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  • Structures and Processes that Influence International Board Certified Lactation Consultants to Advance Practice

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    Vaughan_2015_02Thesis.pdf (1.969Mb)
    Author(s)
    Vaughan, Karolyn
    Primary Supervisor
    Gamble, Jenny
    Other Supervisors
    McMurray, Anne
    Sidebotham, Mary
    Year published
    2015
    Metadata
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    Abstract
    Clinicians are responsible for ensuring that their knowledge and skills are aligned with contemporary evidence and practice. This responsibility is reflected in the objectives of regulatory bodies such as the International Board of Lactation Consultant Examiners (IBLCE). However, there is no research evidence indicating what influences International Board Certified Lactation Consultants (IBCLCs) to continue to advance their practice. This study sought to address this gap in knowledge by investigating the IBCLCs perceptions of the structures and processes that influenced them in advancing their practice beyond initial ...
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    Clinicians are responsible for ensuring that their knowledge and skills are aligned with contemporary evidence and practice. This responsibility is reflected in the objectives of regulatory bodies such as the International Board of Lactation Consultant Examiners (IBLCE). However, there is no research evidence indicating what influences International Board Certified Lactation Consultants (IBCLCs) to continue to advance their practice. This study sought to address this gap in knowledge by investigating the IBCLCs perceptions of the structures and processes that influenced them in advancing their practice beyond initial certification. An interpretive approach was used to gain an in-depth understanding of the complex and contextualised interplay of the professional, cultural, personal, financial and other influential factors that affected the advancement of IBCLCs’ clinical practice. Donabedian’s structure–process–outcome conceptual model was used to guide the study. Exploratory sequential, mixed methods case study and qualitative– quantitative studies were conducted in two phases. Phase 1 comprised two pilot interviews, six focus groups of 37 IBCLCs from 10 different countries and seven staff interviews; the analysis involved thematic analysis. Phase 2 was an online questionnaire survey with fixed choice and open-ended questions, which was piloted and then emailed to 26,173 IBCLCs from 94 countries; the data were analysed using descriptive statistics and content analysis.
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    Thesis Type
    Thesis (PhD Doctorate)
    Degree Program
    Doctor of Philosophy (PhD)
    School
    School of Nursing and Midwifery
    DOI
    https://doi.org/10.25904/1912/1738
    Copyright Statement
    The author owns the copyright in this thesis, unless stated otherwise.
    Item Access Status
    Public
    Subject
    Lactation consultants
    International Board Certified Lactation Consultants (IBCLCs)
    Donabedian’s structure–process–outcome conceptual model
    Publication URI
    http://hdl.handle.net/10072/366946
    Collection
    • Theses - Higher Degree by Research

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