Evid Based Nurs doi:10.1136/eb-2013-101457
  • Nursing issues
  • Grounded theory

Use of multifaceted strategies and processes at multiple levels, and passionate frontline leaders are associated with uptake of best practice guidelines on breastfeeding

  1. Amanda Henderson
  1. Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  1. Correspondence to: Professor Amanda Henderson, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, QLD 4102, Australia; Amanda_Henderson{at}

Commentary on: .

Implications for practice and research

  • The organisational context can be instrumental in enabling and supporting facilitative processes.

  • Effective facilitative processes communicate clear messages and provide direct assistance to individuals.

  • An active role by leaders and facilitators can overcome resistance to change associated with organisational inertia.

  • Further research should explore the value of facilitative processes specifically variations and degrees of impact.


Research evidence should inform health practices and, arguably, improve healthcare outcomes. Research findings and systematic reviews that can reliably advise about good practices abound in the scientific literature. Unfortunately, this literature often fails to make an impact on how healthcare …

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