Improving Postpartum Breastfeeding Check-In by WIC Staff

Background: Breastfeeding is a public health initiative with the ability to improve health outcomes. Breastfeeding mothers who participate in the Women, Infants, and Children (WIC) program have shown to have low rates, poor duration, and low exclusivity of breastfeeding. Assessment of breastfeeding self-efficacy has shown to improve breastfeeding duration. Local Problem: The local WIC program reported breastfeeding statistics that were below recommended national and state standards. Assessment of breastfeeding self-efficacy did not exist at the local WIC program. Staff sought solutions to improve the breastfeeding check-in. Methods: The WIC staff implemented the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) as part of the breastfeeding check-in for post-partum mothers for nine weeks. The implementation process and perceptions of the WIC staff related to the use of the BSES-SF were evaluated with the Four-Item Measure of Implementation Outcomes for Acceptability, Appropriateness, and Feasibility Survey. Results: The average use of the BSES-SF by the WIC staff was 54%. Staff reported a 51% acceptability of the intervention; 57% indicated the intervention was appropriate; and 68% felt the intervention was feasible. Conclusion: Making a sustained change to the WIC breastfeeding check-in was challenged by time constraints and staff adoption of adding the BSES-SF. Increased appointment time and the ability to have the form completed prior to meeting with the WIC staff would allow for better use of the instrument.

Files

Metadata

Work Title Improving Postpartum Breastfeeding Check-In by WIC Staff
Access
Open Access
Creators
  1. Amy Kowalski
Keyword
  1. DNP Project
  2. Breastfeeding
  3. WIC
  4. Breastfeeding check-in
  5. Breastfeeding self-efficacy
  6. Breastfeeding self-efficacy scale-short form (BSES-SF)
License CC BY-NC-SA 4.0 (Attribution-NonCommercial-ShareAlike)
Work Type Project
Acknowledgments
  1. Kristen Bransby DNP, CRNP, CPNP-PC, PMHS
  2. Kelly Wolgast DNP, RN, FACHE, FAAN COL (R), US Army
  3. Sheri Matter Ph.D., MHA, RN, NEA-BC
Publication Date February 20, 2024
DOI doi:10.26207/e6y2-k419
Deposited February 20, 2024

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
published

  • Created
  • Updated
  • Added Creator Amy Kowalski
  • Added Creator Kristen Bransby
  • Added Creator Kelly Wolgast
  • Added Kowalski_Improving Postpartum Breastfeeding Check_Final Revision.docx
  • Added Creator Sheri Matter
  • Deleted Kowalski_Improving Postpartum Breastfeeding Check_Final Revision.docx
  • Added Kowalski_A_Improving Postpartum Breastfeeding Check-in by WIC Staff.docx
  • Updated License Show Changes
    License
    • https://creativecommons.org/licenses/by-nc/4.0/
  • Updated License Show Changes
    License
    • https://creativecommons.org/licenses/by-nc/4.0/
    • https://creativecommons.org/licenses/by-nc-sa/4.0/
  • Published
  • Updated Keyword, Description Show Changes
    Keyword
    • DNP Project, breastfeeding, WIC, breastfeeding check-in, breastfeeding self-efficacy, Breastfeeding self-efficacy scale-short form (BSES-SF)
    • DNP Project, Breastfeeding, WIC, Breastfeeding check-in, Breastfeeding self-efficacy, Breastfeeding self-efficacy scale-short form (BSES-SF)
    Description
    • Background: Breastfeeding is a public health initiative with the ability to improve health outcomes. Breastfeeding mothers who participate in the Women, Infants, and Children (WIC) program have shown to have low rates, poor duration, and low exclusivity of breastfeeding. Assessment of breastfeeding self-efficacy has shown to improve breastfeeding duration.
    • Local Problem: The local WIC program reported breastfeeding statistics that were below recommended national and state standards. Assessment of breastfeeding self-efficacy did not exist at the local WIC program. Staff sought solutions to improve the breastfeeding check-in.
    • Methods: The WIC staff implemented the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) as part of the breastfeeding check-in for post-partum mothers for nine weeks. The implementation process and perceptions of the WIC staff related to the use of the BSES-SF were evaluated with the Four-Item Measure of Implementation Outcomes for Acceptability, Appropriateness, and Feasibility Survey.
    • Results: The average use of the BSES-SF by the WIC staff was 54%. Staff reported a 51% acceptability of the intervention; 57% indicated the intervention was appropriate; and 68% felt the intervention was feasible.
    • Conclusion: Making a sustained change to the WIC breastfeeding check-in was challenged by time constraints and staff adoption of adding the BSES-SF. Increased appointment time and the ability to have the form completed prior to meeting with the WIC staff would allow for better use of the instrument.
  • Updated

Version 2
published

  • Created
  • Updated Acknowledgments Show Changes
    Acknowledgments
    • Kristen Bransby DNP, CRNP, CPNP-PC, PMHS, Kelly Wolgast DNP, RN, FACHE, FAAN COL (R), US Army, Sheri Matter Ph.D., MHA, RN, NEA-BC
  • Deleted Creator Kristen Bransby
  • Deleted Creator Kelly Wolgast
  • Deleted Creator Sheri Matter
  • Deleted Kowalski_A_Improving Postpartum Breastfeeding Check-in by WIC Staff.docx
  • Added Kowalski_A_Improving Postpartum Breastfeeding Check-in by WIC Staff.docx
  • Published
  • Updated Keyword Show Changes
    Keyword
    • DNP Project, breastfeeding, WIC, breastfeeding check-in, breastfeeding self-efficacy, Breastfeeding self-efficacy scale-short form (BSES-SF)
    • DNP Project, Breastfeeding, WIC, Breastfeeding check-in, Breastfeeding self-efficacy, Breastfeeding self-efficacy scale-short form (BSES-SF)
  • Updated