Abstract：
OBJECTIVE: The aim of this implementation project was to improve breastfeeding support, and more specifically, to increase compliance with the Baby-Friendly Hospital Initiative (BFHI) and the requirements of the International Code of Marketing of Breastmilk Substitutes (the Code).
BACKGROUND: The Ten Steps to Successful Breastfeeding of the BFHI have been shown to improve breastfeeding outcomes at target hospitals. The Code is a minimum standard for the regulation of marketing practices related to breastfeeding support.
METHODS: We used the JBI evidence implementation model to identify a group of stakeholders in a hospital in the Czech Republic and carried out a best practice implementation project from January 2021 to May 2022. After conducting a baseline audit, the clinical team and external breastfeeding experts discussed challenges and devised an implementation plan using the JBI Getting Research into Practice framework. Follow-up audits were undertaken from January to December 2021 and in May 2022.
RESULTS: Compliance improved across all audited criteria, namely, to fully comply with the Code (0% to 100%); to have a written infant feeding policy (0% to 100%); to ensure staff have skills to support breastfeeding (0% to 100%); to discuss breastfeeding with pregnant women (0% to 100%); to facilitate skin-to-skin contact (67.86% to 83.58%); to support and provide help with breastfeeding (67.86% to 82.09%); to not provide fluids other than breast milk (50% to 58.21%); to practice rooming-in (57.14% to 61.19%); to respond to infant cues (50% to 64.18%); to provide information about community support services (32.14% to 62.69%); and to coordinate discharge and ongoing care (0% to 100%).
CONCLUSIONS: Breastfeeding support requires a sustained long-term effort before it can become fully established. The involvement of national-level policy makers is needed.
BACKGROUND: The Ten Steps to Successful Breastfeeding of the BFHI have been shown to improve breastfeeding outcomes at target hospitals. The Code is a minimum standard for the regulation of marketing practices related to breastfeeding support.
METHODS: We used the JBI evidence implementation model to identify a group of stakeholders in a hospital in the Czech Republic and carried out a best practice implementation project from January 2021 to May 2022. After conducting a baseline audit, the clinical team and external breastfeeding experts discussed challenges and devised an implementation plan using the JBI Getting Research into Practice framework. Follow-up audits were undertaken from January to December 2021 and in May 2022.
RESULTS: Compliance improved across all audited criteria, namely, to fully comply with the Code (0% to 100%); to have a written infant feeding policy (0% to 100%); to ensure staff have skills to support breastfeeding (0% to 100%); to discuss breastfeeding with pregnant women (0% to 100%); to facilitate skin-to-skin contact (67.86% to 83.58%); to support and provide help with breastfeeding (67.86% to 82.09%); to not provide fluids other than breast milk (50% to 58.21%); to practice rooming-in (57.14% to 61.19%); to respond to infant cues (50% to 64.18%); to provide information about community support services (32.14% to 62.69%); and to coordinate discharge and ongoing care (0% to 100%).
CONCLUSIONS: Breastfeeding support requires a sustained long-term effort before it can become fully established. The involvement of national-level policy makers is needed.
摘要：
目的：本实施项目的目的是改善母乳喂养支持，更具体地说，以提高对婴儿友好医院倡议（BFHI）和国际母乳代用品销售守则（守则）的要求的遵守。
背景：BFHI成功母乳喂养的十个步骤已被证明可以改善目标医院的母乳喂养结果。该守则是规范与母乳喂养支持有关的营销实践的最低标准。
方法：我们使用JBI证据实施模型在捷克共和国的一家医院中确定了一组利益相关者，并在2021年1月至2022年5月期间开展了最佳实践实施项目。在进行基线审计后，临床团队和外部母乳喂养专家讨论了挑战,并使用JBI将研究纳入实践框架制定了实施计划.后续审计于2021年1月至12月和2022年5月进行。
结果：在所有审计标准中，合规性得到了提高，即,完全遵守该守则（0％至100％）；有书面的婴儿喂养政策（0％至100％）；确保员工具有支持母乳喂养的技能（0％至100％）；与孕妇讨论母乳喂养（0％至100％）；促进皮肤与皮肤接触（67.86％至83.58％）；支持和帮助母乳喂养（67.86％至82.09％），以不提供社区护理的比例为1.50％（67.
结论：母乳喂养支持需要持续的长期努力才能完全建立起来。需要国家一级决策者的参与。
背景：BFHI成功母乳喂养的十个步骤已被证明可以改善目标医院的母乳喂养结果。该守则是规范与母乳喂养支持有关的营销实践的最低标准。
方法：我们使用JBI证据实施模型在捷克共和国的一家医院中确定了一组利益相关者，并在2021年1月至2022年5月期间开展了最佳实践实施项目。在进行基线审计后，临床团队和外部母乳喂养专家讨论了挑战,并使用JBI将研究纳入实践框架制定了实施计划.后续审计于2021年1月至12月和2022年5月进行。
结果：在所有审计标准中，合规性得到了提高，即,完全遵守该守则（0％至100％）；有书面的婴儿喂养政策（0％至100％）；确保员工具有支持母乳喂养的技能（0％至100％）；与孕妇讨论母乳喂养（0％至100％）；促进皮肤与皮肤接触（67.86％至83.58％）；支持和帮助母乳喂养（67.86％至82.09％），以不提供社区护理的比例为1.50％（67.
结论：母乳喂养支持需要持续的长期努力才能完全建立起来。需要国家一级决策者的参与。
