Evidence based workplace interventions to promote breastfeeding practices among Pakistani working mothers

2013 ◽  
Vol 26 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Shela Akbar Ali Hirani ◽  
Rozina Karmaliani
Keyword(s):  
Working Mothers ◽  
Evidence Based ◽  
Workplace Interventions ◽  
Breastfeeding Practices

scholarly journals How do breastfeeding workplace interventions work?: a realist review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathrin Litwan ◽  
Victoria Tran ◽  
Kate Nyhan ◽  
Rafael Pérez-Escamilla
Keyword(s):  
Working Mothers ◽  
Maternity Leave ◽  
Contextual Factors ◽  
Realist Review ◽  
Supervisor Support ◽  
Positive Influence ◽  
Workplace Culture ◽  
Environment Change ◽  
Workplace Interventions ◽  
Underlying Mechanisms

Abstract Background Women are representing an increasing share of the labor force, thus, raising the need to accommodate breastfeeding working mothers at the workplace. While there is an emerging body of evidence supporting the positive influence of workplace lactation programs on breastfeeding outcomes, there is a lack of literature on the mechanisms underlying those interventions. Aims of this realist review were three-fold: to uncover underlying mechanisms, determine who benefits the most from such interventions and important contextual factors influencing uptake. Methods Purposive bibliographic searches on Medline, Web of Science Core Collection, CINAHL, Global Health, LILACS, Global Index Medicus, Business Source Complete, Proquest Dissertations and Theses and Open Access Theses and Dissertations were conducted to identify relevant publications. Included publications (qualitative and quantitative) described interventions aiming to improve the breastfeeding behavior of working mothers, that were initiated by the employer, reported on breastfeeding outcomes and had a clearly defined workplace. Publications only focusing on maternity leave or that were not published in English, Spanish, Portuguese or German were excluded. A realist approach was followed to identify how workplace interventions work, who benefits the most and the important contextual factors. Results The bibliographic search yielded a total of 4985 possible publications of which 37 publications were included in the realist analysis. Effective workplace breastfeeding interventions activate three mechanisms: 1) awareness of the intervention, 2) changes in workplace culture, manager/supervisor support, co-worker support and physical environments, and 3) provision of time. Contextual factors such as the distance between the workplace and the infant and the type of workplace may influence the degree of activation of the underlying mechanisms for programs to positively impact breastfeeding outcomes. Conclusions In order to be effective, workplace breastfeeding interventions need to: raise awareness of the intervention(s) available among working mothers as well as their work environment, change the workplace culture, foster manager/supervisor support and co-workers support, provide enough time and adequate space and facilities for women to breastfeed or express breastmilk during the workday.

scholarly journals BREASTFEEDING EXPERIENCES OF WORKING MOTHERS IN VIETNAM

2018 ◽  
Vol 4 (3) ◽  
pp. 279-286
Author(s):  
Nguyen Thi Truong Xuan ◽  
Nhan Thi Nguyen
Keyword(s):  
Working Mothers ◽  
Qualitative Content Analysis ◽  
World Health ◽  
Breastfeeding Support ◽  
Breastfeeding Practices ◽  
Optimal Health ◽  
Returning To Work ◽  
Need For Support ◽  
Health Organization ◽  
Depth Interviews

Background: World Health Organization recommends mothers all over the world should continue breastfeeding up to the age of two years or beyond to achieve optimal health, growth and development for their infants. However, the breastfeeding practices among working mothers have been decreased by the time passed.Objective: to describe the breastfeeding experiences of mothers who returned to work after childbirth.Methods: This study was utilized a qualitative design. Purposive sampling was used to recruit the participant who met the inclusion criteria. Data were collected from 10 semi-structured in-depth interviews. All interviews were audio-recorded and transcribed verbatim. The interview transcriptions were analyzed by using the qualitative content analysis approach.Results: The breastfeeding period of 10 working mothers ranging from 7 to 15 months. Five categories emerged from the data were: 1) Attitude towards breastfeeding, 2) Breastfeeding support during working, 3) Strategic plan for breastfeeding, 4) Psychological distress, and 5) A need for support facilities and resources for breastfeeding during working.Conclusion: This research provided a better understanding of breastfeeding experiences of working mothers in Vietnam. The findings can help nurses and other healthcare professionals in providing anticipatory guidance to mothers who plan to continue breastfeeding after returning to work.

scholarly journals Resilience and Challenges of Working Mothers during COVID-19

INYI Journal ◽  
2021 ◽  
Author(s):  
Marina Heifetz
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Working Mothers ◽  
Self Care ◽  
Anxiety And Depression ◽  
Social Connections ◽  
Evidence Based ◽  
Activity Time ◽  
Self Compassion ◽  
The Many

The pandemic has brought on much hardships and highlighted the many inequities in our lives, including the increasing workload for working mothers. Compared to pre-pandemic, maternal research has found mothers to have increases in anxiety and depression during the pandemic. Given the added stressors of the pandemic, this paper aims to highlight some evidence-based strategies that mothers can use to support their mental health during the pandemic and beyond. These mental health strategies include (1) Self-compassion and mindfulness (2) Physical self-care (sleep and physical activity time); (3) Connecting time (maintaining social connections and shared responsibilities); and (4) Playtime (having fun!).

Breastfeeding Practices and Nutritional Status of Children Aged One to Five Years in Jaffna District, Sri Lanka

2017 ◽  
Vol 54 (2) ◽  
pp. 172 ◽  
Author(s):  
Kandeepan Karthigesu ◽  
Balakumar Sandrasegarampillai ◽  
Vasanthy Arasaratnam
Keyword(s):  
Nutritional Status ◽  
Working Mothers ◽  
Vicious Cycle ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Breastfeeding Practices ◽  
High Prevalence ◽  
Socio Demographic Factors ◽  
Nutritional Status Of Children ◽  
Duration Of Breastfeeding

Breastfeeding is essential to break the vicious cycle of under nutrition of children. This study was aimed to assess the breastfeeding practices and nutritional status of children aged one to five years in Jaffna district. The study design was descriptive cross sectional. Height, weight, haemoglobin, albumin and serum ferritin of children were measured. Structured interviewer administered questionnaire was used to obtain socio-demographic factors, breastfeeding practices and dietary pattern. Among the total of 846 children (414 boys), 64.4% (545) were exclusively breastfed for 6 months. Among 585 children who were breastfed, 55.6% were breastfed beyond two years while 12.6% were breastfed beyond three years. Working mothers (13.7%) had discontinued the exclusive breastfeeding (EBF) before the completion of six months (45.7%) when compared with the non-working mothers (67.4%). The prevalence of underweight, wasting and stunting was 33, 22 and 26% respectively. Prevalence of under nutrition was significantly high (54.2%) in non-EBF children. Prevalence of anaemia was high among non-EBF children (45.8%). Furthermore the early cessation of EBF before six months depended on the type of family (nucleated or extended) and wealth class of the households (p<0.05). The rate of EBF was low in Jaffna District and duration of breastfeeding of most of the children had not reached 2 yrs. Prevalence of under nutrition was significantly high among the non-exclusively breastfed children. EBF for six months was not practised due to several factors and have contributed to high prevalence of malnutrition in Jaffna district.

Intervention as workplace learning

2016 ◽  
Vol 28 (5) ◽  
pp. 266-279 ◽  
Author(s):  
Bente Elkjaer ◽  
Niels Christian Mossfeldt Nickelsen
Keyword(s):  
Health Care ◽  
Workplace Learning ◽  
Design Methodology ◽  
Professional Knowledge ◽  
Hierarchical Structures ◽  
Evidence Based ◽  
Workplace Issues ◽  
Content Type ◽  
Workplace Interventions

Purpose The purpose of this paper is to illustrate how workplace interventions may benefit from a simultaneous focus on individuals’ learning and knowledge and on the situatedness of workplaces in the wider world of changing professional knowledge regimes. This is illustrated by the demand for evidence-based practice in health care. Design/methodology/approach The paper is based on a case study in a public post-natal ward in a hospital in Denmark in which one of the authors acted as both a consultant initiating and leading interventions and a researcher using ethnographic methods. The guiding question was: How to incorporate the dynamics of the workplace when doing intervention in professionals’ work and learning? Findings The findings of the paper show how workplace interventions consist of heterogeneous alliances between politics, discourse and technologies rather than something that can be traced back to a single plan or agency. Furthermore, the paper proposes, a road down the middle, made up by both an intentional and a performative model for intervention. Originality/value Intervention in workplaces is often directed towards changing humans, their behaviour, their ways of communicating and their attitudes. This is often furthered through reflection, making the success of intervention depend on individuals’ abilities to learn and change. In this paper, it is shown how intervention may benefit from bringing in workplace issues like different professional knowledge regimes, hierarchical structures, materiality, politics and power.

scholarly journals Barriers and opportunities for workplace violence interventions in Australian paramedicine: A qualitative study

2020 ◽  
Vol 17 ◽  
Author(s):  
Brodie John Thomas ◽  
Peter O'Meara ◽  
Kristina Edvardsson ◽  
Evelien Spelten
Keyword(s):  
Narrative Analysis ◽  
Workplace Violence ◽  
Ambulance Service ◽  
Future Research ◽  
Evidence Based ◽  
Workplace Interventions ◽  
Potential Barriers ◽  
Effective Interventions ◽  
Barriers And Opportunities ◽  
Violent Events

Introduction Workplace violence directed at paramedics by patients and bystanders is a persistent and pervasive issue. There is little available evidence supporting the effectiveness of current interventions in the paramedicine context. No studies have reported on potential barriers and there is little evidence supporting opportunities for more effective interventions. The objective of this study was to make an inventory of current workplace interventions and explore the barriers and opportunities for these interventions as perceived by paramedics. Methods Ten paramedics were interviewed about their experiences and insights into workplace violence. The interview data underwent thematic and narrative analysis. Results Seven interventions were highlighted, 10 barriers and 12 opportunities for current and future workplace violence interventions were discussed. The majority of the barriers related to culture in society, attitudes of staff, and lack of capacity for the ambulance service to take action following violent events. The opportunities raised included co-design of interventions, culture change for paramedics and communities, accountability for paramedics and perpetrators of violence, increased ambulance service options following violent events, and improving feedback to staff. Conclusion The findings of this study suggest that interventions are likely to be more effective and sustainable if they are evidence-based, co-designed, address all levels of healthcare, and evaluated. Important areas for future research include a focus on consequences and accountability for perpetrators and strategies for ambulance services and paramedics to participate in public health approaches to reducing violence in communities.

scholarly journals A comparative study of impact of breastfeeding practices on the nutritional status of the infants among the working and non-working women

2018 ◽  
Vol 5 (5) ◽  
pp. 1759
Author(s):  
Ashok A. ◽  
Shwetha J. H. ◽  
Mahesh T. K.
Keyword(s):  
Working Mothers ◽  
Maternity Leave ◽  
Working Women ◽  
Control Group ◽  
Study Group ◽  
Breastfeeding Practices ◽  
Significant Difference ◽  
The Mean ◽  
The Many ◽  
And Control

Background: Amongst the many determinants that influence the exclusivity of breastfeeding, the working status of the mother is the probably the most important.Methods: A comparative analysis was done regarding the feeding pattern in early infancy between working and non-working mothers. The anthropometric indices of the groups were studied and compared. 50 working mothers and non-working mothers were taken up for the study and they were followed on regular intervals i.e., 6, 10, 14, 18 and 24 weeks.Results: Age of working mothers was more than non-working mothers. 51.06% mothers in study group and 85.41% mothers in control group had exclusively breastfed their infants’ upto 18 weeks. The mean weight was 7.77 (0.52) and 7.35 (0.59) among female study and control group, 8.19 (0.50) and 7.84 (0.50) among male study and control group.Conclusions: Breastfeeding practices were comparable among the study and control group till the study group availed their maternity leave. Anthropometry is comparable among the study and control group for female babies, but there is a significant difference in anthropometry measures among male babies.

scholarly journals Breastfeeding at the workplace: a systematic review of interventions to improve workplace environments to facilitate breastfeeding among working women

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mireya Vilar-Compte ◽  
Sonia Hernández-Cordero ◽  
Mónica Ancira-Moreno ◽  
Soraya Burrola-Méndez ◽  
Isabel Ferre-Eguiluz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Maternal Employment ◽  
Working Mothers ◽  
Working Women ◽  
Breastfeeding Duration ◽  
Breastfeeding Support ◽  
Organizational Policies ◽  
Workplace Interventions ◽  
Early Introduction

Abstract Background Breastfeeding can be affected by maternal employment. This is important considering that in 2019, 47.1% of women globally participated in the labor force. The aim of this study was to review workplace interventions to promote, protect and support breastfeeding practices among working mothers globally. Methods A systematic review was conducted following the guidance of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Observational, experimental and qualitative peer-reviewed studies in English and Spanish, published between 2008 and 2019 were included. The review focused on working women who were pregnant, breastfeeding or who recently had a child, and women’s working environments. The outcomes of interest included breastfeeding intentions, initiation, exclusivity and duration, confidence in breastfeeding or breastmilk extraction, and perceived support at workplace. Quality was assessed according to National Institute for Health and Care Excellence (NICE) checklist for systematic reviews. It was registered on PROSPERO (#140624). Results Data was extracted from 28 quantitative and 9 qualitative studies. The most common interventions were designated spaces for breastfeeding or breastmilk extraction (n = 24), and the support from co-workers (n = 20). The least common interventions were providing breast pumps (n = 4) and giving mothers the flexibility to work from home (n = 3). Studies explored how interventions affected different breastfeeding outcomes including breastfeeding duration, breastfeeding exclusivity, confidence in breastmilk expression, and breastfeeding support. The evidence suggests that workplace interventions help increase the duration of breastfeeding and prevent early introduction of breastmilk substitutes. Having a lactation space, breastmilk extraction breaks, and organizational policies are key strategies. However, to achieve equitable working conditions for breastfeeding mothers, organizational and interpersonal changes need to occur as well. Conclusions The systematic review revealed that interventions at the workplace are important in protecting, promoting and supporting breastfeeding among working mothers. To achieve equitable work environments and fair nutritional opportunities for infants of working mothers, interventions should focus at the three ecological layers – individual, interpersonal, and organizational. The quality of studies can be improved. There is a need for studies assessing impacts of workplace interventions on infant feeding practices, mothers’ self-esteem and outcomes such productivity and abstentionism.

Abstraction: An alternative neurocognitive account of recognition, prediction, and decision making

2020 ◽  
Vol 43 ◽  
Author(s):  
Valerie F. Reyna ◽  
David A. Broniatowski
Keyword(s):  
Decision Making ◽  
Software Engineering ◽  
Systems Engineering ◽  
Evidence Based ◽  
Extensive Literature ◽  
Trace Theory ◽  
Fuzzy Trace Theory ◽  
Abstract Representations ◽  
Technical Systems

Abstract Gilead et al. offer a thoughtful and much-needed treatment of abstraction. However, it fails to build on an extensive literature on abstraction, representational diversity, neurocognition, and psychopathology that provides important constraints and alternative evidence-based conceptions. We draw on conceptions in software engineering, socio-technical systems engineering, and a neurocognitive theory with abstract representations of gist at its core, fuzzy-trace theory.

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