A mixed methods evaluation of the breastfeeding memory aide CHINS.

CHINS breastfeeding breastfeeding tool mixed methods normalisation process theory positioning

Journal

Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025

Informations de publication

Date de publication:
19 Jul 2024
Historique:
revised: 01 07 2024
received: 04 04 2024
accepted: 02 07 2024
medline: 20 7 2024
pubmed: 20 7 2024
entrez: 20 7 2024
Statut: aheadofprint

Résumé

Breastfeeding rates remain persistently low in the United Kingdom (UK) despite wide-scale rollout of UNICEF Baby Friendly Initiative training and accreditation. More must be done to ensure breastfeeding practitioners can provide effective support. The memory aide CHINS (Close, Head free, In-line, Nose to Nipple and Sustainable) could help practitioners remember, recall, and apply breastfeeding theory in practice and this paper presents a UK evaluation of its impact. A concurrent, convergent mixed methods approach was adopted using Normalisation Process Theory (NPT) as an overarching framework. An online survey targeted breastfeeding practitioners and academics from the UK (n = 115). A sub-set (n = 16) of respondents took part in qualitative focus groups. Survey data was subjected to descriptive and inferential statistical analysis, and the focus group data was analysed, using NPT. CHINS is widely used in breastfeeding education and practice largely because of its simplicity and ease of integration in everyday practice, as well as its sustained inclusion in UNICEF Baby Friendly Initiative training. CHINS has introduced a standardised approach to the principles of positioning for effective breastfeeding. Doing so has helped address inconsistencies and poor practice in this area, and CHINS plays a role in assisting practitioners in building confidence in their breastfeeding practice. More needs to be done to ensure the breastfeeding workforce develop and maintain the requisite skills to promote and support breastfeeding, including the role of memory aides such as CHINS in achieving this.

Identifiants

pubmed: 39031463
doi: 10.1111/mcn.13704
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13704

Subventions

Organisme : Burdett Trust for Nursing
ID : SB\LG\101010662\737520

Informations de copyright

© 2024 The Author(s). Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Références

Baker, P., Smith, J. P., Garde, A., Grummer‐Strawn, L. M., Wood, B., Sen, G., Hastings, G., Pérez‐Escamilla, R., Ling, C. Y., Rollins, N., & McCoy, D. (2023). The political economy of infant and young child feeding: Confronting corporate power, overcoming structural barriers, and accelerating progress. The Lancet, 401, 503–524. https://doi.org/10.1016/S0140-6736(22)01933-X
Beggs, B., Koshy, L., & Neiterman, E. (2021). Women's perceptions and experiences of breastfeeding: A scoping review of the literature. BMC Public Health, 21, 2169.
Carpenter, D. M., Geryk, L. L., Chen, A. T., Nagler, R. H., Dieckmann, N. F., & Han, P. K. J. (2016). Conflicting health information: A critical research need. Health Expectations, 19(6), 1173–1182. https://doi.org/10.1111/hex.12438
Corrigan, A. E., Lake, S., & McInnes, R. J. (2021). Normalisation process theory as a conceptual framework for continuity of carer implementation. Women and Birth, 34(2), e204–e209.
Council, N. a. M. (2018). The code. Retrieved October 11, 2023. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf
Crabtree, B. F., & Miller, W. L. (Eds.). (1992). Doing qualitative research. Sage Publications, Inc.
Creamer, E. G. (2017). An introduction to fully integrated mixed methods research. Sage publications.
Creswell, J. W., & Clark, V. L. P. (2017). Designing and conducting mixed methods research. Sage publications.
Crondahl, K., & Eklund Karlsson, L. (2016). The nexus between health literacy and empowerment. Sage Open, 6(2), 2158244016646410. https://doi.org/10.1177/2158244016646410
Doyle, L., Brady, A. M., & Byrne, G. (2016). An overview of mixed methods research – revisited. Journal of Research in Nursing, 21(8), 623–635. https://doi.org/10.1177/1744987116674257
Guest, G., & Flemming, P. J. (2015). Public health research methods. In G. Guest, & E. E. Namey (Eds.), Mixed methods research. Sage.
Harland, L. (2011). Remember: CHIN. Community Practitioner, 84(1), 18–19.
Huddlestone, L., Turner, J., Eborall, H., Hudson, N., Davies, M., & Martin, G. (2020). Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review. BMC Family Practice, 21, 52.
Institute for Health Visiting. (2023). State of Health Visiting, UK survey report. A vital safety net under pressure. 9th IHV Annual Health Visiting Survey: data year ending November 2022. Retrieved October 11, 2023, from https://ihv.org.uk/wp-content/uploads/2023/01/State-of-Health-Visiting-Report-2022-FINAL-VERSION-13.01.23.pdf
Kaushik, V., & Walsh, C. A. (2019). Pragmatism as a research paradigm and its implications for social work research. Social Sciences, 8(9), 255. https://doi.org/10.3390/socsci8090255
Local Maternity System Public Health Prevention. (2019). Local maternity system breastfeeding on the North East of England Local Audit Report. Accessed July 11, 2019 Available from https://www.northernlms.org/wp-content/uploads/2020/04/Breast-feeding-in-the-North-East-Report.pdf
Maheshwari, S., & Kaur, P. (2019). Mnemonics and nursing. International Journal of Nursing Science Practice and Research, 5(2), 19–25.
May, C., Rapley, T., Mair, F. S., Treweek, S., Murray, E., Ballini, L., Macfarlane, A., Girling, M., & Finch, T. (2015). Normalization process theory on‐line users' manual, toolkit and NoMAD instrument. Accessed July 11, 2019. Available from http://www.normalizationprocess.org
Midwives, R. C. O. (2022). Numberjacks: New calculations reveal growing midwife shortage. Retrieved October 11, 2023, from https://www.rcm.org.uk/news-views/rcm-opinion/2023/numberjacks-new-calculations-reveal-growing-midwife-shortage/
NHS. (2019). The NHS long term plan. Accessed July 11, 2019. Available from https://www.longtermplan.nhs.uk
Peregrino, A. B., Watt, R. G., Heilmann, A., & Jivraj, S. (2018). Breastfeeding practices in the United Kingdom: Is the neighbourhood context important? Maternal & Child Nutrition, 14(4), e12626. https://doi.org/10.1111/mcn.12626
Plano Clark, V. L., Garrett, A. L., & Leslie‐Pelecky, D. L. (2010). Applying three strategies for integrating quantitative and qualitative databases in a mixed methods study of a nontraditional graduate education program. Field Methods, 22(2), 154–174. https://doi.org/10.1177/1525822X09357174
Rapley, T., Girling, M., Mair, F. S., Murray, E., Treweek, S., McColl, E., Steen, I. N., May, C. R., & Finch, T. L. (2018). Improving the normalization of complex interventions: part 1 ‐ development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT. BMC Medical Research Methodology, 18(1), 133. https://doi.org/10.1186/s12874-018-0590-y
Rees, S., Ousey, K., Koo, K., Ahmad, N., & Bowling, F. L. (2019). Higher degrees in nursing: traditional research PhD or professional doctorate? British Journal of Nursing, 28(14), 940–945.
Royal College of Nursing. (2019a). Promoting optimal breastfeeding in children's wards and departments. https://www.rcn.org.uk/professional-development/publications/rcn-promoting-breastfeeding-uk-pub-009470
Royal College of Nursing. (2019b). Continuing Professional Development in England. Retrieved October 11, 2023, from https://www.rcn.org.uk/Professional-Development/publications/pub-007995
Royal College of Nursing. (2023). Record keeping: the facts. Retrieved October 11, 2023, from https://www.rcn.org.uk/Professional-Development/publications/rcn-record-keeping-uk-pub-011-016
Royal College of Paediatrics and Child Health. (2022). Breastfeeding in the UK‐position statement. Retrieved October 11, 2023, from https://www.rcpch.ac.uk/resources/breastfeeding-uk-position-statement#footnote1_ljngqhm
Smith, J., Lande, B., Johansson, L., Baker, P., & Bærug, A. (2022). The contribution of breastfeeding to a healthy, secure and sustainable food system for infants and young children: Monitoring mothers' milk production in the food surveillance system of Norway. Public Health Nutritio, 25(10), 2693–2701. https://doi.org/10.1017/S1368980022001495
Teddlie, C. (2009). Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences. Sage.
The Kings Fund. (2022). NHS staffing shortages. Why do politicians struggle to give the NHS the staff it needs? Retrieved October 11, 2023, from https://www.kingsfund.org.uk/sites/default/files/2022-11/NHS_staffing_shortages_final_web%20%282%29.pdf
UNICEF. (2023). Improving UK breastfeeding rates. Retrieved October 5, 2023, from https://www.unicef.org.uk/babyfriendly/about/breastfeeding-in-the-uk/
World Health Organization. (2023a). Joint statement by UNICEF Executive Director and WHO Director‐General on the occasion of World Breastfeeding Week. Retrieved October 5, 2023, from https://www.who.int/news/item/01-08-2023-joint-statement-by-unicef-executive-director-catherine-russell-and-who-director-general-dr-tedros-adhanom-ghebreyesus-on-the-occasion-of-world-breastfeeding-week
World Health Organization. (2023b). Breastfeeding. Retrieved October 30, 2023, from https://www.who.int/health-topics/breastfeeding#tab=tab_1
Yang, S. F., Salamonson, Y., Burns, E., & Virginia S. (2018). Breastfeeding knowledge and attitudes of health professional students: A systematic review. International Breastfeeding Journal, 13, 8. https://doi.org/10.1186/s13006-018-0153-1

Auteurs

Lynette Shotton (L)

Department of Social Work, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, UK.

Tracy Collins (T)

Department of Social Work, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, UK.

Reinie Cordier (R)

Department of Social Work, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, UK.

Fadzai Chikwava (F)

Curtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.

Mary Steen (M)

Department of Social Work, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, UK.

Classifications MeSH