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Ramírez-Durán MDV, Gutiérrez-Alonso C, Moreno-Casillas L, Del Río-Gutiérrez A, González-Cervantes S, Coronado-Vázquez V. An Educational Intervention to Explore and Overcome Nursing Students' Breastfeeding Barriers: A Mixed-Methods Quasi-experimental Study. J Perinat Neonatal Nurs 2024; 38:E3-E13. [PMID: 37319350 PMCID: PMC10807748 DOI: 10.1097/jpn.0000000000000742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
BACKGROUND Nursing and midwifery students do not feel adequately prepared during their clinical training to support women who breastfeed, demanding more effective communication skills and knowledge. AIM The aim was to evaluate changes in students' breastfeeding knowledge. METHODS This was a mixed-methods quasi-experimental design. Forty students voluntarily participated. Using a 1:1 ratio, 2 groups were randomly created and completed the validated questionnaire ECoLaE (pre-post). The educational program consisted of focus groups, a clinical simulation, and a visit to the local breastfeeding association. FINDINGS The control group's posttest scores ranged from 6 to 20 (mean = 13.1, standard deviation [SD] = 3.0). The intervention group ranged from 12 to 20 (mean = 17.3, SD = 2.3). A Student's t test for independence samples was calculated ( P < .005, t = 4.5, median = 4.2). The intervention group had a mean difference of 10 points in improvement (mean =10.53, SD = 2.20, min = 7, max = 14), whereas the control group had a mean of 6 points (mean = 6.80, SD = 3.03, min = 3, max = 13). The multiple linear regression explained the intervention's effect. The regression model had statistical significance ( F = 4.87, P = 0.004), with an adjusted R2 = 0.31. The linear regression between the posttest scores and group variables after adjusting by age showed an increment of 4.1 points in the intervention posttest scores ( P < .005, 95% confidence interval [CI] = 2.1-6.1). CONCLUSIONS The educational program "Engage in breaking the barriers to breastfeeding" improved nursing students' knowledge.
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Affiliation(s)
| | | | - Luis Moreno-Casillas
- Department of Nursing, Catholic University “Santa Teresa de Jesús” Ávila, Avila, Spain
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Liu K, Guo J, Deng W, Su Y. The Current Status of Breastfeeding Knowledge and Its Influencing Factors in Nursing Undergraduates: A Cross-Sectional Study in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:103. [PMID: 36612425 PMCID: PMC9819539 DOI: 10.3390/ijerph20010103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 12/19/2022] [Accepted: 12/19/2022] [Indexed: 06/17/2023]
Abstract
The aim of this study was to explore the breastfeeding knowledge of nursing undergraduates and the influencing factors. Human milk (HM) is one of the most effective nutritional supplies to improve early development and physical health, but the current status of breastfeeding in China is still not optimal. The breastfeeding knowledge of perinatal women influences their feeding beliefs and behavior. Nursing undergraduates, as core professionals who will care for perinatal women and provide feeding guidance in the future, can significantly affect feeding behavior of mothers and their babies, so their knowledge of breastfeeding may have a potential impact on breastfeeding in China. However, studies on breastfeeding knowledge among nursing undergraduates in China are limited. A convenience sampling method was conducted in four medical universities in China, and eligible nursing undergraduates were selected. An online survey was collected from 5 July 2022 to 5 August 2022. Categorical data were reported as number and percentage, while continuous data were reported as mean ± SD. Multivariate linear regression was used to evaluate the association between influencing factors and breastfeeding knowledge. The overall mean score of the 460 returned questionnaires was 43.991 out of 100. The pass rate of the questionnaire was only 23.04%. Nursing undergraduates had a relatively better grasp of the benefits of breastfeeding and related advice (correct rates: 67.83%). Birthplace, only child or not, the course in obstetrics and gynecological nursing, the course in pediatrics nursing, and placements in maternity or neonatology units were relevant factors for breastfeeding knowledge (p < 0.05). Nursing undergraduates showed unsatisfactory breastfeeding knowledge. It is urgent to raise the knowledge level of breastfeeding among nursing undergraduates. Medical colleges should optimally structure a curriculum of breastfeeding knowledge. Furthermore, it is also necessary to improve the public’s understanding of breastfeeding and the whole society’s attention to breastfeeding in China.
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Affiliation(s)
| | | | | | - Yanwei Su
- Correspondence: ; Tel.: +86-027-83692797; Fax: +86-027-83692658
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Lopez-Peña N, Cervera-Gasch A, Valero-Chilleron MJ, González-Chordá VM, Suarez-Alcazar MP, Mena-Tudela D. Nursing student's knowledge about breastfeeding: Design and validation of the AprendeLact questionnaire. NURSE EDUCATION TODAY 2020; 93:104539. [PMID: 32717699 DOI: 10.1016/j.nedt.2020.104539] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 05/29/2020] [Accepted: 07/14/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Breastfeeding is the best source of food that a mother can offer her child during the first months of life because it provides numerous benefits for both mother and baby. Despite breastfeeding being an innate act, it requires qualified health professionals for advice and support. OBJECTIVES AND PARTICIPANTS To design and validate a questionnaire to evaluate nursing student breastfeeding knowledge. METHODS AND DESIGN Cross-sectional study. Construction and validation of the questionnaire (content validity, test-retest reliability and internal consistency). Descriptive and bivariate analyses of socio-demographic variables and the questionnaire results. RESULTS Optimum results were obtained in terms of internal consistency (KR-20 = 0.9) and test-retest reliability (ICC = 0.925) with a samples of 144 participants (mean age of 22.69 years). Statistical significance were observed among the questionnaire score and academic year, clinical practice, type of breastfeeding in childhood, knowing about support groups and participating in a breastfeeding workshop or course. CONCLUSION A questionnaire on breastfeeding knowledge was validated. Nursing students progressively acquire breastfeeding skills as they advance in their undergraduate studies.
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Affiliation(s)
- Natividad Lopez-Peña
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n, 12071 Castellón, Spain.
| | - Agueda Cervera-Gasch
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n, 12071 Castellón, Spain.
| | | | | | | | - Desirée Mena-Tudela
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n, 12071 Castellón, Spain.
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Prepelita T, Ricchi A, Messina MP, Molinazzi MT, Cappadona R, Fieschi L, Nespoli A, Guana M, Cervi G, Parma D, Mauri PA, Artioli G, Banchelli F, Foa C, Neri I. Self-efficacy in breastfeeding support: a research on Italian midwifery students. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:27-34. [PMID: 32168310 PMCID: PMC7944660 DOI: 10.23750/abm.v91i2-s.9149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 01/13/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE STUDY Maternal breastmilk represents the best nourishment for the newborn baby during its first six months, as it offers several benefits for the health and well-being of babies and mothers. In order to promote, protect and support effectively mother and child during breastfeeding, it is essential for midwives to be properly educated and to acquire highly professionalizing skills. This study aimed to evaluate the level of self-efficacy of the students attending the Degree Course of Midwifery, regarding the support of mother and child in breastfeeding. METHOD A questionnaire of 37 items (Blackmanet al, 2015) validated in Italian by Mazzeo Melchionda (2019), was sent on-line to students of ten different Midwifery Degree Courses to assess their level of self-efficacy regarding the management of breastfeeding. Statistical analysis was carried out using statistic software R3.4.3 (The Foundation for Statistical Computing). RESULTS 158 questionnaires were collected from ten Italian Midwifery Degree Courses. The areas in which students showed a high level of self-efficacy in managing breastfeeding include: the benefits of breastfeeding; the child's tendency to take the breast within an hour from childbirth and the relevance of skin to skin contact and rooming-in. Low levels of self-efficacy concerned the comfortably breastfeeding in public places and avoiding giving formula to the baby in its first six weeks of life. CONCLUSIONS Generally the students attending Midwifery Degree Courses show a high level of self-efficacy in assisting mothers during breastfeeding and they prove to have a good knowledge of the benefits of breastfeeding to improve the health of mothers and their children. (www.actabiomedica.it).
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Affiliation(s)
- Tania Prepelita
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy.
| | - Alba Ricchi
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy.
| | | | - Maria Teresa Molinazzi
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy.
| | | | | | | | - Miriam Guana
- School of Midwifery University of Brescia, Italy.
| | - Gina Cervi
- School of Midwifery University of Trieste, Italy.
| | - Dila Parma
- School of Midwifery University of Bologna, Italy.
| | | | - Giovanna Artioli
- Azienda USL-IRCCS, Santa Maria Nuova Hospital, Reggio Emilia, Italy.
| | - Federico Banchelli
- Department of Diagnostics, Clinical and Public Health Medicine, Statistics Unit, University of Modena and Reggio Emilia.
| | - Chiara Foa
- Department of Medicine and Surgery, University of Parma.
| | - Isabella Neri
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy.
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Prepelita T, Ricchi A, Messina MP, Molinazzi MT, Cappadona R, Fieschi L, Nespoli A, Guana M, Cervi G, Parma D, Mauri PA, Artioli G, Banchelli F, Foa C, Neri I. Self-efficacy in breastfeeding support: a research on Italian midwifery students. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91. [PMID: 32168310 PMCID: PMC7944660 DOI: 10.23750/abm.v91i1-s.9149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
BACKGROUND AND AIM OF THE STUDY Maternal breastmilk represents the best nourishment for the newborn baby during its first six months, as it offers several benefits for the health and well-being of babies and mothers. In order to promote, protect and support effectively mother and child during breastfeeding, it is essential for midwives to be properly educated and to acquire highly professionalizing skills. This study aimed to evaluate the level of self-efficacy of the students attending the Degree Course of Midwifery, regarding the support of mother and child in breastfeeding. METHOD A questionnaire of 37 items (Blackmanet al, 2015) validated in Italian by Mazzeo Melchionda (2019), was sent on-line to students of ten different Midwifery Degree Courses to assess their level of self-efficacy regarding the management of breastfeeding. Statistical analysis was carried out using statistic software R3.4.3 (The Foundation for Statistical Computing). RESULTS 158 questionnaires were collected from ten Italian Midwifery Degree Courses. The areas in which students showed a high level of self-efficacy in managing breastfeeding include: the benefits of breastfeeding; the child's tendency to take the breast within an hour from childbirth and the relevance of skin to skin contact and rooming-in. Low levels of self-efficacy concerned the comfortably breastfeeding in public places and avoiding giving formula to the baby in its first six weeks of life. CONCLUSIONS Generally the students attending Midwifery Degree Courses show a high level of self-efficacy in assisting mothers during breastfeeding and they prove to have a good knowledge of the benefits of breastfeeding to improve the health of mothers and their children. (www.actabiomedica.it).
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Affiliation(s)
- Tania Prepelita
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy
| | - Alba Ricchi
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy
| | | | - Maria Teresa Molinazzi
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy
| | | | | | | | - Miriam Guana
- School of Midwifery University of Brescia, Italy
| | - Gina Cervi
- School of Midwifery University of Trieste, Italy
| | - Dila Parma
- School of Midwifery University of Bologna, Italy
| | | | - Giovanna Artioli
- Azienda USL-IRCCS, Santa Maria Nuova Hospital, Reggio Emilia, Italy
| | - Federico Banchelli
- Department of Diagnostics, Clinical and Public Health Medicine, Statistics Unit, University of Modena and Reggio Emilia
| | - Chiara Foa
- Department of Medicine and Surgery, University of Parma
| | - Isabella Neri
- School of Midwifery Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Italy
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Yang S, Burns E, Salamonson Y, Schmied V. Expectations and experiences of nursing students in supporting new mothers to breastfeed: A descriptive qualitative study. J Clin Nurs 2019; 28:2340-2350. [DOI: 10.1111/jocn.14836] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 01/16/2019] [Accepted: 02/09/2019] [Indexed: 12/17/2022]
Affiliation(s)
- Shu‐Fei Yang
- School of Nursing and Midwifery Western Sydney University Penrith NSW Australia
- Department of Nursing Chung Hwa University of Medical Technology Tainan Taiwan
| | - Elaine Burns
- School of Nursing and Midwifery Western Sydney University Penrith NSW Australia
| | - Yenna Salamonson
- School of Nursing and Midwifery Western Sydney University Penrith NSW Australia
- Centre for Applied Nursing Research (CANR) Ingham Institute for Applied Medical Research Liverpool NSW Australia
| | - Virginia Schmied
- School of Nursing and Midwifery Western Sydney University Penrith NSW Australia
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Yang SF, Salamonson Y, Burns E, Schmied V. Breastfeeding knowledge and attitudes of health professional students: a systematic review. Int Breastfeed J 2018; 13:8. [PMID: 29483935 PMCID: PMC5819656 DOI: 10.1186/s13006-018-0153-1] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2017] [Accepted: 02/14/2018] [Indexed: 11/28/2022] Open
Abstract
Background Breastfeeding support from health professionals can be effective in influencing a mother’s decision to initiate and maintain breastfeeding. However, health professionals, including nursing students, do not always receive adequate breastfeeding education during their foundational education programme to effectively help mothers. In this paper, we report on a systematic review of the literature that aimed to describe nursing and other health professional students’ knowledge and attitudes towards breastfeeding, and examine educational interventions designed to increase breastfeeding knowledge and attitudes amongst health professional students. Methods A systematic review of peer reviewed literature was performed. The search for literature was conducted utilising six electronic databases, CINAHL, MEDLINE, ProQuest, PubMed, Scopus, and Cochrane, for studies published in English from January 2000 to March 2017. Studies focused on nursing students’ or other health professional students’ knowledge, attitudes or experiences related to breastfeeding. Intervention studies to improve knowledge and attitudes, were also included. All papers were reviewed using the relevant Critical Appraisal Skills Programme (CASP) checklist. Results Fourteen studies were included in the review. This review indicates that in some settings, health professional students demonstrated mid-range scores on breastfeeding attitudes, and their knowledge of breastfeeding was limited, particularly in relation to breastfeeding assessment and management. All of the studies that tested a specialised breastfeeding education programme, appeared to increase nursing students’ knowledge overall or aspects of their knowledge related to breastfeeding. Several factors were found to influence breastfeeding knowledge and attitudes, including timing of maternal and child health curriculum component, previous personal breastfeeding experience, gender, cultural practices and government legislation. Conclusions Based on this review, it appears that nursing curriculum, or specialised programmes that emphasise the importance of breastfeeding initiation, can improve breastfeeding knowledge and attitudes and students’ confidence in helping and guiding breastfeeding mothers.
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Affiliation(s)
- Shu-Fei Yang
- 1School of Nursing and Midwifery, Western Sydney University, Penrith, NSW Australia.,3Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan
| | - Yenna Salamonson
- 1School of Nursing and Midwifery, Western Sydney University, Penrith, NSW Australia.,2Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research, Liverpool, NSW Australia
| | - Elaine Burns
- 1School of Nursing and Midwifery, Western Sydney University, Penrith, NSW Australia
| | - Virginia Schmied
- 1School of Nursing and Midwifery, Western Sydney University, Penrith, NSW Australia
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