Healthcare provider’s experiences of supporting breastfeeding: protocol for a systematic review of qualitative evidence

Author:

Wu JiaojiaoORCID,Zhang Qingning,Chung Loretta Yuet Foon,Wu Xinxin,Jiao Ruoshui,Chen Yundie,Wang Yanhong

Abstract

IntroductionBreastfeeding provides various health benefits to both mothers and infants. Despite the efforts that have been made, breastfeeding rates remain lower than recommended worldwide. Healthcare providers often fail to provide the support women need due to various reasons such as lack of time and competency, discontinuity of care and so on. Synthesis of the primary qualitative studies exploring healthcare providers’ experience with supporting breastfeeding can provide greater insights into their perceived barriers and facilitators and further provide evidence for the implementation of interventions to improve breastfeeding services.Methods and analysisQualitative studies exploring healthcare providers’ experiences with breastfeeding services will be searched in the following databases: PubMed, Embase, CINAHL, Scopus, ProQuest, PsycINFO, the Cochrane Library, Web of Science, China Biology Medicine disc, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Chinese Wanfang Data, ProQuest Dissertations and Theses, Open Grey collection. Studies reported in English or Chinese and conducted between January 1990 to July 2021 will be included. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research will be used to assess the methodological quality of included studies. The JBI standardised data extraction tools will be used to extract data. The JBI meta-aggregation method will be used to synthesise the data. The synthesised findings will be graded finally according to the ConQual approach to establish confidence. Two authors will independently screen and select the search output, extract data, assess methodological quality and cluster findings. Any disagreements that arise between the two reviewers will be adjudicated by a third reviewer to reach a consensus.Ethics and disseminationThis review will use published data, so it will not require ethical approval. The findings of this systematic review will be disseminated via an international peer-reviewed journal publication and several scientific conference presentations.PROSPERO registration numberCRD42021254542.

Funder

Science and Technology Project of Gansu Province, China

Research Funding of School of Nursing, Lanzhou University, China

Fundamental Research Funds for the Central Universities, China

United Nations Children's Fund(UNICEF),China

Publisher

BMJ

Subject

General Medicine

Reference21 articles.

1. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect

2. The association between breastfeeding and childhood obesity: a meta-analysis

3. UNICEF . 1990 - 2005 Celebrating the innocenti declaration on the protection, promotion and support of breastfeeding. Florence: UNICEF Innocenti Research Centre, 2005.

4. WHO, UNICEF . International Code of marketing of Breastmilk substitutes. Geneva: WHO, 1981.

5. WHO, UNICEF . Global strategy for infant and young child feeding. Geneva: WHO, 2003.

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