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BMC Health Services Research

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Open Access 01-12-2019 | Research article

Understanding evidence-informed decision-making: a rural interorganizational breastfeeding network

Authors: Sionnach Lukeman, Barbara Davies, Charmaine McPherson, Josephine Etowa

Published in: BMC Health Services Research | Issue 1/2019

Abstract

Background

Networks are a vehicle for mobilizing knowledge, but there is little research about evidence-informed decision-making in community settings. Breastfeeding is a powerful intervention for population health; combined system and community interventions can increase exclusive breastfeeding rates by 2.5 times. This study examined evidence-informed decision-making within an interorganizational network, including the facilitators and barriers to achieving network goals.

Methods

A mixed method case study design was used. The primary sources of data were focus group discussion and questionnaire administration. Data were analyzed concurrently using framework analysis and social network analysis.

Results

Key findings were at the interorganizational and external levels: 1) Relationships and trust are connected to knowledge exchange 2) Need for multiple levels of leadership.

Conclusions

The findings of this study have potential implications for enhancing the use of evidence-informed decision-making as other networks work toward Baby Friendly Initiative (BFI) designation and also highlights the potential for network maps to be used as a knowledge mobilization tool.

LaRocca R, Yost J, Dobbins M, Ciliska D, & Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC public health. 2012;12(1):751. https://doi.org/10.1186/1471-2458-12-751.

Kothari A, & Armstrong R. Community-based knowledge translation: unexplored opportunities. Implementation Science. 2011;6(1):59. https://doi.org/10.1186/1748-5908-6-59.

Best A, Terpstra JL, Moor G, Riley B, Norman CD, Glasgow RE. Building knowledge integration systems for evidence-informed decisions. J Health Organ Manag. 2009;23(6):627–41. https://doi.org/10.1108/14777260911001644.CrossRefPubMed

Canadian Nurses Association. Position statement: evidence-informed decision-making and nursing practice. 2010. Available from: https://www.cna-aiic.ca/-/media/cna/page-content/pdf-en/ps113_evidence_informed_2010_e.pdf.

Meagher-Stewart D, Solberg S, Warner G, MacDonald J, McPherson C, Seaman P. Understanding the role of communities of practice in evidence-informed decision making in public health. Qual Health Res. 2012;22(6):723–39.CrossRef

Kothari A, McPherson C, Gore D, Cohen B, MacDonald M, & Sibbald SL. A multiple case study of intersectoral public health networks: experiences and benefits of using research. Health research policy and systems. 2016;14(1):11. https://doi.org/10.1186/s12961-016-0082-7.

Chisholm RF. On the meaning of networks. Group Org Manag. 1996;21(2):216–35.CrossRef

Provan KG, Fish A, Sydow J. Interorganizational networks at the network level: a review of the empirical literature on whole networks. J Manag. 2007;33(3):479–516.

Santoro FM, Borges MRS, Rezende EA. Collaboration and knowledge sharing in network organizations. Expert Syst Appl. 2006;31(4):715–27.CrossRef

10.

Kenny A, Hyett N, Sawtell J, Dickson-Swift V, Farmer J, and O’Meara P. Community participation in rural health: a scoping review. BMC Health Serv Res. 2013;13(1):64. https://doi.org/10.1186/1472-6963-13-64.

11.

Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, Piwaz EG, Richter LM, Victora CG. Breastfeeding 2: why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387:491–504.CrossRef

12.

Health Canada. Nutrition for healthy term infants: recommendations from birth to six months. 2014. Available from: https://www.canada.ca/en/health-canada/services/infant-care/infant-nutrition.html.

13.

Brown CRL, Dodds L, Attenborough R, Bryanton J, Elliot Rose A, Flowerdew G, Semenic S. Rates and determinants of exclusive breastfeeding in first 6 months among women in Nova Scotia: a population-based cohort study. CMAJ Open. 2013;1:E9–E17. https://doi.org/10.9778/cmajo.20120011.CrossRefPubMedPubMedCentral

14.

Gionet L. Breastfeeding trends in Canada. Statistics Canada. Catalogue no. 82–624-X. 2013. Available from http://www.statcan.gc.ca/pub/82-624-x/2013001/article/11879-eng.htm.

15.

World Health Organization & UNICEF. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services – the revised baby-friendly hospital initiative. Geneva: Licence: CC BY-NC-SA 3.0 IGO; 2018. Available from: http://apps.who.int/iris/bitstream/handle/10665/272943/9789241513807-eng.pdf?ua=1

16.

Pérez-Escamilla R, Martinez JL, & Segura-Pérez S. Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Maternal & child nutrition. 2016;12(3):402–17.

17.

Labbok MH. Global baby-friendly hospital initiative monitoring data: update and discussion. Breastfeed Med: The Official Journal of the AAcademy of Breastfeeding Medicine. 2012;7:210–22.CrossRef

18.

Breastfeeding Committee for Canada. Baby friendly facilities in Canada. 2017. Available from: http://www.breastfeedingcanada.ca/documents/DesignatedFacilitiesinCanada.pdf.

19.

Creswell JW. Research design: qualitative, quantitative, and mixed methods approaches. Los Angeles: Sage; 2009.

20.

Yin RK. Case study research: design and methods. 4th ed. Los Angeles, CA: Sage; 2009.

21.

Marsden PV. Network data and measurement. Annu Rev Sociol. 1990;16:435–63.CrossRef

22.

Haythornthwaite C. Social network analysis: an approach and technique for the study of information exchange. Libr Inf Sci Res. 1996;18:323–42.CrossRef

23.

Provan KG, Sebastian JG, Milward HB. Interorganizational cooperation in community mental health: a resource-based explanation of referrals and case coordination. Med Care Res Rev. 1996;53:94–119.CrossRef

24.

Milward HB, Provan KG, Fish A, Isett KR, Huang K. Governance and collaboration: evolutionary studies of two mental health networks. J Public Adm Res Theory. 2009;20:125–41. https://doi.org/10.1093/jopart/mup038.CrossRef

25.

Scott J. SNA: A handbook. 2nd ed. London, UK: Sage; 2000.

26.

Wasserman S, Faust K. Social network analysis: methods and applications. New York, NY: Cambridge University Press; 1994.CrossRef

27.

Spencer L, Ritchie J, O’Connor W. Analysis: practices, principles and processes. In: Ritchie J, Lewis J, editors. Qualitative research practice: a guide for social science students and researchers. Thousand Oaks, CA: Sage; 2003. p. 200–18.

28.

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2017.

29.

Nova Scotia Government. Moving toward a tobacco-free Nova Scotia: comprehensive tobacco control strategy for Nova Scotia. 2011. Available from: www.gov.ns.ca/dhw/publications/Moving-toward-Tobacco-Free-NS-Strategy.pdf

30.

Kirk SFL, Sim SM, Hemmens E, Price SL. Lessons learned from the implementation of a provincial breastfeeding policy in Nova Scotia, Canada and the implications for childhood obesity prevention. Int J Environ Res Public Health. 2012;9:1308–18.CrossRef

31.

Nova Scotia Department of Health Promotion and Protection. Breastfeeding in Nova Scotia: Responsibilities of the Nova Scotia Department of Health and the Nova Scotia Department of Health Promotion and Protection. 2006. Available from https://first6weeks.novascotia.ca/documents/Provincial_Breastfeeding_Policy.pdf

32.

Semenic S, Childerhose JE, Lauziere J, Groleau D. Barriers, facilitators, recommendations related to implementing the baby-friendly initiative (BFI): an integrative review. J Hum Lact. 2012;20(10):1–18. https://doi.org/10.1177/0890334412445195.CrossRef

33.

Alakaam A, Lemacks J, Yadrick K, Connell C, Choi HW, & Newman RG. Breastfeeding practices and barriers to implementing the Ten Steps to Successful Breastfeeding in Mississippi hospitals. Journal of Human Lactation. 2018;34(2):322–330.

34.

Harris JK, Provan KG, Johnson KJ, and Leischow SJ. Drawbacks and benefits associated with inter-organizational collaboration along the discovery-development-delivery continuum: a cancer research network case study. Implement Sci. 2012;7(1)69. https://doi.org/10.1186/1748-5908-7-69.

35.

Gainforth HL, Latimer-Cheung AE, Athanasopolous P, Moore S, Martin Ginis KA. The role of interpersonal communication in the process of knowledge mobilization within a community-based organization. Implement Sci. 2014;9:59.CrossRef

36.

Provan KG, Lemaire RH. Core concepts and key ideas for understanding public sector organizational networks: using research to inform scholarship and practice. Public Adm Rev. 2012;72(5):638–48.CrossRef

37.

McPherson C, Ploeg J, Edwards N, Ciliska D, Sword W. A catalyst for system change: a case study of child health network formation, evolution and sustainability in Canada. BMC Health Serv Res. 2017;17:100.CrossRef

38.

McInnes E, Middleton S, Gardner G, Haines M, Haertsch M, Paul CL, and Castaldi P. A qualitative study of stakeholder views of conditions for and outcomes of successful clinical networks. BMC Health Serv Res. 2012;12(1):49. https://doi.org/10.1186/1472-6963-12-49.

39.

Varda DM, Retrum JH. An exploratory analysis of network characteristics and quality of interactions among public health collaboratives. J Public Health Res. 2012;1:27. https://doi.org/10.4081/jphr.2012.e27.CrossRef

40.

Smith PH. Social justice at the core of breastfeeding protection, promotion and support: a conceptualization. J Hum Lact. 2018;34(2):220–5.CrossRef

Title: Understanding evidence-informed decision-making: a rural interorganizational breastfeeding network
Authors: Sionnach Lukeman
Barbara Davies
Charmaine McPherson
Josephine Etowa
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-019-4138-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Understanding evidence-informed decision-making: a rural interorganizational breastfeeding network

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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