NICU Nurse Breast Pump Education BACKGROUND Early breast pump education is necessary to help establish milk supply. Recognizing knowledge gaps in breast pump use and implementing clear nursing guidelines are needed to address these challenges. • Early establishment of breast pumping impacts the likelihood of an infant being discharged with mother’s milk. 4 Kat Tice, BSN, RN, MSN Student Dr. Jamie Wankier, EdD, MSN, RN, Associate Professor Shamar Lejardi, MSN, BSN, RN INTERVENTIONS • Step 1: Obtain project plan approval from the NICU manager. • Step 2: Administer pre-survey to establish baseline of nurse confidence and knowledge. • Step 3: Distribute breast pump PowerPoint presentation. • Step 4: Skills day to incorporate pass-off and simulation scenario. • Step 5: Conduct chart audit. • Step 6: Conduct a post-survey to evaluate the effectiveness of guidelines and education. • Inconsistent information erodes trust in the healthcare team. 2 • Barriers included inconsistent milk measurements, excessive workload, insufficient time for education, and limited personal knowledge of breast pumps. 1 METHODS The theoretical framework guiding this project is the Iowa Model of Evidence-Based Practice (EBP). The following deliverables were developed to provide diverse learning modalities and to assess the project’s effectiveness. • Breast pump PowerPoint presentation narrated by project lead. • Pre- and post- surveys to evaluate confidence and assess knowledge regarding breast pump use. • Breast Pump skill pass-off. • Simulation scenario for skill practice in a risk-free setting. • Practice guideline posters to be displayed in the unit. • Chart audit form to track guideline adherence. REFERENCES 4 Rosner, E., Hall, E., & Garland, M. (2025). Early milk expression for mothers of premature infants and its impact on milk volumes. Journal of Nursing Care Quality, 00(0), 1–7. https://doi.org/10.1097/ncq.0000000000000889 2 Nardella, D., Morales, S. I., Pérez-Escamilla, R., Vicente, G., Brown, L., Ray, N., Duffany, K. O., & Rhodes, E. C. (2025). What is effective communication in breastfeeding care? Perspectives from Latina women. PLoS ONE, 20(6), e0325592–e0325592. https://doi.org/10.1371/journal.pone.0325592 1 Blatz, M. A., Huston, A. J., & Anthony, M. K. (2020). Influence of NICU nurse education on intention to support lactation using tailored techniques. Advances in Neonatal Care, 20(4), 314–323. https://doi.org/10.1097/anc.0000000000000702 3 Maastrup, R., Rom, A. L., Walloee, S., Sandfeld, H. B., & Kronborg, H. (2021). Improved exclusive breastfeeding rates in preterm infants after a neonatal nurse training program focusing on six breastfeedingsupportive clinical practices. PLOS ONE, 16(2), e0245273. https://doi.org/10.1371/journal.pone.0245273 5 Yu, H., Woo, D., Kim, H. J., Choi, M., & Kim, D. H. (2021). Development of healthcare service design concepts for NICU parental education. Children, 8(9), 795. https://doi.org/10.3390/children8090795 IMPACTS This project benefits NICU nurses by providing breast pump education to build confidence and by standardizing information and guidelines to set expectations. • Nurse-led interventions foster parental involvement and confidence in providing infant care. 5 • Nurses will have clear protocols to set expectations to ensure timely breast pump education. 1, 3, 4 • Providing thorough education to ensure nurses’ confidence in teaching moms breast pump usage. 1, 3 • Standardized education increases the likelihood of mothers receiving the same information from each NICU nurse. 1, 3, 4 CONCLUSIONS This MSN project aimed to equip NICU nurses with multimodal breast pump education and clear guidelines. Relevant picture, graph or data set goes here • Multimodal training strengthens education retention and skill application. • Guidelines help initiate breast pump education and consistent documentation. • These measures ensure that mothers receive the support and instruction needed to increase milk production and the likelihood that their infants will be discharged receiving breast milk.