Durocher Keri, Jackson Kimberley T, Booth Richard, Tryphonopoulos Panagiota
Arthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.
J Hum Lact. 2025 Aug;41(3):423-433. doi: 10.1177/08903344251337375. Epub 2025 May 27.
When organizations are certified through the Baby-Friendly Hospital Initiative, health care providers implement various policies that are intended to support long-term and exclusive breastfeeding. Despite the availability of evidence to support these policies, research findings are inconsistent in whether these goals are met. Exploring cultural interpretations through the lens of individuals within these organizations may reveal new evidence of breastfeeding experiences and needed support.
To explore organizational cultural aspects of a Baby-Friendly certified organization from the perspective of patients and employees.
Researchers implemented a focused ethnography design in one certified organization in Ontario, Canada. One-to-one, semi-structured interviews were performed with two participant groups, including 10 patients and eight employees within intrapartum and postpartum care areas between 2023-2024. An inductive data analysis approach followed Roper and Shapira's framework, including (1) coding for descriptive labels, (2) sorting for patterns, (3) identification of outliers, (4) generalizing with constructs and theories, and (5) memoing.
Five core themes emerged from the data, including (1) knowledge is power, (2) community of support, (3) contextual considerations, (4) environment for breastfeeding, and (5) patient factors. Through narrative descriptions, these interrelated themes exhibit how patients and employees have experienced or provided care that is consistent with breastfeeding-supportive policies as well as additional gaps that may not be addressed through policy research.
The results provide implications for breastfeeding support within an organization certified through the Baby-Friendly Hospital Initiative. Understanding cultural interpretations of breastfeeding can provide information for future education and interprofessional development.
当医疗机构通过“爱婴医院倡议”获得认证时，医护人员会实施各种旨在支持长期纯母乳喂养的政策。尽管有证据支持这些政策，但关于这些目标是否实现的研究结果并不一致。从这些机构中个体的角度探索文化解读，可能会揭示母乳喂养经历和所需支持的新证据。
从患者和员工的角度探索一家获得“爱婴医院倡议”认证机构的组织文化方面。
研究人员在加拿大安大略省的一家认证机构实施了聚焦民族志设计。在2023年至2024年期间，对两个参与群体进行了一对一的半结构化访谈，包括10名患者和8名在产时和产后护理区域的员工。采用归纳数据分析方法，遵循罗珀和沙皮拉的框架，包括（1）为描述性标签编码，（2）分类以找出模式，（3）识别异常值，（4）用概念和理论进行概括，以及（5）做笔记。
数据中出现了五个核心主题，包括（1）知识就是力量，（2）支持社区，（3）情境考虑，（4）母乳喂养环境，以及（5）患者因素。通过叙事描述，这些相互关联的主题展示了患者和员工如何经历或提供与支持母乳喂养政策一致的护理，以及政策研究可能未涉及的其他差距。
研究结果为通过“爱婴医院倡议”认证的机构内的母乳喂养支持提供了启示。理解对母乳喂养的文化解读可为未来的教育和跨专业发展提供信息。
