Evidence map›Paper›PMID 40237361›Full record

ArticleMaternal & child nutrition2025

Assessing Readiness for Change: A Baseline Situational Analysis of Breastfeeding Support Within Acute and Community Healthcare Settings in the Republic of Ireland.

Helen Mulcahy, E Lehane, Michelle O'Driscoll, Kathleen McLoughlin, Catherine Buckley, Elizabeth McCarthy, Sandra O'Connor, Mairead O'Sullivan, Elizabeth Heffernan, Margaret Murphy and 2 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Helen MulcahySchool of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID 0000-0002-8470-8625
E LehaneSchool of Nursing and Midwifery, University College Cork, Cork, Ireland.
Michelle O'DriscollSchool of Nursing and Midwifery, University College Cork, Cork, Ireland.
Kathleen McLoughlinSchool of Medicine, University of Limerick, Limerick, Ireland.
Catherine BuckleyNorthridge House Education & Research Centre, St. Luke's Home, Cork, Ireland.
Elizabeth McCarthySchool of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
Sandra O'ConnorCentre of Nursing and Midwifery Education, University Hospital Kerry, Tralee, UK.
Mairead O'SullivanCentre of Nursing and Midwifery Education, University Hospital Kerry, Tralee, UK.
Elizabeth HeffernanCentre of Nursing and Midwifery Education, University Hospital Kerry, Tralee, UK.
Margaret MurphySchool of Nursing and Midwifery, University College Cork, Cork, Ireland.
Rhona O'ConnellSchool of Nursing and Midwifery, University College Cork, Cork, Ireland.
Patricia Leahy-WarrenSchool of Nursing and Midwifery, University College Cork, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breastfeeding is a critical component of maternal and child health, but breastfeeding rates vary widely, with Ireland's rates lowest in Europe. This paper, the first stage of the Practice Enhancement for Exclusive Breastfeeding (PEEB) study, describes the methodology and key findings from a multi-component baseline situational analysis of breastfeeding support conducted in acute and community healthcare settings in Ireland. Guided by the Promoting Action on Research Implementation in Health Services (PARIHS) framework, a survey of healthcare professionals (n = 85) examined breastfeeding training, competency and attitude towards practice change. Additionally, a workplace environment and policy assessment were conducted. A gap between current practices and evidence-based guidelines was demonstrated and the need for cultural shifts within healthcare settings towards better breastfeeding support. The study also uncovered notable variations in breastfeeding training, perceived barriers to effective breastfeeding support, including staff shortages and communication challenges, which impede successful implementation of breastfeeding initiatives. Despite high levels of staff motivation, there was a lack of empowerment and confidence to implement change. Findings revealed significant differences between community and acute staff across certain factors like community staff being less likely to agree that their teammates considered implementation of changes as futile, acute staff were less likely to disagree that changes would be subject to audit. The PARIHS framework provided a structured approach to understanding the evidence and contextual factors relevant to implementing evidence-based practices in breastfeeding support. Future work will focus on the design and implementation of strategies to optimise breastfeeding support across acute and community settings.

Indexed as

Breast FeedingCommunity Health ServicesHealth PersonnelHealth PromotionAdultAttitude of Health PersonnelFemaleHealth Knowledge, Attitudes, PracticeHumansInfantIrelandSurveys and Questionnairesbreastfeedingclinical practicehealthcare facilitieshealthcare policieshealth services researchmaternal and child health servicesorganisational culture

Identifiers

PMID40237361
PMCPMC12150149

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.