Factors associated with breastfeeding support from health care professionals by implementing a Clinical Practice Guideline

Ramos Morcillo, Antonio Jesús; Ruzafa Martinez, Maria; Harillo Acevedo, Francisco David

Publication:
Factors associated with breastfeeding support from health care professionals by implementing a Clinical Practice Guideline

dc.contributor.author	Ramos Morcillo, Antonio Jesús
dc.contributor.author	Ruzafa Martinez, Maria
dc.contributor.author	Harillo Acevedo, Francisco David
dc.contributor.department	Enfermería
dc.date.accessioned	2024-01-28T11:59:11Z
dc.date.available	2024-01-28T11:59:11Z
dc.date.issued	2019-03
dc.description	©2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted, version of a Published Work that appeared in final form in Birth. To access the final edited and published work see https://doi.org/10.1111/birt.12382	es
dc.description.abstract	Background: The prevalence and duration of breastfeeding are at low levels and may be improved by the support of health care professionals. Our objective was to determine the effect of implementing a breastfeeding clinical practice guideline on factors associated with breastfeeding support by health care professionals, adopting a Theory of Planned Behavior approach. Methods: We conducted an observational, cross-sectional study during 2016 in a health area with implemented clinical practice guideline on breastfeeding, comparing the results with data from a previous cross-sectional study (2011) in the same area, in a standard-care area, and in a Baby-Friendly Hospital Initiative (BFHI)-accredited area. A validated questionnaire (four scales: attitudes, beliefs, subjective norms, and behavioral intention) was completed by professionals in each area. Descriptive analysis was followed by comparisons among the different settings using the chi-square test. Results: In the area with the implemented clinical practice guideline, the professionals scored significantly higher in subjective norms and beliefs than had been recorded in 2011 (preimplementation), and their scores for all four scales were significantly higher than in the standard-care area. Professionals obtained significantly higher scores for subjective norms in the BFHI-accredited area than in the other settings. Conclusions: Clinical practice guideline implementation improved the responses of professionals on breastfeeding support in subjective norms and beliefs scales. There is a need for activities to assist breastfeeding in a practical manner and for more effective measures to ensure compliance with the International Code of Marketing of Breast-milk Substitutes.	es
dc.format	application/pdf	es
dc.format.extent	21	es
dc.identifier.citation	Birth 2019 Mar 46(1):146-15
dc.identifier.doi	https://doi.org/10.1111/birt.12382
dc.identifier.issn	1523-536X
dc.identifier.issn	0730-7659
dc.identifier.uri	http://hdl.handle.net/10201/137849
dc.language	eng	es
dc.publisher	Wiley
dc.relation	Sin financiación externa a la Universidad	es
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	Behavior and behavior mechanism	es
dc.subject	Breastfeeding	es
dc.subject	Clinical practice guideline.	es
dc.title	Factors associated with breastfeeding support from health care professionals by implementing a Clinical Practice Guideline	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es
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