Evidence map›Paper›PMID 35875442›Full record

ArticleCanadian medical education journal2022

Understanding the challenges related to breastfeeding education and barriers to curricular change: a systems perspective for transforming health professions education.

Isabelle Michaud-Létourneau, Marion Gayard, Julie Lauzière, Micheline Beaudry, Laura Rosa Pascual, Isabelle Chartier, Juliette Herzhaft-LeRoy, Sylvie Chiasson, Bénédicte Fontaine-Bisson, Catherine Pound and 1 more

Abstract read
In one paragraph

Article in Canadian medical education journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Medical schools don't change; people do.Canadian medical education journal · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Isabelle Michaud-LétourneauMouvement allaitement du Québec, Québec, Canada.
Marion GayardMouvement allaitement du Québec, Québec, Canada.
Julie LauzièreMouvement allaitement du Québec, Québec, Canada.
Micheline BeaudryMouvement allaitement du Québec, Québec, Canada.
Laura Rosa PascualMouvement allaitement du Québec, Québec, Canada.
Isabelle ChartierMouvement allaitement du Québec, Québec, Canada.
Juliette Herzhaft-LeRoyMouvement allaitement du Québec, Québec, Canada.
Sylvie ChiassonMouvement allaitement du Québec, Québec, Canada.
Bénédicte Fontaine-BissonMouvement allaitement du Québec, Québec, Canada.
Catherine PoundDepartment of Pediatrics, University of Ottawa, Ontario, Canada.
Isabelle GabouryDépartement de médecine de famille et de médecine d'urgence, Université de Sherbrooke, Québec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: A majority of women and families wish that their babies be breastfed. However, too many still receive insufficient or inappropriate initial care from health professionals (HPs) who have limited breastfeeding (BF) competencies. We investigated barriers and potential solutions to improve the undergraduate training programs for various HPs. Methods: Focus groups were carried out in three universities in Quebec and one in Ontario (Canada), with 30 faculty and program directors from medicine, midwifery, nursing, nutrition, and pharmacy. Discussions were subjected to thematic content analysis, before being validated in a strategic planning workshop with 48 participants from the same disciplines, plus dentistry and chiropractic. Findings: Substantive improvements of undergraduate training programs for BF could be obtained by addressing challenges related to the insufficient, or lack of, (i) interactions among various HPs, (ii) opportunities for practical learning, (iii) specific standards to guide course content, (iv) real-life experience with counselling, and (v) understanding of the influence of attitudes on professional practice. Several potential solutions were proposed and validated. The re-interpretation of the results in light of various literature led to an emerging framework that takes a systems perspective for enhancing the education of HPs on BF. Conclusions: To improve the education of HPs so as to enable them to provide relevant support for future mothers, mothers and their families, solutions need to be carried out to address challenges in the health system, the education system as well as regarding the curricular change process.

Identifiers

PMID35875442
PMCPMC9297256

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.