McFadden Alison, Renfrew Mary J, Dykes Fiona, Burt Sue
Mother and Infant Research Unit, Department of Health Sciences, University of York, Heslington, York, UK.
Matern Child Nutr. 2006 Oct;2(4):196-203. doi: 10.1111/j.1740-8709.2006.00072.x.
Breastfeeding has a major contribution to make to public health, yet the UK, like many other developed countries, has low rates of breastfeeding. A contributing factor is that practitioners are ill-prepared to support breastfeeding women. There is a mismatch between the care professionals provide and the support women desire. A national breastfeeding learning needs assessment (LNA) was carried out in England to provide a comprehensive picture of professional and practitioner learning needs and existing training opportunities and resources. The LNA comprised five elements, and sought the views of service users through consumer organizations and voluntary breastfeeding supporters. Two elements of the LNA are reported here. A search of RDLearning, a web-based national resource, provided details of existing accredited courses in the UK for practitioners. Ten short courses provided by higher education institutions were identified, along with a range of courses offered by voluntary and other organizations, such as the National Childbirth Trust and UNICEF Baby Friendly Initiative. Second, an e-mail survey of 28 key stakeholder organizations was undertaken, with a response rate of 68% (n = 18). All but one acknowledged that their members could benefit from further breastfeeding knowledge and expertise and were supportive of a national breastfeeding education initiative. The most popular forms of education provision were workshops and seminars, online and written information. The topic considered most important for all practitioners was the health outcomes of breastfeeding. Other contributions which stakeholder organizations felt they could make were the provision of information resources and setting up specialist interest groups.
母乳喂养对公众健康有重大贡献，但英国和许多其他发达国家一样，母乳喂养率较低。一个促成因素是从业者在支持母乳喂养的女性方面准备不足。护理专业人员提供的护理与女性期望的支持之间存在不匹配。在英格兰进行了一项全国母乳喂养学习需求评估（LNA），以全面了解专业人员和从业者的学习需求以及现有的培训机会和资源。LNA包括五个要素，并通过消费者组织和志愿母乳喂养支持者征求服务使用者的意见。本文报告了LNA的两个要素。对基于网络的国家资源RDLearning进行搜索，提供了英国现有从业者认可课程的详细信息。确定了高等教育机构提供的十门短期课程，以及志愿组织和其他组织（如国家分娩信托基金和联合国儿童基金会爱婴医院倡议）提供的一系列课程。其次，对28个关键利益相关者组织进行了电子邮件调查，回复率为68%（n = 18）。除一个组织外，所有组织都承认其成员可以从进一步的母乳喂养知识和专业技能中受益，并支持全国母乳喂养教育倡议。最受欢迎的教育形式是研讨会和讲座、在线信息和书面信息。所有从业者认为最重要的主题是母乳喂养对健康的影响。利益相关者组织认为他们可以做出的其他贡献包括提供信息资源和成立专业兴趣小组。
