1. Breaking down the barriers
Evidence into Practice – breastfeeding and attachment for babies and their families in neonatal units
National Workshop
Marjorie Clark Princess Royal Maternity Hospital
Senior Charge Nurse

2. Need to make a change/belief in the evidence
Princess Royal Maternity
Neonatal Unit
Need to make a change/belief in the evidence
Three categories
Embrace Change
Question change
Uncomfortable with change/resist
Organised approach
Prepare
Support
Engage
and lead
from the top
Cascade down
empower
Ownership

3. Engagement Embrace and believe in the project/outcome
Princess Royal Maternity
Neonatal Unit
Engagement
Leaders – nursing/medical/AHP
Embrace and believe in the project/outcome
Acknowledge and understand the benefits
Create a following
Champions
Teaching and Training
Doubters
follow as success becomes evident
Uncertainty/fear becomes less
Empower
believe
Measured success
Support
Parent feedback
Teaching and training
Achievement

4. Culture
Princess Royal Maternity
Neonatal Unit
Rooming in Suite Family Integrated Care Kangaroo Care as routine care/management Cue Based Feeding
Environment where parents can stay with baby 24/7
Individualising family needs
total involvement in care and decisions
Kangaroo Care
Skin to skin care the norm for all babies, unless contraindicated - written guidance/discussion on ward round for reassurance
Cue Based Feeding
Advancement in number of suck feeds based on continuous assessment of infant’s behaviour
Supportive rather than directive
Establishing feeding as a pleasurable relationship-based experience for infant and parents
Decrease parental anxiety
Consistency, conflicting advice less likely
Improve long-term neurodevelopment outcomes for the most fragile of NICU babies

5. Relationships Acknowledging the role of the parent Partnership
Princess Royal Maternity
Neonatal Unit
Acknowledging the role of the parent
Partnership
Expertise
Compassion
Care
Absolute trust
Parents as parents - not visitors
Parent opinion and feedback

6. What is the vision for the future? How will the change become routine?
Princess Royal Maternity
Neonatal Unit
What is the vision for the future? How will the change become routine?
Measured success
Parent satisfaction
Improved Breast feeding rates
Rooming in facilities
Cue Based Feeding
Earlier discharge
Parents and caregivers as truly integrated partners
Family Centred Care
Kangaroo Care as routine
Marjorie Clark, April 2018

7. Thank you