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Applying a Critical Lens to the Health Promotion of Breastfeeding : An Integrative Review Deo, Hermandeep

Abstract

Aim: To explore existing evidence on the experiences and perceptions of the women receiving breastfeeding health promotional messaging, and the perspectives of the individuals delivering the messaging in accordance with the breastfeeding guidelines outlined by Canadian health organizations. The goal of completing this review is to identify potential gaps in the current guidelines and making recommendations for quality improvement through the utilization of a relation inquiry framework. Background: Emerging literature from other countries have begun exploring breastfeeding health promotion from a critical lens, however there is currently a dearth in the literature reviewing the Canadian perspective. Methods: An integrative review method is utilized by systematically searching the databases of the American Psychological Association (APA) PsychInfo, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed. Results: A total of nine reported studies were selected differentiating between locations across Canada, study designs, theoretical frameworks, and the populations being studied. The populations include care providers and perinatal women with varying socio-economic positionality in relation to the ways breastfeeding health promotional messaging has been experienced. The key themes and subthemes identified in the way breastfeeding health promotion messages were delivered, were variables of delivery (beliefs and ambiguity), outcome of receivers (expectations, emotions, empowerment verses pressure), and contextual factors (social, cultural, and political forces). Conclusion: Maternal identity formation and Social Determinants of Health are overlooked in the current breastfeeding health promotion guidelines in British Columbia. A relational inquiry lens is an effective approach to improve the quality of current guidance to address the structures limiting the agency of women from making the choice to breastfeed.

Item Metadata

Title
Applying a Critical Lens to the Health Promotion of Breastfeeding : An Integrative Review
Creator
Deo, Hermandeep
Date Issued
2021-11
Description
Aim: To explore existing evidence on the experiences and perceptions of the women receiving breastfeeding health promotional messaging, and the perspectives of the individuals delivering the messaging in accordance with the breastfeeding guidelines outlined by Canadian health organizations. The goal of completing this review is to identify potential gaps in the current guidelines and making recommendations for quality improvement through the utilization of a relation inquiry framework. Background: Emerging literature from other countries have begun exploring breastfeeding health promotion from a critical lens, however there is currently a dearth in the literature reviewing the Canadian perspective. Methods: An integrative review method is utilized by systematically searching the databases of the American Psychological Association (APA) PsychInfo, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed. Results: A total of nine reported studies were selected differentiating between locations across Canada, study designs, theoretical frameworks, and the populations being studied. The populations include care providers and perinatal women with varying socio-economic positionality in relation to the ways breastfeeding health promotional messaging has been experienced. The key themes and subthemes identified in the way breastfeeding health promotion messages were delivered, were variables of delivery (beliefs and ambiguity), outcome of receivers (expectations, emotions, empowerment verses pressure), and contextual factors (social, cultural, and political forces). Conclusion: Maternal identity formation and Social Determinants of Health are overlooked in the current breastfeeding health promotion guidelines in British Columbia. A relational inquiry lens is an effective approach to improve the quality of current guidance to address the structures limiting the agency of women from making the choice to breastfeed.
Subject
breastfeeding; health promotion; Canada; public health; breast is best; maternal experience; provider experience
Genre
Graduating Project
Type
Text
Language
eng
Series
University of British Columbia. NURS 595
Date Available
2021-11-25
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0403831
URI
http://hdl.handle.net/2429/80264
Affiliation
Applied Science, Faculty of; Nursing, School of
Campus
UBCV
Peer Review Status
Unreviewed
Scholarly Level
Graduate
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
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Attribution-NonCommercial-NoDerivatives 4.0 International