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Show . Enhancing Breastfeeding Among Refugee Women: A Quality Improvement Project Sadi Hassan, BSN, DNP Student Jessica Ann Ellis, PhD, CNM, Diane Chapman, DNP, APRN, FNP-C, CNE Key Takeaways: A breastfeeding toolkit tailored for the refugee population increased clinician's confidence in assessing Background Prevalence and consequence • 45% of children globally are breastfed until 2 years of age • Breastfeeding reduces childhood infections • $341.3 billion annual economic cost from lack of breastfeeding Purpose Breastfeeding toolkit for refugee women at an urban family medicine clinic in Salt Lake City Multilingual resources to improve understanding and success Methods • Assessed current breastfeeding education available to refugee communities • Developed evidence-based toolkit with multilingual patient handouts, dot phrases/reference book for providers • Implemented the evidence-based toolkit and presented educational presentation • Conducted open discussions with clinicians • Evaluated the toolkit using PDSA cycle during implementation • Assessed toolkit's usability, feasibility, satisfaction and counseling patients on breastfeeding. Results Adequacy of Presentation and Toolkit: • 44.4% of clinicians rated the presentation/toolkit as "very adequate“ • 11.1% rated it as "somewhat adequate" Feasibility, Usability, and Satisfaction • 55.6% of clinicians used the breastfeeding toolkits • Reported increased confidence in assessing and counseling patients • Satisfied with the toolkit and found the presentation helpful • 22% of participants used the multilingual videos, dot phrases/reference booklet Conclusions • The breastfeeding toolkit increased clinician engagement in promoting early breastfeeding initiation and improved clinician satisfaction. • The toolkit addressed some cultural and systemic barriers that refugee mothers face when accessing breastfeeding support • Providers' confidence in educating patients about breastfeeding notably increased COLLEGE OF NURSING |
