Mixing Meds and Milk: Evaluation of a Performance Gap Intervention for Provider Education in Breastfeeding and Maternal Medication Use.
Mixing Meds and Milk: Evaluation of a Performance Gap Intervention for Provider Education in Breastfeeding and Maternal Medication Use.
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DOI：
10.3390/ijerph20196850
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发表时间：
2023-09-28
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对产妇药物的需求是母乳喂养的一个已知障碍。虽然大多数药物与哺乳相容，但医疗保健提供者非常谨慎，经常将药物和母乳喂养视为相互排斥的。使用教育网络研讨会和访问哺乳药理学移动的应用程序的双重干预，以提高提供者对母乳喂养期间药物使用知识的熟悉度、信心和访问。在网络研讨会之前，一周后和三个月后进行调查，以评估性能差距的改善。收集了12个月内移动的应用程序的使用数据，以监测主题参与度。结果表明，干预措施暂时增加了供应商的信心，母亲在哺乳期使用药物，但是，增加并没有持续到三个月。即使有一次性培训和哺乳期特定的移动的应用程序访问，仅仅提供信息资源也不足以支持哺乳期患者的循证护理。循证用药安全的纵向培训对哺乳期二分体的护理至关重要。
The need for maternal medications is a known barrier to breastfeeding. Though most medications are compatible with lactation, healthcare providers use abundant caution, often viewing medications and breastfeeding as mutually exclusive. A dual intervention of an educational webinar and access to a mobile app for lactation pharmacology was used to enhance provider familiarity, confidence, and access to knowledge in medication use during breastfeeding. Surveys were administered before, one week after, and three months after the webinar to evaluate performance gap improvement. Usage data of the mobile app was collected over twelve months to monitor topic engagement. Results suggested the interventions temporarily increased provider confidence in maternal medication use during lactation; however, the increase was not sustained at three months. Even with one-time training and lactation-specific mobile app access, simply providing an informational resource is insufficient to support evidence-informed care for lactating patients. Longitudinal training on evidence-based medication safety is critical to care for the lactating dyad.