ORIGINAL ARTICLE
Using the Knowledge-to-Action Framework to understand experiences of breastfeeding guideline implementation: A qualitative study
Antonio Jesús Ramos-Morcillo RN, MSc, PhD,
David Harillo-Acevedo RN,
Maria Ruzafa-Martinez RN, MSc, PhD,
Antonio Jesús Ramos-Morcillo RN, MSc, PhD
Associate Professor
Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
Search for more papers by this authorCorresponding Author
David Harillo-Acevedo RN
Midwife
Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Murcia, Spain
Correspondence
David Harillo-Acevedo, Midwife, Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Ctra. N-340, 30813 Lorca, Murcia, Spain.
Email: [email protected]
Search for more papers by this authorMaria Ruzafa-Martinez RN, MSc, PhD
Associate Professor
Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
Search for more papers by this authorAntonio Jesús Ramos-Morcillo RN, MSc, PhD,
David Harillo-Acevedo RN,
Maria Ruzafa-Martinez RN, MSc, PhD,
Antonio Jesús Ramos-Morcillo RN, MSc, PhD
Associate Professor
Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
Search for more papers by this authorCorresponding Author
David Harillo-Acevedo RN
Midwife
Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Murcia, Spain
Correspondence
David Harillo-Acevedo, Midwife, Hospital Rafael Méndez, III Healthcare Area, Murcian Health Service, Ctra. N-340, 30813 Lorca, Murcia, Spain.
Email: [email protected]
Search for more papers by this authorMaria Ruzafa-Martinez RN, MSc, PhD
Associate Professor
Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
Search for more papers by this authorFunding information
This study has been supported by a grant from Foundation for Healthcare Training and Research of the Murcia Region (FFIS), Grant FFIS/ CE/ 02.
Abstract
Aim
To examine the perceptions and experiences of health care professionals and mothers in relation to the implementation of a breastfeeding clinical practice guideline (CPG).
Background
Breastfeeding CPG applications remain limited, and qualitative studies have indicated the need to overcome the perception by professionals of difficulties in applying recommendations.
Methods
A qualitative study was conducted in a Spanish public hospital that implemented the Registered Nurses´ Association of Ontario breastfeeding CPG from 2012 through 2015. Between May and August 2017, 27 semi-structured interviews were conducted with managers, with professionals in maternity and paediatric departments and with mothers. Deductive content analysis was performed following the stages in the Knowledge-To-Action (KTA) Framework.
Results
We obtained five main categories: (a) problem as opportunity; (b) adequate context and adapted recommendations; (c) extent of implementation; (d) impact of results; and (e) knowledge use normalization.
Conclusions
The KTA Framework assists understanding of the participation of the main actors in breastfeeding CPG implementation.
Implications for Nursing Management
The nature of the interventions and the participation of managers, different professionals and mothers in a multi-unit setting generate a complex implementation process that reveals key factors to be taken into account in future CPG implementations.
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