title: Perspectives on promoting breastmilk feedings for premature infants during a quality improvement project.
abstract: OBJECTIVE
  This study investigated clinicians' perspectives during a quality improvement project to promote breastmilk feedings in premature infants.
  
  
  METHODS
  From 2009 to 2010, 11 hospitals in the California Perinatal Quality Care Collaborative participated in a project to promote breastmilk feedings in premature infants. Audio recordings of monthly meetings held to encourage sharing of ideas were analyzed using qualitative methods to identify common themes related to barriers and solutions to breastmilk feeding promotion.
  
  
  RESULTS
  Two broad categories were noted: communication and team composition. Communication subthemes included (1) communication among hospital staff, including consistent documentation, (2) communication with family, and (3) communication between transfer hospitals. Team composition subthemes included (4) importance of physician buy-in and (5) integrated teams designed to empower leaders.
  
  
  CONCLUSIONS
  Optimizing communication among health professionals and parents and improving team composition may be key components of facilitating breastmilk feeding promotion in premature infants.
authors.affiliation: Division of Neonatal Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA. hclee@stanford.edu
authors.forename: Henry Chong
authors.initials: HC
authors.lastname: Lee
authors.forename: Sarah
authors.initials: S
authors.lastname: Martin-Anderson
authors.forename: Audrey
authors.initials: A
authors.lastname: Lyndon
authors.forename: R Adams
authors.initials: RA
authors.lastname: Dudley
mesh_terms: D001942:Breast Feeding; D002140:California / Q000453:epidemiology; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006293:Health Promotion; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration*; D008297:Male; D008427:Maternal Health Services / Q000458:organization & administration*; D019370:Observation; D010290:Parents; D010348:Patient Care Team; D036301:Qualitative Research; D058996:Quality Improvement; D012307:Risk Factors