Plan for Breast feeding Class of Maternity Unit and its Evaluation
There has been an increase in the number of parents who need to be educated on breastfeeding programs. This is due to the fact that the number of women who give birth at the maternity of the organization has increased twofold. The practice of breastfeeding is also important in the early stages of development of a baby, thus parents need to be equipped with skills that ensure they can take care of their children adequately based on the skills they acquire at the maternity unit. Consequently, the maternity unit will be empowered with the competence to provide competent services to the patients who have newborns. This is aimed at providing additional benefits to the nurses such as improvement of skills so that employee turnover is prevented. In addition, it presents strategies for breastfeeding that if disseminated to mothers can empower them to be competent in the care for new born babies.
- The Activities of the Plan
The activities will involve the implementation procedure for skin-to-skin contact during breastfeeding by educating nurses on how it is practiced during the process of feeding a newborn child. This will equip them with skills they can use to educate mothers with new born babies so that they can promote the breastfeeding practices among their children. It will also involve educating the nurses on how the breastfeeding activities need to be organized so that mothers are not affected in the manner in which they seek the services of nurses. The nurses will also be trained on how to organize the maternity departments such as the organization of facilities and activities so that cases of errors in discharge of duties are not experienced.
- Methods to be Used
- Survey of Staff Attitudes
In order to implement the plan effectively, the nursing staff in the maternity department will be interviewed on the manner in which the current breastfeeding services are provided within the maternity unit. The responses will be recorded in terms of those who agree that the current practices are adequate and those how have the view that they need to be changed. The responses will be recorded in terms of the percentage of people who agree that the breastfeeding should be provided and those who oppose the view that it should be implemented in educating nurses.
In this process, the activity will involve establishing the attitudes of patients regarding the quality of nurses in various areas of breastfeeding reduction. For instance, mothers will be asked whether they agree that the current practice in of breasfeeding guidelines is effective. They will also be asked whether they agree that the horses should be provided with a class where they are trained on breastfeeding so that they can apply the skills to educate mothers with new born babies. The responses will be recorded in terms of those who agree and those who oppose. The responses will be compared to determine whether the policy should be applied. They will also be asked to select the areas where training should focus on when training nurses on breastfeeding. For instance, the will be asked whether skin-to-skin contact should be applied during breastfeeding.
- Turnover Rates Comparison of Nurses before and After Implementation of the Change Program
This is the stage where the main activities will be determining the level or departmental nurses’ turnover from the Maternity Unit before implementation of the plan and after its implementation. This will be achieved by investigating the records of nurses’ turnover before the implementation of the program and after the implementation. The contributing factor to nurses’ turnover before implementation and after implementation will be done. The purpose of using this factor is to determine whether the training will contribute to the retention of nurses and prevention of them leaving the institution. The reasons for the increase in turnover will be investigated and included in the training program. This is because, one of the objectives of this program is to reduce nurses’ turnover at the institution.
- Variables to be Measured
- Staff Attitudes and Perceptions
This variable will enable understanding the current attitudes and perceptions of nurses towards breastfeeding program and whether they would like the program to be provided to nurses in the maternity unit. It will also investigate their understanding of the current need for training in breastfeeding program and whether they believe it will improve the quality of care to mothers with newborn babies. The staff will be asked to state whether the program should be included in the Maternity unit to equip the nurses with skills of educating mothers with newborns. The responses will be recorded as those who agree and those who disagree. This will also determine whether the program should be implemented or not. The perceptions of the staff in the department regarding areas such as facilities needed to be included in the training program will be included in the survey for the purpose of incorporating them in the training program.
- Patient Attitudes and Perceptions
This variable will involve an investigation of the patient’s view regarding the present practice of provision of breastfeeding education to mothers so that they can become competent in various activities such as performing their duties while ensuring their children are breastfed. The target patients will be mothers who have newborn babies and have delivered in the institution. They will be asked to explain their perception regarding the effectiveness of the teaching from the nurses and whether they have been able to overcome the challenges of breastfeeding new born babies. The patients will also be asked whether the program should be implemented or not. The responses will be recorded in terms of those who agree and those who disagree. This will determine whether the program should be provided or not. They will then be asked to explain their views regarding the areas of breastfeeding that need to be included in the program
- Tools to be Used During Education of Project Participants
An example of a tool to be used during the project will be a questionnaire that will be distributed to the staff and patients. The questionnaire will be divided into patients’ section and nurses’ section. The questions in the questionnaire will be related to the need for the breastfeeding program and whether it should be implemented. It will also include the areas of breastfeeding programs that will be necessary during the implementation of the program.
Another tool that will be used during the education process will be various teaching materials such as boards, writing materials and note taking materials. These will enable recording and presentation of information to the nurses undergoing training. It will also enable provision of specific skills of breastfeeding that they need to acquire and educate mothers with new born babies about. Another tool that will be important during the education of nurses will be PowerPoint slides. This is a Microsoft application that enables presentation of information for the purpose of demonstration of a process and educating the audience about the importance of a particular activity. Therefore, this tool will be important in enhancing the ability of nurses to understand the major concepts of breastfeeding program so that they can apply the skills to educate mothers.
- Evaluation of the Effectiveness of the Plan
The effectiveness of the plan will be determined by establishing the willingness of nurses to provide mothers with teachings on breastfeeding after they go through the process. It will also involve establishing whether the nurses are able to remain within the maternity unit and avoid leaving the unit to other organizations due to inadequate training. This will imply that they have acquired enough skills that enable them to be competent in educating mothers with newborn babies about breastfeeding. Furthermore, the effectiveness of the plan will be determined by the competence of nurses in the maternity unit to provide the specific skills of breastfeeding such as skin-to-skin contact and how activities of mothers with new born babies should be scheduled so that they do not forget to breastfeed their children while also attending to their routine activities. The plan will also be effective if mothers with new born babies are able to apply various breastfeeding skills such as skin-to-skin contact and whether they are able to organize the manner in which they breastfeed their children so that they do not abandon their routine tasks. The plan will also be effective if parents express their overall satisfaction with the manner in which they have been educated to breastfeed their children when they leave the facility.
- Summary of the Strategy for Disseminating the Results to Stakeholders
The results of the program will be disseminated to stakeholders such as directors, sponsors and shareholders of the health facility. The first step will be an illustration of the current state of competence of nurses at the maternity unit of the health care facility and the disparity in the competence of nurses in the department in provision of breastfeeding education to mothers with new born babies. The results will also be disseminated to stakeholders by explaining the response of a preliminary survey that indicated the need for the program. The responses from nurses and patients in terms of their attitudes and perceptions will be presented with the outcomes of those who agreed and those who opposed. The third stage of presentation of the strategy will be the actual processes and procedures that will be followed in the provision of the program to nurses. It will also include the facilities required and their costs. This stage will also illustrate the specific areas of breastfeeding program to be provided during the training program. The advantages of the program such as reduction in nurses’ turnover at the institution and increase in customer satisfaction will be explained to the stakeholders. All the stages of the program will be presented to the stakeholders using a PowerPoint presentation that will be made during a meeting with them. They will then be asked to approve the program and set aside funds to be used in its implementation.
Anatole, M., Magge, H., Redditt, V., Karamaga, A., Niyonzima, S., Drobac, P., … & Hirschhorn,
- R. (2013). Nurse mentorship to improve the quality of health care delivery in rural
Rwanda. Nursing Outlook, 61(3), 137-144.
Carlo, W. A., Goudar, S. S., Jehan, I., Chomba, E., Tshefu, A., Garces, A., … & Goldenberg, R.
- (2010). Newborn-care training and perinatal mortality in developing countries.New
England Journal of Medicine, 362(7), 614-623.
Haroon, S., Das, J. K., Salam, R. A., Imdad, A., & Bhutta, Z. A. (2013). Breastfeeding
promotion interventions and breastfeeding practices: a systematic review. BMC Public
Health, 13(Suppl 3), S20.
Hockenberry, M. J., & Wilson, D. (2014). Wong’s nursing care of infants and children. Elsevier
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2014).Maternal child
nursing care. Elsevier Health Sciences.