Date of Award

Spring 5-31-2026

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Martha Fuller, PH.D., APRN

Abstract

Objective: The objective of this project was to implement evaluation of an integrated lactation support model within a multi‑site pediatric primary care organization to assess patient experience and breastfeeding confidence associated with a lactation consultation.

Background: Optimizing the patient experience is an indicator of healthcare quality. Improving breastfeeding outcomes remains a national priority. Structured lactation support delivered by International Board-Certified Lactation Consultants (IBCLCs) enhances breastfeeding outcomes, the impact of this is often undocumented in primary care settings.

Methods: This quality improvement project was conducted within the lactation department of a multicenter pediatric clinic in Southern California. Pediatric clinicians who were IBCLCs provided lactation support to referred patients, they assigned a patient satisfaction and breastfeeding self-efficacy questionnaire following the lactation consultation. Post‑implementation data was extracted from the electronic health record to evaluate project outcomes.

Results: A 47% questionnaire completion rate was achieved; 97% felt motivated to continue breastfeeding after their consultation 77% felt confident determining whether their baby was getting enough milk, 99% felt supported by their clinician, and 95% received a personalized feeding plan. Additionally, 57% of the 188 respondents indicated that the lactation program influenced their decision to choose this organization for care.

Conclusion: This project demonstrated that integrating lactation consultations within pediatric primary care enhanced breastfeeding confidence, parental support, and overall patient experience among those who completed the evaluation. These findings underscore the value of embedding structured lactation services within the medical home and highlight the potential of this model to strengthen breastfeeding outcomes and patient engagement.

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