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Upcoming important dates, next steps for the Human Milk Well Baby Phase II Initiative...
(The HM Well Baby initiative's weekly email newsletter comes out every Wednesday.)
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| In the literature... |
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Academy of Breastfeeding Medicine Founders Lecture 2009: Maternity Care Re-Evaluated.
Marshall Klaus1 and Phyllis Klaus2 BREASTFEEDING MEDICINE Volume 5, Number 1, 2010.
Abstract: In the 1990s a rising tide of medical, surgical, and instrumental interventions served to make childbirth almost treated like a disease. This report supports a different approach to childbirth. A case and discussions of induction are presented. Conclusions: To correct these high cesarean rates in the United States, we highly recommend the following: - Use the British example to allow labor to start on its own.
- Avoid any unnecessary interventions such as inductions and epidurals.
- Every mother should have a doula to reduce all the complications of labor.
- Because of all the problems with epidurals, we recom- mend that their usage be significantly reduced.
- Mothers should use a variety of known pain-relieving nonmedical methods, including hypnosis training, massage, warm baths, etc.
- Allow the natural hormones, especially the three pain- reducing hormones, oxytocin, beta-endorphin, and me- socorticolimbic dopamine, to do their job and get the mother through labor with greater satisfaction.
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| Culture: Crossing the Threshold, Choosing a Path |
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Organizations that make a decision to embark on cultural transformation journeys stand on the threshold and choose a path into the unknown.
The process used or created to move forward on the path has a number of steps:
Assessing current reality, defining a desired state, guiding change, engaging the workforce, leadership commitment and support, involvement and ownership at all levels.
Guiding Change: Organizations often identify or create a specific group to monitor and guide the change process i.e. steering committees, councils; transforming teams etc. these groups can be time-limited or permanent. In successful cases groups include champions, frontline staff, patients, families and physicians. The formal space created by the network of relationships serves as a "holding environment" where members of the group address conflict, resistance or other difficult issues.
Engaging the Workforce: Although the processes used to assess the current reality, define a desired state and guide the change process are necessary, the critical step in engaging the workforce is in creating an environment where new ideas and behaviors are welcomed and change experimentation and change are safe.
Do you promote an environment that is safe and welcoming to new behaviors and ideas?
To be continued next week.
(Kimball, 2005)
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| QI Tips |
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Learning often comes from understanding the themes and patterns in the data. Themes can be gathered from documented observations such as complaints from customers. Patterns in data also arise in using the different types of data shown. When dealing with continuous measurements or counts of observations, patterns are often easier to recognize when the data are plotted over time, as in a run chart.
Plotting data over time maximizes the learning from data. It allows the information to unfold as it happens and eventually display a pattern. The pattern may show improvement if you are testing a change or an opportunity for improvement.
Langley, Gerald J.; Moen, Ronald D.; Nolan, Kevin M.; Nolan, Thomas W.; Norman, Clifford L.; Provost, Lloyd P. (2009-06-03). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (JOSSEY-BASS BUSINESS & MANAGEMENT SERIES) (Kindle Locations 881-883). Wiley Publishing. Kindle Edition.
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November Webinar
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The next webinar will be Wednesday, November 28th, 2:00 - 3:00 PM. Please plan to have at least one person from your team on the call so we can hear your 'voice'.
Click here for webinar information.
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Contact
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Tammy Haithcox
PQCNC Clinical Initiative Manager
Tammy.Haithcox@pqcnc.org
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