|About the Book|
Maternal employment has been reported as a key factor for discontinuing breastfeeding, so it is vital to identify work climate components perceived by women as barriers to breastfeeding. The purpose of this study was to develop an instrument toMoreMaternal employment has been reported as a key factor for discontinuing breastfeeding, so it is vital to identify work climate components perceived by women as barriers to breastfeeding. The purpose of this study was to develop an instrument to quantify perceptions of the work climate for breastfeeding support. Procedures based on Messicks (1995) unified framework as modified by Wolfe et al. (2000, 2004, 2006, 2007) were used. The ecological perspective informed the instrument subscales: company, manager, coworkers, workflow, and physical environment. Items were developed based on literature and expert review. One-on-one interviews with working mothers that had given birth in the last year (n=14) and a review by experts ( n=11) including practitioners (with credentials and experience in the lactation field) and researchers (with experience in survey development or lactation research), assessed subscales, verified survey content and clarified item wording. The instrument was piloted with non-managerial employees who were pregnant or had given birth within the last year (n = 104). Fit analysis was used to determine misfit of items within a pre-defined model. Items that exhibited misfit were scrutinized to determine if they should be removed based on substantive reasoning. The resulting instrument contained two dimensions, one based on company policies and practices (23 items), and the other on manager and coworker support (18 items).