General Implementation Strategies

Implementation Strategies

This breastfeeding curriculum has been designed to be flexible and to be adapted into an existing curriculum. This Implementation Guide provides a step-by-step guide to starting your own curriculum the ground up.

  1. Conduct a needs assessment:
    1.  What is currently taught about breastfeeding within your educational setting?
    2. Who teaches the breastfeeding content currently?
    3. What do faculty know about breastfeeding, and are they able to teach about it?
    4. If faculty are capable of teaching about breastfeeding, what audiences are they comfortable teaching?
    5. How well do the faculty and residents promote, manage, and support breastfeeding? (You can find this out by surveying mothers, nurses, residents, and faculty, about their experiences.)
    6. Are staff at the hospital (especially the residents) able to breastfeed or express breast milk at work?
    7. Determine the breastfeeding rates at your institution (at discharge and 6 months). See the data collection guide in this curriculum for reference.
  2. Gain buy-in: Bring key faculty & administration into the idea of establishing a breastfeeding curriculum (Department Chairman, Residency Program Director, GME director, etc.).
  3. Provide Training: What staff members need to be trained to teach breastfeeding? Do we have any staff policies that are not breastfeeding friendly? What systems need to change at the hospital level?
  4. Develop a Timeline and Implementation Plan: How long do your learners need on breastfeeding (1 rotation, 1 year, 1 day)? What activities would be best (grand rounds, noon conferences)?
  5. Develop a Budget: Do you need to purchase any additional teaching resources?
  6. Create an Evaluation Plan. Use this curriculum's pre/posttest or develop your own. Learner Activity Checklist/sign off form. This is an example of how to track learners' progress.
  7. Implement the Curriculum: Organize a kickoff event to raise awareness
  8. Continue to Train and Support your Faculty
  9. Periodically Reassess your Program

Prior Implementation Strategies: This curriculum has been piloted in 14 residency programs. Here are 4 different examples from medical centers who adapted this curriculum into their existing program.

MetroHealth Newborn Nursery Rotation
MetroHealth Obstetric/Gynecologic Strategy
Texas Tech University Health Center

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