Ochoa Marín Sandra Catalina, Arboleda Jurado Adrián, García Madrid Evelyn Manuela, Arroyave Isabel Cristina
. Universidad de Antioquia. Medellín, Colombia. Email:
. Universidad de Antioquia, Medellín, Colombia. Email:
Rev Cuid. 2023 Dec 20;14(3):e05. doi: 10.15649/cuidarte.2946. eCollection 2023 Sep-Dec.
Breastfeeding (BF) is an essential part of the comprehensive care nurses provide in the Neonatal Care Unit (NCU). Due to the workload and delegation of different care activities, the dynamics in these units focus on innovation using technology and postpone humanization of service, undermining BF support.
To design a BF support program at NCU.
Qualitative participatory action research. Seven semi-structured interviews were conducted with health professionals with expertise in BF. Some of them worked in NCU of the health facility where the study was conducted; others were external. Their experience and knowledge were used to identify the key elements for designing a BF support program at the UCN.
They are presented in the following categories: a) breastfeeding culture, including institutional policy on breastfeeding and standardization of the process; b) quality, including registration and control of activities; and c) monitoring of indicators and continuous auditing.
A BF program has been designed and it will be implemented by the health facility to prevent the interruption of exclusive BF through support, training, standardization, and promotion.
Nurses are interested in standardizing a program that allows them to provide patients with truthful and concise information, and they view education as a fundamental pillar in the development of a successful BF program.
母乳喂养是新生儿重症监护病房（NCU）护士提供的综合护理的重要组成部分。由于不同护理活动的工作量和任务分配，这些病房的工作重点放在利用技术进行创新上，而推迟了服务人性化，削弱了对母乳喂养的支持。
设计一个新生儿重症监护病房的母乳喂养支持项目。
定性参与式行动研究。对7名具有母乳喂养专业知识的卫生专业人员进行了半结构化访谈。其中一些人在开展该研究的医疗机构的新生儿重症监护病房工作；其他人来自外部。他们的经验和知识被用于确定在新生儿重症监护病房设计母乳喂养支持项目的关键要素。
结果分为以下几类：a）母乳喂养文化，包括关于母乳喂养的机构政策和流程标准化；b）质量，包括活动的记录和控制；c）指标监测和持续审计。
已设计了一个母乳喂养项目，医疗机构将实施该项目，通过支持、培训、标准化和推广来防止纯母乳喂养的中断。
护士们有兴趣规范一个项目，使他们能够为患者提供真实简洁的信息，并且他们将教育视为成功的母乳喂养项目发展的基本支柱。
