.
Centre for Health and Development, Staffordshire University, UK.
出版信息
J Hum Lact. 2024 Nov;40(4):633-647. doi: 10.1177/08903344241271411. Epub 2024 Sep 17.
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.
背景
英国的人乳喂养率是一个公共卫生关注点。需要改变英国的政策和实践，以加强母乳喂养支持。这些改变应该基于有过母乳喂养经验的人和提供支持的人。
目的
本研究旨在通过广泛的利益相关者的见解，确定提高人乳喂养率的研究、政策和实践重点。次要目的是评估世界咖啡馆对个体参与者及其在他们所属组织和社区中的互动的影响。
方法
该研究采用了参与式定性设计，包括横断面调查和世界咖啡馆讨论。世界咖啡馆是一种新颖的方法，可以让利益相关者参与讨论，从而达成共识并提出参与式驱动的建议。一项预先的事件调查由 67 名参与者中的自选择样本完成；其中 37 名（55%）参加了世界咖啡馆讨论或在线焦点小组。世界咖啡馆讨论和在线焦点小组的内容被逐字记录和转录。在世界咖啡馆之后，12 名参与者（32%）完成了事后调查，8 名参与者（22%）在 2 个月后完成了额外的后续调查。
结果
确定了优先政策和实践的改变，包括加强教育、为母乳喂养支持提供专用资金的必要性、将家庭纳入支持提供的必要性，以及改变有关婴儿喂养的媒体表现的政策的必要性。此外，世界咖啡馆的方法证明对促进网络联系和支持方面的变革非常有价值。
结论
世界咖啡馆确定了利益相关者一致认可的研究和政策重点。许多历史政策和指导建议仍然是进一步发展的领域。
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