Nicola Genelly RNC, MSN, IBCLC, CCE, ICPFE, CIME

Nicola Genelly RNC, MSN, IBCLC, CCE, ICPFE, CIME

To provide obstetric, NICU, and pediatric nurses with a learnercentered breastfeeding education program based on their needs, interests, and Baby-Friendly USA content requirements

Appraise nurses breastfeeding education needs, interests, and learning preferences Compile a list of breastfeeding topics based on learners interests, needs, and Baby-Friendly USA content requirements Create a learner-centered breastfeeding education program Revise education plan according to peer/learner feedback Prioritize time and resources effectively to meet the needs of learners and the organization

INTRODUCTION Breastfeeding as a Public Health Issue Effects of Health Care Provider Education METHOD Assessing Learners Needs Creating a Learner-Centered Education Program RESULTS Learner Participation Evaluation CONCLUSION Clinical Implications Summary

Health People 2020 Breastfeeding objectives Baby-Friendly Hospital Initiative The Surgeon General s Call to Action to Support Breastfeeding

Breastfeeding and the Use of Human Milk (American Academy of Pediatrics, 2012) Breastfeeding: Maternal and Infant Aspects (American College of Obstetricians and Gynecologists, 2007) Family Physicians Position Paper (American Academy of Family Physicians, 2012)

Nurse education increases breastfeeding support and patient satisfaction (Bernaix et al., 2008; Watkins & Dodgson, 2010) Breastfeeding education improves healthcare providers knowledge, attitudes, and confidence (Dodgson & Tarrant, 2007;O Connor, Brown, & Lewin, 2012)

Breastfeeding Topic Suggestion Box Baby-Friendly USA Education Requirements VARK Learning Style Questionnaire

Breastfeeding In-Service Online Breastfeeding Course Poster Presentations Self-study Packets Journal Club Sessions Video Review and Discussion Session

Instructor contact information Rationale and target audience Course description and outline Learning expectations/evaluation Educator-learner contract

Lecture Discussion PowerPoint Presentation Case Study Scenarios Promoting, Protecting, and Supporting Breastfeeding through Evidence-Based Practice Nicola Genelly RNC, IBCLC, RLC

Breastfeeding Basics Internet-Based Breastfeeding Course

Anatomy and Physiology of Lactation Assisting with a Breastfeeding Breastmilk Supply Supporting the Non- Breastfeeding Mother

Birth Practices and Breastfeeding Breast and Nipple Concerns Infants and Mothers with Special Needs Breastfeeding Contraindications Evidence-Based Breastfeeding

Westdahl, C. & Page-Goertz, S. (2006). Promotion of Breastfeeding: Beyond the Benefits. Kondolot, M., Yalcin, S. S., & Yurdakok, K. (2009). Feeding onone or both sides in a breastfeeding session. Donaldson-Myles, F. (2011). Postnatal Depression and Infant Feeding: A Review of the Evidence.

A Tale of Two Births: The Baby Friendly Rap http://www.youtube.com/watch?v=n9kptd3t110

18 nurses completed VARK questionnaires 11 nurses posted topic suggestions 51 nurses attended the in-service 15 nurses have completed the online course

Peer Review of materials In-service rosters Nurses questions/feedback Evaluation forms Discussion Post-test/case study questions

End of program final Test End of program evaluation Nurses Support for Breast feeding Questionnaires (NSBQ) Mothers Perceived Support Questionnaires (MPSQ) Cost-benefit analysis

Flexible learning Staff development Evidence-based education (Magnet) Increased patient satisfaction Improved breastfeeding outcomes Financial savings

Health organizations endorse breastfeeding Baby-Friendly Initiative is the gold standard for breastfeeding support Nurse education is associated with improved breastfeeding outcomes Flexible breastfeeding education is a practical solution Self-study programs are time/cost effective

American Academy of Pediatrics. (2012). Breastfeeding and the use of human milk. Pediatrics, 129(3), e827-837. American Academy of Family Physicians. (2012). Breastfeeding position statement. http://www.aafp.org/online/en/home/policy/policies/b/breastfeedingpositionpaper.html American College of Obstetricians and Gynecologists. (2007). Breastfeeding: Maternal and infant aspects. Baby-Friendly USA, Inc. (2010). Implementing the UNICEF/WHO Baby-Friendly Hospital Initiative in the U.S. http://www.babyfriendlyusa.org/eng/index.htm Bartick, M., & Reinhold, A. (2010). The burden of suboptimal breastfeeding in the United States: A pediatric cost analysis. Pediatrics, 125(5), 1048. Bastable, S. B. & Doody, J. A. (2007). Behavioral Objectives. In S. B. Bastable (Ed.), Nurse as educator(3 rd ed.). Sudbury, MA: Jones and Bartlett. Bernaix, L. W. (2000). Nurses attitudes, subjective norms, and behavioral intentions toward support of breastfeeding mothers. Journal of Human Lactation, 16(3), 201-208. Bernaix, L. W., Schmidt, C. A., Arrizola, M., Iovinelli, D., & Medina-Poelinez, C. (2008). Success of a lactation education program on NICU nurses knowledge and attitudes. Journal of Obstetric Gynecologic and Neonatal Nursing 37(4), 436-445. Bloom s Taxonomy of Learning Domains. (2010). Retrieved May 4, 2012, from http://www.nwlink.com/~donclark/hrd/bloom.html

Bradshaw, M. J., & Lowenstein, A. J. (2011). Innovative teaching strategies in nursing and related health professionals(5 th ed.). Sudbury, MA: Jones and Bartlett. Centers for Disease Control. (2007). Breastfeeding trends and updated national health objectives for exclusive breastfeeding: United States, birth years 2000-2004. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5630a2.htm Dodgson, J. E., & Tarrant, M. (2007). Outcomes of a breastfeeding education intervention for baccalaureate nursing students. Nurse Education Today, 27(8), 856-867. Donaldson-Myles, F. (2011). Postnatal depression and infant feeding: A review of the evidence. British Journal of Midwifery, 19(10), 619-623. Fitzpatrick, J. J. (2008). If my syllabus could talk: What would it say about me? Nursing Education Perspectives, 29(1), 5. Fleming, N. (2011). Visual aural read/write kinesthetic (VARK). Copyright Version 7.1. Christchurch, New Zealand. http://www.vark-learn.com/documents/the%20vark%20questionnaire.pdf Habanek, D. V. (2005). An examination of the integrity of the syllabus. College Teaching, 53(2), 62-64. doi: 10.3200/CTCH.53.2.62-64 Ingram, J. (2006). Multiprofessional training for breastfeeding management in primary care in the UK. International Breastfeeding Journal, 1(9), 1-7. doi: 10.1186/1746-4358-1-9 Kondolot, M., Yalcin, S. S., & Yurdakok, K. (2009). Feeding on one side or both sides in a breastfeeding session. Pediatrics International, 51, 817-820.

O Connor, M. E., Brown, E. W., & Orkin Lewin, L. (2010). An internet-based education program improves breastfeeding knowledge of maternal-child healthcare providers. Breastfeeding Medicine. doi: 10.1089/bfm.0061 Scheckel, M. (2009). Selecting Learning Experiences to achieve curriculum outcomes. In D. M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A guide for faculty(3 rd ed.). St. Louis, MI: Saunders Elsevier. Slattery, J. M., & Carlson, J. F. (2005). Preparing an effective syllabus: Current best practices. College Teaching, 53(4), 159-164. doi: 10.3200/CTCH.53.4.159-164 U.S. Department of Health and Human Services. The Surgeon General s Call to Action to Support Breastfeeding. Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General; 2011. http://www.surgeongeneral.gov U.S. Department of Health and Human Services. (2010). Healthy People 2020: Breastfeeding objectives. http://www.healthypeople.gov Watkins, A. L., & Dodgson, J. (2010). Breastfeeding education interventions for health professionals: A synthesis of intervention studies. Journal for Specialists in Pediatric Nursing, 15(3), 223-233. Westdahl, C. & Page-Goertz, S. (2007). Promotion of breastfeeding: Beyond the benefits. International Journal of Childbirth Education, 21(4), 8-10.