scholarly journals Examining supports and barriers to breastfeeding through a socio-ecological lens: a qualitative study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract Background Early breastfeeding cessation is a societal concern given its importance to the health of mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973–1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems. Methods A total of 49 representatives participated in a telephone interview in Nebraska, USA in 2019. Interviewees represented various levels of the model, based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. Results At the Individual level, breastfeeding is a valued behavior, however, women are hindered by exhaustion, isolation, and the time commitment of breastfeeding. At the Interpersonal level, social media, peer-to-peer, and family were identified as supports for breastfeeding, however lack of familial support was also identified as a barrier. At the community level, participants were split between identifying cultural acceptance of breastfeeding as support or barrier. At the organizational level, hospitals had supportive breastfeeding friendly policies in place however lacked enough personnel with breastfeeding expertise. At the policy level, breastfeeding legislation is supportive, however, more specific breastfeeding legislation is needed to ensure workplace breastfeeding protections. Conclusion Future efforts should target hospital-community partnerships, family-centered education, evidence-based social media strategies and improved breastfeeding legislation to ensure breastfeeding women receive effective support throughout their breastfeeding journey.

2021 ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract BACKGROUND: Early breastfeeding cessation is a societal concern given the massive benefits associated with breastfeeding for mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973-1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems. METHODS: A total of 49 representatives participated in a telephonic interview. Interviewees represented various levels of the model based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. RESULTS: Common supports identified by all interviewees were in-hospital breastfeeding education (organizational level) and the existence of breastfeeding protection legislation (policy level). Barriers identified by all interviewees included a lack of support (interpersonal level), lack of hospital resources (organizational level) and lack of specificity within the existing breastfeeding protection legislation (policy level). Other identified supports and barriers varied by representatives for each level of the model. CONCLUSION: Future efforts should target multiple levels of the SEM to eliminate the disparities between breastfeeding mothers’ perceptions and the stakeholders working to increase breastfeeding initiation and duration rate.


2020 ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract BACKGROUND: Early breastfeeding cessation is a societal concern given the massive benefits associated with breastfeeding for mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973-1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems. METHODS: A total of 49 representatives participated in a telephonic interview. Interviewees represented various levels of the model based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. RESULTS: Common supports identified by all interviewees were in-hospital breastfeeding education (organizational level) and the existence of breastfeeding protection legislation (policy level). Barriers identified by all interviewees included a lack of support (interpersonal level), lack of hospital resources (organizational level) and lack of specificity within the existing breastfeeding protection legislation (policy level). Other identified supports and barriers varied by representatives for each level of the model. CONCLUSION: Future efforts should target multiple levels of the SEM to eliminate the disparities between breastfeeding mothers’ perceptions and the stakeholders working to increase breastfeeding initiation and duration rate.


2021 ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract BACKGROUND: Early breastfeeding cessation is a societal concern given the massive benefits associated with breastfeeding for mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973-1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems. METHODS: A total of 49 representatives participated in a telephonic interview. Interviewees represented various levels of the model based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. RESULTS: Common supports identified by all interviewees were in-hospital breastfeeding education (organizational level) and the existence of breastfeeding protection legislation (policy level). Barriers identified by all interviewees included a lack of support (interpersonal level), lack of hospital resources (organizational level) and lack of specificity within the existing breastfeeding protection legislation (policy level). Other identified supports and barriers varied by representatives for each level of the model. CONCLUSION: Future efforts should target multiple levels of the SEM to eliminate the disparities between breastfeeding mothers’ perceptions and the stakeholders working to increase breastfeeding initiation and duration rate.


Author(s):  
Stefanie Panke ◽  
Christian Kohls ◽  
Birgit Gaiser

The chapter discusses best practice approaches and metrics for evaluation that support seamless learning with social media on three different organizational levels: (1) the learning organization, (2) the learning program/curriculum, and (3) the individual teacher/learner. Initially, we establish how social media and seamless learning are connected, by sketching a brief overview of the history and evolution of each concept. We draw upon the theoretical frameworks of social learning theory, transfer learning (bricolage), and educational design patterns to elaborate upon different ideas for ways in which social media can support seamless learning. To exemplify how social media can support seamless learning we follow up with presenting three case studies on the organizational level, on the program level, and on the individual level. Each case study analyzes the context for the use of social media, followed by a discussion of how social media serves as a catalyst for seamless learning.


2015 ◽  
Vol 19 (3) ◽  
pp. 239-253 ◽  
Author(s):  
Jie Xu ◽  
Yiye Wu

Purpose – The purpose of this paper is to investigate the effects of using Twitter on American stakeholders’ crisis appraisal for organizations originated from two foreign countries with distinctively different perceptions. Design/methodology/approach – This study uses a 2 (medium: Twitter vs news release)×2 (country-of-origin: China vs France) factorial experiment. The participants (n=393) are recruited through the Amazon Mechanical Turk system (Mturks). Findings – The findings suggest that using Twitter substantially mitigates participants’ negative evaluation of the organization undergoing a crisis. Country-of-origin affects how individuals perceive the organization after it has experienced a crisis. In addition, participants’ product involvement intensifies the reputational threat specifically for the organization with a less favorable country-of-origin perception. Originality/value – This study is one of the few empirically based studies in international public relations research, using an experiment to extrapolate the effects of social media and country-of-origin on consumers’ crisis appraisal. This investigation reinforces the need to consider social media not just at the individual level, but also as a form of communication that can have broader consequences at the organizational level. In addition, it is important for company leaders to understand that the organization’s home country image may exacerbate the negative management outcomes during a crisis. It is expected that this study yields theoretically indicative, empirically informative, and culturally relevant results.


Author(s):  
G. M. Fix ◽  
M. Rikkerink ◽  
H. T. M. Ritzen ◽  
J. M. Pieters ◽  
W. A. J. M. Kuiper

AbstractInnovative initiatives in education often have problems with their sustainability. The present study focuses on three educational innovations that have proved to be sustainable over time. We used a qualitative research approach to study and identify essential features of sustainable educational innovation. Two theoretical frameworks were used to guide the study: the integrated model for sustainable innovation (IMSI) and self-determination theory (SDT). Both frameworks take a different perspective upon learning; IMSI presents learning at the individual level, the team level and the organizational level to be the heart of sustainable innovation, and SDT presents how learning can be improved. The research question focused upon how the SDT concepts of autonomy, competence and relatedness were perceived within sustainable innovation, expressed by the IMSI framework, by teachers and school leaders. Based on our findings we demonstrate that the framework of IMSI and SDT can effectively be applied as a frame of analysis to identify essential features of sustainability in educational innovations and we discuss how concepts of SDT deepen the knowledge of sustainable educational innovation.


2020 ◽  
Vol 49 (4) ◽  
pp. 849-870 ◽  
Author(s):  
Hyunjin Seo ◽  
Hong Tien Vu

In response to rapid changes in the communication environment, nonprofits are increasingly relying on digital technologies to achieve their communication goals. We examine factors influencing nonprofits’ digital-based external communication based on a survey of communications directors at transnational nonprofits, with an analysis of each organization’s characteristics as described on its Internal Revenue Service (IRS) Form 990 and website. Our results show that, at the organizational level, nonprofits with stronger leadership support concerning social media activities were more likely to use different digital platforms and value more various functions of social media for external communication as compared with those lacking such support. At the individual level, communications directors’ perceived ease of social media use and time in their current position significantly influenced their emphasis on different functions of social media. This research fills a gap in the literature by analyzing both organizational characteristics and individual communications director’s attributes in assessing nonprofits’ social media use.


2020 ◽  
Author(s):  
Chuqin Li ◽  
Adesoji Ademiluyi ◽  
Yaorong Ge ◽  
Albert Park

BACKGROUND Evidence in the literature suggests social factors have a substantial role in the spread of obesity. Close social tie with an obese friend increases the probability of becoming obese. However, the role of social factors that exist in social media is underexplored in obesity research. With the rapid proliferation of social media over the past few years, individuals socialize on social media and share their health-related daily routines, including dieting and exercising. Thus, it is timely and imperative to review previous studies focused on social factors in social media and obesity. OBJECTIVE This study aimed to examine online social factors in relation to obesity research. METHODS A systematic review was conducted. We searched PubMed, ACM, and ScienceDirect for articles published by July 5, 2019. RESULTS A total of 1,608 studies were identified from the selected databases. Of these, 50 studies met eligibility criteria. Ten types of online social factors were identified, and a social-ecological model was adopted to explain their potential impact on an individual from varying levels of online social structure to social media users’ connection to the real world. CONCLUSIONS We found four levels of interaction found on social media. Gender is the only factor found at the individual level that affects user’s obesity-related online behaviors. Social support is the most predominant factor among identified factors, which benefits users for their weight loss journey at the interpersonal level. Some factors, such as stigma, are also found associated with a healthy online social environment. Understanding the effectiveness of these factors is essential to help users create and maintain a healthy lifestyle.


2020 ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract BACKGROUND: Early breastfeeding cessation is a societal concern given the massive benefits associated with breastfeeding for mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is Brofenbrenner’s Social Ecological Model. The purpose of this study was to examine supports and barriers to breastfeeding based on the Social Ecological Model. METHODS: A total of 49 representatives participated in a telephonic interview. Interviewees represented various levels of the model based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. RESULTS: Common supports identified by all interviewees were in-hospital breastfeeding education (organizational level) and the existence of breastfeeding protection legislation (policy level). Barriers identified by all interviewees included a lack of support (interpersonal level), lack of hospital resources (organizational level) and lack of specificity within the existing breastfeeding protection legislation (policy level). Other identified supports and barriers varied by representatives for each level of the model. CONCLUSION: Breastfeeding organizations such as state and local coalitions should utilize this information to guide future strategy as well as develop interventions to eliminate the disparities between breastfeeding mothers’ perceptions and the stakeholders working to increase breastfeeding initiation and duration rate.


2021 ◽  
pp. 0095327X2098519
Author(s):  
Celeste Raver Luning ◽  
Prince A. Attoh ◽  
Tao Gong ◽  
James T. Fox

With the backdrop of the utility of grit at the individual level, speculation has begun to circulate that grit may exist as an organizational level phenomenon. To explore this potential construct, this study used an exploratory, qualitative research design. This study explored grit at the organizational level by interviewing leaders’ perceptions of what may be a culture of organizational grit. Participants included 14 U.S. military officers. Seven themes emerged relative to the research question: “What do U.S. military officers perceive as a culture of organizational grit?” Themes included professional pride, team unity, resilience-determination, mission accomplishment, core values, growth mindset, and deliberate practice. This study indicated that a culture of organizational grit is likely a combination of converging organizational elements. Overall, findings indicate that there may be a culture of organizational grit in the military and at the least, more research examining the concept is warranted.


Sign in / Sign up

Export Citation Format

Share Document