The SOFFI reference guide: Text, algorithms, and appendices a manualized method for quality bottle-feedings

Philbin, M. Kathleen and Ross, Erin Sundseth (2011) The SOFFI reference guide: Text, algorithms, and appendices a manualized method for quality bottle-feedings. Journal of Perinatal and Neonatal Nursing, 25 4: 360-380. doi:10.1097/JPN.0b013e31823529da

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Author Philbin, M. Kathleen
Ross, Erin Sundseth
Title The SOFFI reference guide: Text, algorithms, and appendices a manualized method for quality bottle-feedings
Journal name Journal of Perinatal and Neonatal Nursing   Check publisher's open access policy
ISSN 0893-2190
Publication date 2011-10
Sub-type Article (original research)
DOI 10.1097/JPN.0b013e31823529da
Open Access Status File (Author Post-print)
Volume 25
Issue 4
Start page 360
End page 380
Total pages 21
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams and Wilkins
Collection year 2012
Language eng
Abstract The Support of Oral Feeding for Fragile Infants (SOFFI) method of bottle-feeding rests on quality evidence along with implementation details drawn from clinical experience. To be clear, the SOFFI Method is not focused on the amount of food taken in but on the conduct of the feeding and the development of competent infant feeding behavior that, consequently, assures the intake of food necessary for growth. The unique contribution of the SOFFI method is the systematic organization of scientific findings into clinically valid and reliable, easily followed algorithms, and a manualized Reference Guide for the assessments, decisions, and actions of a quality feeding. A quality feeding is recognized by a stable, selfregulated infant and a caregiver who sensitively (responsively) adjusts to the infant’s physiology and behavior to realize an individualized feeding experience in which the infant remains comfortable and competent using his nascent abilities to ingest a comfortable amount of milk/formula. The SOFFI Reference Guide and Algorithms begin withprefeeding adjustments of the environment and follow step by step through a feeding with observations of specific infant behavior, decisions based on that behavior, and specific actions to safeguard emerging abilities and the quality of the experience. An important aspect the SOFFI Reference Guide and Algorithms is the clarity about pausing and stopping the feeding on the basis of the infant’s physiology and behavior rather than on the basis of the amount ingested. The specificity of each observation, decision, and action enables nurses at all levels of experience to provide quality, highly individualized, holistic feedings. Throughout the course of feeding in the NICU, the nurse conveys to parents the integrated details (observations, decisions, and actions) particular to their infant, thus passing on the means for parents to become competent in quality feeding, to enjoy feeding time into the future, and to gain in confidence as they watch their infants grow.
Keyword algorithm
nursing care
preterm infant
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
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Created: Sun, 04 Dec 2011, 07:44:43 EST by System User on behalf of Paediatrics & Child Health - RBWH