Barriers and facilitator analysis of the clinical application of evidence to promote the initiation and establishment of maternal lactation
10.3760/cma.j.cn211501-20240702-01731
- VernacularTitle:促进孕产妇泌乳启动与建立的最佳证据临床应用障碍及促进因素分析
- Author:
Suhang LI
1
;
Liqun ZHU
;
Fang XU
;
Huayi JIN
;
Jun ZHU
;
Qing XIA
;
Dandan YONG
;
Lanping LIU
Author Information
1. 江苏大学附属医院产科，镇江 212000
- Publication Type:Journal Article
- Keywords:
Lactation;
Breast feeding;
Review indicators;
Obstacle factors;
Contributing factors;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2025;41(18):1376-1383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on the best evidence, formulate the review indicators to promote the initiation and establishment of maternal lactation and carry out clinical review, analyze the barriers and promoting factors of the clinical application of evidence, and formulate countermeasures.Methods:Evidence-based nursing research was used to identify clinical problems, build evidence-based group, systematically search, evaluate and synthesize evidence. On September 1,2023 to December 31 in Affiliated Hospital of Jiangsu University document and delivery of maternal investigation, in Ottawa research application mode as a guide, based on the evidence to review indicators and review method, clear clinical status and evidence gap, combined with the stakeholders interview, using content analysis to analyze barriers and promoting factors, to formulate action countermeasures.Results:In this study, 140 pregnant women were finally included for clinical review, aged from 22 to 42 (30.13 ± 3.69) years. A total of 23 pieces of best evidence were incorporated, leading to the establishment of 29 review indicators. Among these, 20 review indicators showed compliance rates below 60%. The main obstacles based on the results of review and interviews with stakeholders: the evidence content covered perinatal stages but lacked specificity and practical applicability; nurses had insufficient knowledge and faced increased workloads; pregnant/postpartum women lacked essential knowledge and skills, with delayed resolution of lactation issues; the practice environment lacked evidence-based implementation protocols, specialized assessment tools, and professional lactation consultant teams, etc. Promoting factors: the project team had rich experience in evidence transformation; the reform aligned with national policies, high engagement from departmental leaders, and standardized management systems for evidence-based projects in the nursing department; strong motivation among pregnant/postpartum women; the hospital was an infant-friendly hospital with talents needed for evidence transformation.Conclusions:There is a big gap between the clinical status and the evidence of promoting the initiation and establishment of lactation, so nursing staff should make full use of the promoting factors and formulate countermeasures according to the obstacle factors, so as to provide reference for promoting the initiation of lactation and the establishment of relevant evidence to clinical transformation.
