Breast-feeding, Premature Infant, Quality Improvement
Conditions
Keywords
Quality Improvement, breast-feeding, premature infant, cluster randomized controlled
Brief summary
Thirteen hospitals in China will participate in the study, which objectives of this study is to improve the rate of mother's own milk feeding of premature infants in neonatal intensive care unit(NICU), evaluate the effectiveness of improving the quality of breastfeeding in clinical use ,form standardized process and improve clinical medical quality of premature infants.
Detailed description
In this study, the cluster randomized controlled matching design was used. Considering that evidence-based practice for improving quality(EPIQ) method is not only to improve the quality of individual, but also to improve the quality of breast-feeding of the whole neonatal intensive care unit(NICU), so a hospital was chosen as a cluster. The supervision unit is used for the quality control , coordination and technical support in the whole study process.The two NICU with similar number of premature infants, the same scale of NICU and little difference in the recognition of breast-feeding quality improvement measures that meet the inclusion criteria are taken as the a floor, and then randomly divided into two groups, taking the NICU as intervention group or the control group can avoid the individual influence of the intervention. In this study, recruited 12 NICUs. The purpose of study is to to increase the consumption of mother's own milk of premature infants through the existing measures of improving the breastfeeding quality, and then to improve the quality of life of the premature infant, and to further evaluate whether this model of improving the breastfeeding quality can be promoted in other NICU.
Interventions
BEHAVIORALExperimental: Intervention group
The intervention NICUs (n = 6) will receive training in the Evidence-based Practice for Improving Quality (EPIQ) method and then develop, implement, and document evidence-based practice changes toimprove the rate of breastfeeding . Compliance with practice changes and neonatal outcomes will be monitored. NICUs will receive quarterly feedback on their progress, as well as access to implementation support.
Sponsors
Nanjing Maternity and Child Health Care Hospital
Jiangsu Maternity and Child Health Care Hospital
Xuzhou Maternity and Child Health Care Hospital
Affiliated Hospital of Jiangsu University
Yangzhou Maternity and Child Health Care Hospital
Lianyungang Maternity and Child Health Care Hospital
Nantong Maternity and Child Health Care Hospital
The First People's Hospital of Jiangyin
Yangzhou No.1 People's Hospital
Subei people's Hospital
Wuxi Maternity and Child Health Care Hospital
The Affiliated Hospital of Xuzhou Medical University
Changzhou Maternal and Child Care Hospital
Nanjing Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 120 Days
Healthy volunteers
No
Inclusion criteria
* Weight less than 1500g or gestational age less than 32 weeks; * Admission to NICU.
Exclusion criteria
* Pregnancy with serious diseases, infectious diseases or other medical contraindications for breast-feeding (such as galactosemia); * infants did not survive were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| exclusive breastfeeding rate 24 hours before discharge | two years | exclusive breastfeeding rate 24 hours before discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of Mother's Own Milk at starting feed（hours） | two years | Time of Mother's Own Milk at starting feed（hours） |
| Proportion of first time Mother's Own Milk (%) | two years | Proportion of first time Mother's Own Milk (%) |
| Duration of parenteral nutrition (days) | two years | Duration of parenteral nutrition (days) |
| Time to total gastrointestinal feeding (days) | two years | Time to total gastrointestinal feeding (days) |
| Pump milk times (times /d) and amount (ml / d) ：1-3d, 4-7d ,8-14d | two years | Pump milk times (times /d) and amount (ml / d) ：1-3d, 4-7d ,8-14d |
Countries
China
Contacts
Primary ContactHan Shuping, PhD
Backup ContactYu Zhangbin, PhD
Outcome results
None listed