Evaluation of an intervention to increase clinician knowledge and confidence to support breastfeeding, kangaroo care and positive touch within neonatal units

Kayleigh Kwah; Becky Whiteman; Elizabeth Grunfeld; Christine Niccolls; Elaine Wood

doi:10.1016/j.jnn.2017.10.003

Evaluation of an intervention to increase clinician knowledge and confidence to support breastfeeding, kangaroo care and positive touch within neonatal units

Kayleigh Kwah, Becky Whiteman, Elizabeth Grunfeld, Christine Niccolls, Elaine Wood

School of Health and Care

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

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Abstract

Breastfeeding and kangaroo care rates in neonatal units across the United Kingdom vary despite evidence for the clinical benefits. Clinicians have reported a need for evidence-based training to support parents with these practices. The aim of this study was to evaluate the Small Wonders Change Programme (SWCP), an intervention that aims to increase clinician knowledge and confidence to support parents in neonatal units to undertake breastfeeding and kangaroo care. Two neonatal intensive care units participated and 47 clinicians completed the Neonatal Unit Assessment Tool (NUCAT) pre and postintervention. 18 of these clinicians also participated in a semi-structured interview to further explore the impact of the intervention on clinician's practice. Both clinician knowledge (t(46) ¼ 4.61, p 0.000) and confidence (t(46) ¼ 4.82, p < 0.000) significantly increased following the intervention. Analysis of the interviews revealed that clinicians directly attributed subsequent individual and unit-wide change in practice to an increase in knowledge and confidence as a result of the intervention. This study suggests that a clinician focussed intervention can lead to positive changes in clinician confidence, knowledge and practice in supporting parents to undertake breastfeeding and kangaroo care in neonatal units.

Original language	English
Pages (from-to)	94-99
Number of pages	6
Journal	Journal of Neonatal Nursing
Volume	24
Issue number	2
Early online date	3 Nov 2017
DOIs	https://doi.org/10.1016/j.jnn.2017.10.003
Publication status	Published - Apr 2018

Bibliographical note

NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Neonatal Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Neonatal Nursing, [[VOL], [ISS], (2017)] DOI: 10.1016/j.jnn.2017.10.003

© 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

Intervention
Knowledge
Confidence
Breastfeeding
Kangaroo care
Neonatal
Positive touch
Clinician

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10.1016/j.jnn.2017.10.003

Post-PrintAccepted author manuscript, 615 KBLicence: CC BY-NC-ND

http://eprints.bbk.ac.uk/20188/

Cite this

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title = "Evaluation of an intervention to increase clinician knowledge and confidence to support breastfeeding, kangaroo care and positive touch within neonatal units",

abstract = "Breastfeeding and kangaroo care rates in neonatal units across the United Kingdom vary despite evidence for the clinical benefits. Clinicians have reported a need for evidence-based training to support parents with these practices. The aim of this study was to evaluate the Small Wonders Change Programme (SWCP), an intervention that aims to increase clinician knowledge and confidence to support parents in neonatal units to undertake breastfeeding and kangaroo care. Two neonatal intensive care units participated and 47 clinicians completed the Neonatal Unit Assessment Tool (NUCAT) pre and postintervention. 18 of these clinicians also participated in a semi-structured interview to further explore the impact of the intervention on clinician's practice. Both clinician knowledge (t(46) ¼ 4.61, p 0.000) and confidence (t(46) ¼ 4.82, p < 0.000) significantly increased following the intervention. Analysis of the interviews revealed that clinicians directly attributed subsequent individual and unit-wide change in practice to an increase in knowledge and confidence as a result of the intervention. This study suggests that a clinician focussed intervention can lead to positive changes in clinician confidence, knowledge and practice in supporting parents to undertake breastfeeding and kangaroo care in neonatal units. ",

keywords = "Intervention, Knowledge, Confidence, Breastfeeding, Kangaroo care, Neonatal, Positive touch, Clinician",

author = "Kayleigh Kwah and Becky Whiteman and Elizabeth Grunfeld and Christine Niccolls and Elaine Wood",

note = "NOTICE: this is the author{\textquoteright}s version of a work that was accepted for publication in Journal of Neonatal Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Neonatal Nursing, [[VOL], [ISS], (2017)] DOI: 10.1016/j.jnn.2017.10.003 {\textcopyright} 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/",

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AU - Niccolls, Christine

AU - Wood, Elaine

N1 - NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Neonatal Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Neonatal Nursing, [[VOL], [ISS], (2017)] DOI: 10.1016/j.jnn.2017.10.003 © 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

PY - 2018/4

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N2 - Breastfeeding and kangaroo care rates in neonatal units across the United Kingdom vary despite evidence for the clinical benefits. Clinicians have reported a need for evidence-based training to support parents with these practices. The aim of this study was to evaluate the Small Wonders Change Programme (SWCP), an intervention that aims to increase clinician knowledge and confidence to support parents in neonatal units to undertake breastfeeding and kangaroo care. Two neonatal intensive care units participated and 47 clinicians completed the Neonatal Unit Assessment Tool (NUCAT) pre and postintervention. 18 of these clinicians also participated in a semi-structured interview to further explore the impact of the intervention on clinician's practice. Both clinician knowledge (t(46) ¼ 4.61, p 0.000) and confidence (t(46) ¼ 4.82, p < 0.000) significantly increased following the intervention. Analysis of the interviews revealed that clinicians directly attributed subsequent individual and unit-wide change in practice to an increase in knowledge and confidence as a result of the intervention. This study suggests that a clinician focussed intervention can lead to positive changes in clinician confidence, knowledge and practice in supporting parents to undertake breastfeeding and kangaroo care in neonatal units.

AB - Breastfeeding and kangaroo care rates in neonatal units across the United Kingdom vary despite evidence for the clinical benefits. Clinicians have reported a need for evidence-based training to support parents with these practices. The aim of this study was to evaluate the Small Wonders Change Programme (SWCP), an intervention that aims to increase clinician knowledge and confidence to support parents in neonatal units to undertake breastfeeding and kangaroo care. Two neonatal intensive care units participated and 47 clinicians completed the Neonatal Unit Assessment Tool (NUCAT) pre and postintervention. 18 of these clinicians also participated in a semi-structured interview to further explore the impact of the intervention on clinician's practice. Both clinician knowledge (t(46) ¼ 4.61, p 0.000) and confidence (t(46) ¼ 4.82, p < 0.000) significantly increased following the intervention. Analysis of the interviews revealed that clinicians directly attributed subsequent individual and unit-wide change in practice to an increase in knowledge and confidence as a result of the intervention. This study suggests that a clinician focussed intervention can lead to positive changes in clinician confidence, knowledge and practice in supporting parents to undertake breastfeeding and kangaroo care in neonatal units.

KW - Intervention

KW - Knowledge

KW - Confidence

KW - Breastfeeding

KW - Kangaroo care

KW - Neonatal

KW - Positive touch

KW - Clinician

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DO - 10.1016/j.jnn.2017.10.003

M3 - Article

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JO - Journal of Neonatal Nursing

JF - Journal of Neonatal Nursing

IS - 2

ER -

Evaluation of an intervention to increase clinician knowledge and confidence to support breastfeeding, kangaroo care and positive touch within neonatal units

Abstract

Bibliographical note

Keywords

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