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What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting? / LYNDSEY HOOKWAY

Swansea University Author: LYNDSEY HOOKWAY

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DOI (Published version): 10.23889/SUthesis.65059

Abstract

Breastfeeding is known to provide optimal nutrition and immunological support to young children. There are many systems in place to facilitate and protect breastfeeding, such as policies, training programs and specialist practitioners employed within certain settings. However, the support and traini...

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Published: Swansea, Wales, UK 2023
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Brown, A. and Lewis, J.
URI: https://cronfa.swan.ac.uk/Record/cronfa65059
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first_indexed 2023-11-21T13:34:35Z
last_indexed 2023-11-21T13:34:35Z
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spelling v2 65059 2023-11-21 What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting? 5b6a46f227828ab6507622903e48f98f LYNDSEY HOOKWAY LYNDSEY HOOKWAY true false 2023-11-21 Breastfeeding is known to provide optimal nutrition and immunological support to young children. There are many systems in place to facilitate and protect breastfeeding, such as policies, training programs and specialist practitioners employed within certain settings. However, the support and training are weighted towards the initiation of breastfeeding in healthy newborns, as well as supporting the preterm population. Paediatric settings do not have the same investment in training, policy, or staffing. Within paediatrics, different breastfeeding challenges exist, meaning that not only do staff often not have a baseline level of breastfeeding knowledge, but they also require more nuanced training to effectively support families to overcome difficulties. There is a paucity of research on this subpopulation, especially within the UK, therefore a systematic review was conducted and used to focus the research studies on the identified gaps. Two studies were conducted to identify the knowledge and skills of professionals, and the experiences of mothers breastfeeding their medically complex child in the paediatric setting. The first study was a national survey of 409 multidisciplinary healthcare and allied health professionals working in paediatrics. The second study recruited 30 mothers of children who had been inpatients on paediatric wards or paediatric intensive care units and explored their challenges, barriers and views using semi-structured interviews. The research found that many paediatric professionals have significant gaps in their knowledge and skills, reported several obstacles in terms of unsupportive ward cultures, and identified that current breastfeeding training does not meet the needs of these professionals working to support sick breastfed children in hospital. Furthermore, while some mothers are strongly motivated to breastfeed their sick child, they encounter a range of institutional, clinical and environmental barriers to breastfeeding. The findings suggest that nuanced paediatric-focused breastfeeding training along with a focus on providing family-centred, compassionate care and supportive environments is clinically justified to support families to reach their personal feeding goals and optimise health outcomes for children. E-Thesis Swansea, Wales, UK Breastfeeding, paediatrics, medical complexity 30 10 2023 2023-10-30 10.23889/SUthesis.65059 A selection of content is redacted or is partially redacted from this thesis to protect sensitive and personal information. COLLEGE NANME COLLEGE CODE Swansea University Brown, A. and Lewis, J. Doctoral Ph.D 2023-11-21T13:51:26.2005915 2023-11-21T12:41:42.5121930 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health LYNDSEY HOOKWAY 1 65059__29073__c16fe92ff2f44cb3ac6807f16f28272f.pdf 2023_Hookway_L.final.65059.pdf 2023-11-21T13:47:06.2129024 Output 5996891 application/pdf E-Thesis – open access true Copyright: The Author, Lyndsey Hookway, 2023. Distributed under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). true eng https://creativecommons.org/licenses/by-nc-nd/4.0/
title What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
spellingShingle What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
LYNDSEY HOOKWAY
title_short What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
title_full What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
title_fullStr What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
title_full_unstemmed What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
title_sort What are the needs and challenges of breastfed medically complex infants and children in the paediatric setting?
author_id_str_mv 5b6a46f227828ab6507622903e48f98f
author_id_fullname_str_mv 5b6a46f227828ab6507622903e48f98f_***_LYNDSEY HOOKWAY
author LYNDSEY HOOKWAY
author2 LYNDSEY HOOKWAY
format E-Thesis
publishDate 2023
institution Swansea University
doi_str_mv 10.23889/SUthesis.65059
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description Breastfeeding is known to provide optimal nutrition and immunological support to young children. There are many systems in place to facilitate and protect breastfeeding, such as policies, training programs and specialist practitioners employed within certain settings. However, the support and training are weighted towards the initiation of breastfeeding in healthy newborns, as well as supporting the preterm population. Paediatric settings do not have the same investment in training, policy, or staffing. Within paediatrics, different breastfeeding challenges exist, meaning that not only do staff often not have a baseline level of breastfeeding knowledge, but they also require more nuanced training to effectively support families to overcome difficulties. There is a paucity of research on this subpopulation, especially within the UK, therefore a systematic review was conducted and used to focus the research studies on the identified gaps. Two studies were conducted to identify the knowledge and skills of professionals, and the experiences of mothers breastfeeding their medically complex child in the paediatric setting. The first study was a national survey of 409 multidisciplinary healthcare and allied health professionals working in paediatrics. The second study recruited 30 mothers of children who had been inpatients on paediatric wards or paediatric intensive care units and explored their challenges, barriers and views using semi-structured interviews. The research found that many paediatric professionals have significant gaps in their knowledge and skills, reported several obstacles in terms of unsupportive ward cultures, and identified that current breastfeeding training does not meet the needs of these professionals working to support sick breastfed children in hospital. Furthermore, while some mothers are strongly motivated to breastfeed their sick child, they encounter a range of institutional, clinical and environmental barriers to breastfeeding. The findings suggest that nuanced paediatric-focused breastfeeding training along with a focus on providing family-centred, compassionate care and supportive environments is clinically justified to support families to reach their personal feeding goals and optimise health outcomes for children.
published_date 2023-10-30T13:51:26Z
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score 11.012678

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