title: A Dozen Strategies Along the Ten Steps Baby-Friendly Initiative Journey.
abstract: To improve the quality of care and maternal-newborn outcomes, Hôpital Montfort implemented the Registered Nurses' Association of Ontario Best Practice Guideline on Breastfeeding, which supports the Baby-Friendly Initiative (BFI). This journey was challenging yet rewarding. Overall, we report success with increased mother-infant skin-to-skin contact at birth and breastfeeding immediately postpartum. However, challenges with formula supplementation rates continue. This paper discusses 12 strategies that emerged from lessons learned and provides links to our policies and patient education materials. The information may be helpful to others, as implementation of parts of the BFI are inserted in criteria for the Canadian accreditation.
authors.affiliation: Clinical director at the Family Birthing Centre and Mental Health Program, Hôpital Montfort in Ottawa, ON. Her areas of interest and expertise include leadership, service innovations and program evaluation.
authors.forename: Ann
authors.initials: A
authors.lastname: Salvador
authors.affiliation: Honorary professor-researcher, associated with the Department of Nursing Sciences, Université du Québec en Outaouais (Western Quebec). She is also scientific consultant to the Hôpital Montfort breastfeeding committee in Ottawa and lead-assessor in Baby-Friendly Initiatives, Breastfeeding Committee for Canada, Quebec assessment committee, and WHO/UNICEF, Her research and teaching experience includes Baby-Friendly Initiatives, skin-to-skin at birth, breastfeeding, and evidence-based practice.
authors.forename: Louise
authors.initials: L
authors.lastname: Dumas
authors.affiliation: Professor in theSchool of Nursing, Faculty of Health Sciences and co-director for the Nursing Best Practice Research Centre - a University of Ottawa Partnership with the Registered Nurses' Association of Ontario. Her program of research includes evaluation of best practice guidelines, measurement of outcomes and determinants of sustainability.
authors.forename: Barbara
authors.initials: B
authors.lastname: Davies
authors.affiliation: Research coordinator, Institut de recherche de l'Hôpital Montfort in Ottawa, ON. Her areas of interest include family relationships, children's emotional development, program evaluation and implementation.
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Emard
authors.affiliation: Advance practice nurse in the Family Birthing Centre, Hôpital Montfort in Ottawa, ON. Her areas of expertise are on breastfeeding best practices and organizational change in healthcare.
authors.forename: Kim
authors.initials: K
authors.lastname: Lortie
mesh_terms: D000328:Adult; D001942:Breast Feeding; D005260:Female; D006801:Humans; D007224:Infant Care / Q000379:methods / Q000592:standards*; D007231:Infant, Newborn; D009034:Mother-Child Relations; D009864:Ontario; D017410:Practice Guidelines as Topic