Learning from participants in field based research

This paper takes a critically reflective look at field research done in the early career of an academic and in so doing uncovers the dilemmas of a novice researcher that are rarely acknowledged in texts that address qualitative methods. It addresses issues of power in research associations surrounding different paradigms and the ways in which the study changed as boundaries were increasingly blurred. It also examines lessons learned about interviewing and challenges the notion of an un‐analytical informant as being necessary to quality and depth of data.     

The evaluation from the program director's viewpoint

In considering the evaluation of the preceptorship and residency programs, our faculty were asked to react to specific dimensions and aspects of the studies. Viewpoints about these data were submitted in formal critiques which will be summarized only briefly here. A number of the comments were in response to specific questions which had been posed; other were spontaneous from the faculty.     

Factors associated with exclusive breastfeeding 2 to 4 weeks following discharge from a large, urban, academic medical center striving for baby-friendly designation

Substantial evidence documents the superiority of breastfeeding for mothers and breastmilk for babies. Although the American Academy of Pediatrics and the U.S. Healthy People 2010 initiative promote breastfeeding, current breastfeeding rates often fall short of recommendations. This study determined factors associated with exclusive breastfeeding 2 to 4 weeks following discharge from a large, urban, academic medical center striving for Baby-Friendly designation. Results indicated that mothers who breastfed within the first hour of birth (61%) were significantly more likely to be exclusively breastfeeding 2 to 4 weeks after discharge. Incorporating care practices that include a number of the "Ten Steps to Successful Breastfeeding," as recommended by the Baby-Friendly Hospital Initiative, may increase the duration of exclusive breastfeeding after discharge.