A qualitative study of infant feeding decisions among low-income women in the Republic of Ireland

Midwifery ◽  
2013 ◽  
Vol 29 (5) ◽  
pp. 453-460 ◽  
Author(s):  
Emily Shortt ◽  
Catherine McGorrian ◽  
Cecily Kelleher
Keyword(s):  
Qualitative Study ◽  
Infant Feeding ◽  
Low Income ◽  
Republic Of Ireland ◽  
Low Income Women ◽  
The Republic ◽  
Infant Feeding Decisions

Exploring Intended Infant Feeding Decisions Among Low-Income Women

2014 ◽  
Vol 9 (8) ◽  
pp. 377-384 ◽  
Author(s):  
Kelly K. Gurka ◽  
Paige P. Hornsby ◽  
Emily Drake ◽  
Evan M. Mulvihill ◽  
Emily N. Kinsey ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Low Income Women ◽  
Infant Feeding Decisions

scholarly journals Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Cross Sectional ◽  
Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

scholarly journals A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland

Physiotherapy ◽  
2020 ◽  
Vol 107 ◽  
pp. 267-274
Author(s):  
Tony Foley ◽  
Cormac Sheehan ◽  
Aisling A. Jennings ◽  
Trish O’Sullivan
Keyword(s):  
Qualitative Study ◽  
Educational Needs ◽  
Dementia Care ◽  
Republic Of Ireland ◽  
The Republic

scholarly journals National clinical programmes in the Republic of Ireland: a qualitative study of acute hospitals

2020 ◽  
Vol 25 (5) ◽  
pp. 421-440
Author(s):  
Geraldine Shaw
Keyword(s):  
Cost Effectiveness ◽  
Qualitative Study ◽  
National Level ◽  
Governance Structure ◽  
Improve Quality ◽  
Republic Of Ireland ◽  
Face To Face ◽  
Key Stakeholders ◽  
Acute Hospitals ◽  
The Republic

Background The national clinical programmes (NCPs) were established in 2010 to achieve three objectives, namely: improve quality, access and cost effectiveness. Limited research exists on their implementation in the Republic of Ireland (ROI). This qualitative study identified key stakeholders’ perceptions on (a) implementation thus far, and (b) conditions perceived necessary for implementation in acute hospitals. Aims The overall aim of this research was to undertake an in-depth study to explore from the perspectives of key stakeholders, their perceptions on implementation of the national clinical programmes, thus far, in relation to three overarching objectives (to improve quality, access, cost effectiveness) and what are the conditions necessary for their implementation in the Republic of Ireland's acute hospitals. Methods Twenty participants were interviewed using face-to-face audio-recorded semi-structured interviews. Transcribed data were coded and analysed, and a number of themes emerged from the dataset relating to the study aims. Results Implementation was perceived as being inconsistent. Outcomes were identified as: best practice guidelines, models of care, protocols, pathways; education & training; new services; improved discharges; improved patient outcomes; reduced length of stay; timely access; reduced waiting lists; cost effectiveness and other intangible outcomes. Sixteen conditions, under four themes, were perceived necessary for implementation, namely: Governance – structure, audit & monitoring, senior management support, accountability, and clear objectives and expectations; Communication – visible face-to-face engagement, internal awareness, and external awareness; Leadership – programme level, national level, hospital level, and professional level; Resources – budget, staff, information technology, training, skills, and competency. Conclusions This study adds to the existing limited body of knowledge on implementation of the NCPs in the acute hospitals in the ROI while contributing to the wider international literature in this area. The study provides hitherto unreported knowledge on the conditions that are perceived necessary for implementation. Novel in the ROI context is the perceived necessity to condense the number of NCPs, placing greater emphasis on (a) the need to structurally integrate the NCPs across the continuum of care, and (b) the importance of communication through visible face-to-face engagement. This study concludes that significant progress has been made by the NCPs towards meeting the objectives, albeit to varying degrees. There is a strong perception that the NCPs should remain, and that addressing the conditions perceived necessary for implementation in the areas of governance, communications, leadership and resources by both top-down senior health officials and bottom-up front-line hospital staff would significantly enhance the ability of the NCPs to meet objectives and implementation. It provides the ROI health services with valuable information to inform future reform, strategic planning and NCP implementation.

Perceptions of Generic Drug Discount Programs Among Low-Income Women: A Qualitative Study

2013 ◽  
Vol 23 (1) ◽  
pp. e55-e60 ◽  
Author(s):  
Anthony Omojasola ◽  
Beverly Gor ◽  
Lovell Jones
Keyword(s):  
Qualitative Study ◽  
Generic Drug ◽  
Low Income ◽  
Low Income Women
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