{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T23:05:57Z","timestamp":1778540757609,"version":"3.51.4"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. esc. enferm. USP"],"abstract":"<jats:p>ABSTRACT  Objective: To describe the process of best practices implementation for breastfeeding assistance for preterm and low birth weight infants.  Method: Participatory research that used the evidence implementation methodology of the JBI, held at a university hospital in southeastern Brazil, with the participation of a multidisciplinary team and managers.  Stages: Situational diagnosis, baseline audit and feedback, protocol development, training, implementation, and monitoring.  Results: Seven audit criteria were defined. In the baseline audit, three criteria were met, with eleven barriers to be resolved being listed. The strategies carried out were protocol development and multidisciplinary and intersectoral training. After the training, compliance was achieved with the seven criteria audited in the first follow-up audit and five in the second, emphasizing the increase in compliance after the implementation of the outlined strategies.  Conclusion: The project achieved the objective of improving evidence-based practice, and allowed the implementation of the institution's first breastfeeding protocol. However, it shows the need to maintain training for adherence and enculturation of new practices.<\/jats:p>","DOI":"10.1590\/1980-220x-reeusp-2023-0380en","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T22:17:09Z","timestamp":1719613029000},"source":"Crossref","is-referenced-by-count":5,"title":["Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project"],"prefix":"10.1590","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1520-886X","authenticated-orcid":false,"given":"Camila Medeiros Cruvinel","family":"Cunha","sequence":"first","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5128-3715","authenticated-orcid":false,"given":"Eliane de F\u00e1tima Almeida","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2496-2162","authenticated-orcid":false,"given":"Dulce Maria Pereira Garcia","family":"Galv\u00e3o","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5486-5411","authenticated-orcid":false,"given":"Ana Paula Almeida","family":"Brito","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Centro Brasileiro para o Cuidado \u00e0 Sa\u00fade Baseada em Evid\u00eancia: Centro de Excel\u00eancia do JBI,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-8789","authenticated-orcid":false,"given":"Luciana Mara Monti","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5141-2898","authenticated-orcid":false,"given":"C\u00e2ndida Cani\u00e7ali","family":"Primo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Newborn Mortality [Internet]","year":"2022"},{"key":"ref2","series-title":"WHO recommendations for care of the preterm or low birth weight infant [Internet]","year":"2022"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"151387","DOI":"10.1016\/j.semperi.2020.151387","article-title":"Supporting breastfeeding of small, sick and preterm neonates","volume":"45","author":"Theurich MA","year":"2021","journal-title":"Semin Perinatol"},{"issue":"4","key":"ref4","first-page":"543","article-title":"Prematurity and its relationship to nutritional status and type of nutrition during hospitalization","volume":"20","author":"Teixeira LRM","year":"2021","journal-title":"Rev Ci\u00eanc M\u00e9d Biol"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1089\/bfm.2016.0206","article-title":"Breastfeeding challenges and the preterm mother-infant dyad: a conceptual model","volume":"13","author":"Lau C","year":"2018","journal-title":"Breastfeed Med"},{"key":"ref6","first-page":"20210193","article-title":"Aleitamento materno de rec\u00e9m-nascido prematuro em unidade de interna\u00e7\u00e3o neonatal","volume":"44","author":"Dias ALPO","year":"2023","journal-title":"Rev Ga\u00facha Enferm"},{"key":"ref7","series-title":"Baby-friendly Hospital Initiative training course for maternity staff: Customisation Guide [Internet]","year":"2020"},{"key":"ref8","article-title":"Evidence summary. breastfeeding (low birth weight infants): initiation, duration and exclusivity","author":"Sivapuram M","year":"2022","journal-title":"The JBI EBP Database"},{"issue":"5","key":"ref9","doi-asserted-by":"crossref","DOI":"10.1089\/bfm.2017.0209","article-title":"Determinants of successful direct breastfeeding at hospital discharge in high-risk premature infants","volume":"13","author":"Casey L","year":"2018","journal-title":"Breastfeeding Medicine"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1590\/0034-7167-2016-0523","article-title":"Interactive Theory of Breastfeeding: creation and application of a middle-range theory","volume":"70","author":"Primo CC","year":"2017","journal-title":"Rev Bras Enferm"},{"key":"ref11","article-title":"Evidence summary: premature infants: maternal milk expression","author":"Whitehorn A","year":"2022","journal-title":"The JBI EBP Database"},{"key":"ref12","article-title":"Evidence Summary. Premature or low birth weight infants: kangaroo mother care","author":"Whitehorn A","year":"2022","journal-title":"The JBI EBP Database"},{"issue":"2","key":"ref13","doi-asserted-by":"crossref","first-page":"e22011225301","DOI":"10.33448\/rsd-v11i2.25301","article-title":"Aleitamento materno de prematuro: revis\u00e3o integrativa de 2015 a 2020","volume":"11","author":"Figueiredo ACB","year":"2022","journal-title":"Res Soc Develop"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"e03718","DOI":"10.1590\/s1980-220x2020016303718","article-title":"Educating for the implementation of evidence-based healthcare in Brazil: the JBI methodology","volume":"55","author":"P\u00fcschel VAA","year":"2021","journal-title":"Rev Esc Enferm USP"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.jclinepi.2022.04.007","article-title":"JBI series paper 3: the importance of people, process, evidence, and technology in pragmatic, healthcare provider-led evidence implementation","volume":"150","author":"Lockwood C","year":"2022","journal-title":"J Clin Epidemiol"},{"key":"ref16","series-title":"The updated JBI model for evidence-based healthcare","author":"Jordan Z","year":"2016"},{"issue":"2","key":"ref17","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/XEB.0000000000000134","article-title":"Evidence transfer: ensuring end users are aware of, have access to, and understand the evidence","volume":"16","author":"Munn Z","year":"2018","journal-title":"Int J Evid-Based Healthc"},{"issue":"10","key":"ref18","first-page":"CD005252","article-title":"Avoidance of bottles during the establishment of breastfeeds in preterm infants","volume":"2021","author":"Allen E","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"478","DOI":"10.11124\/JBIES-22-00125","article-title":"Revising the JBI quantitative critical appraisal tools to improve their applicability: an overview of methods and the development proces","volume":"21","author":"Barker TH","year":"2023","journal-title":"JBI Evidence Synthesis"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/XEB.0000000000000155","article-title":"The updated Joanna Briggs Institute model for evidence-based healthcare","volume":"17","author":"Jordan Z","year":"2019","journal-title":"Int J Evid Based Healthc"},{"key":"ref21","first-page":"e132","article-title":"Barriers to implementing guideline recommendations to improve childbirth care: rapid review of evidence","volume":"44","author":"Oliveira CF","year":"2020","journal-title":"Rev Panam Salud Publica"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"e3956","DOI":"10.1590\/1518-8345.6627.3957","article-title":"Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens","volume":"31","author":"Silva ESD","year":"2023","journal-title":"Rev Lat Am Enfermagem"},{"issue":"suppl 4","key":"ref23","doi-asserted-by":"crossref","first-page":"e20200909","DOI":"10.1590\/0034-7167-2020-0909","article-title":"Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants","volume":"74","author":"Balaminut T","year":"2021","journal-title":"Rev Bras Enferm"},{"issue":"5","key":"ref24","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1097\/ANC.0000000000000602","article-title":"What is the impact of NICU-dedicated lactation consultants? An evidence-based practice brief","volume":"19","author":"Mercado K","year":"2019","journal-title":"Adv Neonatal Care"},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1111\/jnu.12636","article-title":"Monitoring of the implementation of a breastfeeding guideline for 6 years: a mixed-methods study using an interrupted time series approach","volume":"53","author":"Ruzafa-Martinez M","year":"2021","journal-title":"J Nurs Scholarsh"},{"issue":"1","key":"ref26","first-page":"21","article-title":"Holly Wei","volume":"25","author":"Yu G","year":"2021","journal-title":"Promoting breastfeeding and lactation among mothers of premature newborns in a Hospital in China. Nurs Womens Health"},{"issue":"3","key":"ref27","first-page":"278","article-title":"Promotion of early breast milk expression among mothers of preterm infants in the neonatal ICU in an obstetrics and gynaecology hospital: a best practice implementation project","volume":"18","author":"Huang X","year":"2020","journal-title":"JBI Evid Implement"},{"issue":"3","key":"ref28","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1177\/0890334413489775","article-title":"Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care: expert group recommendations","volume":"29","author":"Nyqvist KH","year":"2013","journal-title":"J Hum Lact"},{"issue":"7","key":"ref29","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1111\/apa.14754","article-title":"Skin-to-skin contact the first hour after birth, underlying implications and clinical practice","volume":"108","author":"Widstr\u00f6m AM","year":"2019","journal-title":"Acta Pedi\u00e1trica"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"112376","DOI":"10.1016\/j.psychres.2019.04.025","article-title":"Implementation science: what is it and why should I care?","volume":"283","author":"Bauer MS","year":"2020","journal-title":"Psychiatry Res"},{"issue":"1","key":"ref31","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s13012-018-0712-2","article-title":"Quality improvement initiatives for hospitalised small and sick newborns in low- and middle-income countries: a systematic review","volume":"13","author":"Zaka N","year":"2018","journal-title":"Implement Sci"}],"container-title":["Revista da Escola de Enfermagem da USP"],"original-title":["Assist\u00eancia \u00e0 amamenta\u00e7\u00e3o de rec\u00e9m-nascido prematuro e de baixo peso: projeto de implementa\u00e7\u00e3o de melhores pr\u00e1ticas"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0080-62342024000100750&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T22:17:27Z","timestamp":1719613047000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0080-62342024000100750&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":31,"alternative-id":["S0080-62342024000100750"],"URL":"https:\/\/doi.org\/10.1590\/1980-220x-reeusp-2023-0380en","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2023-0380pt","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2023-0380pt","asserted-by":"object"}]},"ISSN":["1980-220X","0080-6234"],"issn-type":[{"value":"1980-220X","type":"electronic"},{"value":"0080-6234","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20230380"}}