In order to obtain approval and support from an organization, it takes the leadership of a transformational leader who is aware that evidence base practice is best practice. By changing the culture in the NICU, barriers that prevent maternal lactation and the feeding of human milk will allow for mothers of premature infants to obtain the support that is needed to provide the ultimate nutrition for their babies. Therefore, the Change theory is used to initiate organizational change (Yoder-Wise, 2015) in the NICU. Therefore, this theory is used to suggest strategies to implement change in the NICU so that mothers can successfully provide breastmilk to their babies through the support of the nursing staff. …show more content…
The first step is submit a proposal to the major stakeholders, who consist of the hospital Chief Executive Officer (CEO), and Chief Nursing Officer (CNO), for their approval. For example, the Baby Friendly Hospital Initiative program assists hospitals in giving all mothers the information, confidence, and skills necessary to successfully initiate and continue breastfeeding their babies or feeding formula safely by decreasing barriers that mothers of preterm infant faces in the NICU. These barriers prevent mothers from the support needed to facilitate breastfeeding or provision of breast milk for their premature infants (Baby-Friendly Hospital Initiative, n.d.). This initiative requires policy changes that will affect the facility as a whole. Once approved, policy changes that affect the other key stakeholder (NICU nurses, neonatologists, and neonatal nurse practitioners, NICU nutritionist, and lactation consultant) will need to be develop and implemented according to the Baby Friendly guidelines. When policies and procedure are in place, stakeholders who are affiliated with NICU newborns are educated and trained on the initiative’s policies and …show more content…
A quasi-experimental and time series of pre/posttest study was conducted by Laura W. Bernaix (2008) of 64 NICU nurses and 2 separate convenience samples of mothers of infants in the NICU were participant in this research study. Nurses were surveyed 2 weeks before attending a 4 hour educational program then 3 months later. Mothers were sampled before initiation of educational program and 3 months afterwards the initiation of the educational program. Nurses and mothers were given a series of questions to address the researcher’s questions. The mothers completed the Mothers’ Perceived Support Questionnaire (MPSQ) and the nurses completed the Nursing Support for Breastfeeding Questionnaire (NSBQ) and the Nurse Lactation Survey (NLS). Researchers used the SPSS version 14.0 to analysis data. The study was limited due to small convenience samples of nurses and mothers, ethnic background of nurses, and 50% participation (64 out of