The Maternal Infant Health Survey: Quality Analysis of Nursing Practice as it Relates to the Baby-friendly Hospital Initiative

Student Author(s)

Megan Walls

Faculty Mentor(s)

Amy Kyes, MSN RN, CRNI, and Barbara Vincensi PhD RN, FNP

Document Type


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Healthy People 2020 has stated that it is essential to increase the rate of newborns that exclusively breastfeed, and to decrease the intake of supplemental formula. The World Health Organization (WHO) has recognized the Baby Friendly Initiative as best evidence-based maternal infant practice through the completion of ten steps, follow-up, and accreditation. The purpose of this quality improvement study is to evaluate maternal infant practices relating to the Baby Friendly ten steps through a nursing staff survey. This research was based on Lewin’s Change Theory of unfreezing, changing, and refreezing nursing practice. A Likert-scored survey was created and used to determine the current state of maternal infant practices. The survey was administered to 20 staff members on a labor and delivery unit from a small community hospital in Southwest Michigan. An arithmetic mean was used to analyze the results and determined if the ten steps were met (80% or greater), partially met (70%-80%), or not met (70% or less). These percentages were based on the Baby Friendly Initiative, which requires 80% compliance for each step of the ten steps. After analyzing these steps, one step was met, two steps were partially met, 6 steps were not met, and one step is pending. This study encountered generalizability and sample size limitations. The results of this study will facilitate current evidence-based practice in regards to maternal infant nursing interventions and will be a foundation for nursing education as it relates to obtaining optimal lactating mother and newborn outcomes.

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