Nurses play a major role in promoting the baby-friendly hospital initiative (BFHI), yet the adoption of this initiative by nurses\nremains a challenge in many countries, despite evidences of its positive impacts on breastfeeding outcomes. The aim of this study\nwas to identify the factors influencing perinatal nurses to adopt the BFHI in their practice. Methods.Asample of 159 perinatal nurses\nfromsix hospital-based maternity centers completed a survey based on the theory of planned behavior.Hierarchicalmultiple linear\nregression analyses were performed to assess the relationship between key independent variables and nurses� intention to adopt the\nBFHI in their practice. A discriminant analysis of nurses� beliefs helped identify the targets of actions to foster the adoption the\nBFHI among nurses. Results.The participants are mainly influenced by factors pertaining to their perceived capacity to overcome\nthe strict criteria of the BFHI, the mothers� approval of a nursing practice based on the BFHI, and the antenatal preparation of the\nmothers. Conclusions. This study provides theory-based evidence for the development of effective interventions aimed at promoting\nthe adoption of the BFHI in nurses� practice.
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