21

project management skills. Utilize a systematic approach to planning, implementation and evaluation of the guideline initiative. A work plan is helpful to keep track of activities and timelines. Before a change in practice can be expected and guideline recommendations implemented, the attitudes, values and beliefs of staff about breastfeeding must be addressed. The use of reflective practice exercises and transformational learning approaches were key to the educational program developed for the pilot implementation (See Appendix M). 56 Breastfeeding Best Practice Guidelines for Nurses Provide opportunities for staff to attend interactive, adult-learning based breastfeeding education programs, which incorporate the above approaches, but also the background on the politics of breastfeeding. The 18-hour INFACT course is highly recommended for as many staff as can attend. Teamwork and collaboration through an interdisciplinary approach is essential, and all services/institutions dealing with young families should be included in the process. Consider establishing an implementation team that includes not only the organization implementing the guideline, but others such as community partners (referral sources), support groups, pre- and post-natal programs and dietitians. In addition to the tips mentioned above, RNAO has published implementation resources that are available on the website. A Toolkit for implementing guidelines can be helpful, if used appropriately. A brief description about this toolkit can be found in Appendix P. It is available for free download at www.rnao.org/bestpractices. Implementation resources developed by the pilot site in Sudbury, Ontario are also available on the website to assist individuals and organizations implement this best practice guideline.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21