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What Employers and Health Care Providers Can Do to Support Breastfeeding in the Workplace

机译:雇主和医疗保健提供者可以做什么来支持工作场所的母乳喂养

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The Surgeon General’s Call to Action to support breastfeeding reaches out to businesses to provide support to working moms. The purpose of this study was to explore what employers of low-income, full-time working women perceived to be their role in workplace breastfeeding support and actions they believed they could take to support and promote breastfeeding. From these findings, potential implications for health care providers to advocate with employers to support breastfeeding emerged. Research was conducted within the framework of the Theory of Reasoned Action. Qualitative methodology was used through in-depth interviews with 6 owners/managers of businesses employing low-income workers. Thematic analysis of verbatim transcripts revealed 5 themes: (a) reliance on a case-by-case consideration of support for breastfeeding employees and the opinion that the costs of breastfeeding support outweighed the benefits, (b) expression of positive attitudes about workplace breastfeeding support coupled with an incongruent lack of formal action to support breastfeeding employees, (c) absence of intention to implement breastfeeding support programs despite expression of intention to support employees when requested, (d) perceived limitations related to business size, and (e) speculation about the extent of employer roles. Results imply the decision to provide workplace breastfeeding support is more complex than a basic measurement of attitude or cost–benefit analysis might suggest. Findings indicate advocacy efforts should capitalize on actions employers believe they can take now, expand employers’ perceptions of their role in supporting and communicating with breastfeeding employees, and provide employers with tools to make implementation of breastfeeding support programs achievable.
机译:外科医生将支持母乳喂养的号召性用语推广到企业,以为在职母亲提供支持。这项研究的目的是探讨哪些低收入全职女性雇主在工作场所母乳喂养支持中的作用以及他们认为可以采取的支持和促进母乳喂养的行动。从这些发现中,发现了对医疗保健提供者提倡雇主支持母乳喂养的潜在影响。研究是在“合理行动理论”的框架内进行的。通过对6名雇用低收入工人的企业的所有者/经理进行深入访谈,使用了定性方法。逐字记录的主题分析显示了5个主题:(a)逐案考虑对母乳喂养员工的支持,以及认为母乳喂养的成本超过收益的观点,(b)对工作场所母乳喂养的支持表示积极态度再加上缺乏支持母乳喂养员工的正式行动,(c)尽管有意在要求时表达支持员工的意愿,但无意实施母乳喂养支持计划;(d)与业务规模相关的局限性;以及(e)关于雇主角色的范围。结果表明,提供工作场所母乳喂养支持的决定要比对态度或成本效益分析的基本衡量所建议的更为复杂。调查结果表明,倡导工作应利用雇主认为现在可以采取的行动,扩大雇主对其在支持和与母乳喂养员工沟通中的作用的认识,并为雇主提供可实现母乳喂养支持计划的工具。

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