Evidence map›Paper›PMID 40432287›Full record

ArticleJournal of human lactation : official journal of International Lactation Consultant Association2025

Cultural Interpretations of Patients and Employees in an Organization Certified Through the Baby-Friendly Hospital Initiative: A Focused Ethnographic Study.

Keri Durocher, Kimberley T Jackson, Richard Booth, Panagiota Tryphonopoulos

Abstract read
In one paragraph

Article in Journal of human lactation : official journal of International Lactation Consultant Association, 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

4 authors.

Keri DurocherArthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.ORCID 0000-0001-9014-4742
Kimberley T JacksonArthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.ORCID 0000-0002-6541-6213
Richard BoothArthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.
Panagiota TryphonopoulosArthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen organizations are certified through the Baby-Friendly Hospital Initiative, health care providers implement various policies that are intended to support long-term and exclusive breastfeeding. Despite the availability of evidence to support these policies, research findings are inconsistent in whether these goals are met. Exploring cultural interpretations through the lens of individuals within these organizations may reveal new evidence of breastfeeding experiences and needed support. RESEARCH

aimTo explore organizational cultural aspects of a Baby-Friendly certified organization from the perspective of patients and employees.

methodResearchers implemented a focused ethnography design in one certified organization in Ontario, Canada. One-to-one, semi-structured interviews were performed with two participant groups, including 10 patients and eight employees within intrapartum and postpartum care areas between 2023-2024. An inductive data analysis approach followed Roper and Shapira's framework, including (1) coding for descriptive labels, (2) sorting for patterns, (3) identification of outliers, (4) generalizing with constructs and theories, and (5) memoing.

resultsFive core themes emerged from the data, including (1) knowledge is power, (2) community of support, (3) contextual considerations, (4) environment for breastfeeding, and (5) patient factors. Through narrative descriptions, these interrelated themes exhibit how patients and employees have experienced or provided care that is consistent with breastfeeding-supportive policies as well as additional gaps that may not be addressed through policy research.

conclusionThe results provide implications for breastfeeding support within an organization certified through the Baby-Friendly Hospital Initiative. Understanding cultural interpretations of breastfeeding can provide information for future education and interprofessional development.

Indexed as

Breast FeedingHealth PersonnelAdultAnthropology, CulturalCertificationFemaleHealth PromotionHospitalsHumansInfant, NewbornOntarioQualitative ResearchBaby-Friendly Hospital Initiativebreastfeedingbreastfeeding experiencebreastfeeding knowledgebreastfeeding practicesbreastfeeding supportCOVID-19cultural normsethnographyhealth services researchpostpartum care

Identifiers

PMID40432287
PMCPMC12238666

What OpenQuestion holds

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LicenceCC BY
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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.