wow-inequalities/02-data/intermediate/wos_sample/bb006789cd31c4098f6e2dfd9cefb0a4-johnson-donna-b.-an/info.yaml

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abstract: 'Background: Implementing evidence-based practices and policies for
breastfeeding support in community clinics is a promising, but
challenging, approach to reducing disparities in breastfeeding rates.
Objective: This study aimed to apply a policy process research framework
to increase knowledge of factors that facilitate adoption and
implementation of breastfeeding policy changes.
Methods: In 2013, Washington State piloted a process to encourage 8
clinics to adopt and implement steps to become breastfeeding friendly.
Evaluation data were collected through interviews, project reports,
training evaluations, and pre- and post-self-assessments of achievement
of the steps.
Results: In 6 months, clinics increased the breastfeeding-friendly steps
that they were implementing from a median (interquartile range) of 1.5
(0-3) to 6 (5-7). Improvements were most likely in the steps that
required the fewest resources and administrative changes. Barriers to
implementation included misperceptions about breastfeeding and
breastfeeding support; lack of administrative buy-in; need for
organizational changes to accommodate actions like monitoring
breastfeeding rates and allowing providers training time; and the
social-political climate of the clinic. Several factors, including
actions taken by public health practitioners, enhanced the change
process. These included fostering supportive relationships, targeting
technical assistance, and providing resources for planning and training.
Conclusion: This pilot project demonstrates that it is possible to make
changes in breastfeeding support practices and policies in community
clinics. Recommendations to enhance future work include framing and
marketing breastfeeding support in ways that resonate with clinic
decision makers and enhancing training, resources, and advocacy to build
capacity for internal and external systems changes to support
breastfeeding best practices.'
affiliation: 'Johnson, DB (Corresponding Author), Univ Washington, Nutr Sci, Box 353410,
Seattle, WA 98195 USA.
Johnson, Donna B.; Lamson, Erica, Univ Washington, Ctr Publ Hlth Nutr, Seattle,
WA 98195 USA.
Schwartz, Rachel; Goldhammer, Camie, WithinReach, Seattle, WA USA.
Ellings, Amy, Washington State Dept Hlth, Olympia, WA USA.'
author: Johnson, Donna B. and Lamson, Erica and Schwartz, Rachel and Goldhammer, Camie
and Ellings, Amy
author-email: djohn@uw.edu
author_list:
- family: Johnson
given: Donna B.
- family: Lamson
given: Erica
- family: Schwartz
given: Rachel
- family: Goldhammer
given: Camie
- family: Ellings
given: Amy
da: '2023-09-28'
doi: 10.1177/0890334415579656
eissn: 1552-5732
files: []
issn: 0890-3344
journal: JOURNAL OF HUMAN LACTATION
keywords: 'breastfeeding; breastfeeding practices; government policy; low-income
women; nutrition policy; process evaluation; program evaluation; Ten
Steps to Successful Breastfeeding'
keywords-plus: 10 STEPS; IMPLEMENTATION; ATTITUDES; SUPPORT; CARE; KNOWLEDGE
language: English
month: NOV
number: 4, SI
number-of-cited-references: '37'
pages: 660-670
papis_id: 40b779ffedcf1fa92ceb779b9ce1b5fb
ref: Johnson2015communityhealth
times-cited: '6'
title: 'A Community Health Clinic Breastfeeding-Friendly Pilot: What Can We Learn
about the Policy Process?'
2023-10-01 08:15:07 +00:00
type: article
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unique-id: WOS:000362686100015
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '31'
web-of-science-categories: Nursing; Obstetrics \& Gynecology; Pediatrics
year: '2015'