Wallace Louise M, Kosmala-Anderson Joanna
Health Services Research Centre, Coventry University, Priory Street, Coventry CV1 5FB, UK.
Matern Child Nutr. 2007 Jan;3(1):25-39. doi: 10.1111/j.1740-8709.2007.00079.x.
This study, which was part of a learning needs assessment of health professionals in England, reports a survey of the training needs of healthcare practitioners in breastfeeding support skills. Respondents rated their competence on 26 breastfeeding support skills, importance of update, actual and potential helpfulness of training, and accessibility in the next 2 years. Perception of organizational barriers to breastfeeding support and practitioners' knowledge of policies and guidance on breastfeeding were measured. Data are reported on 549 healthcare practitioners, mostly midwives and health visitors working for public health services, and some voluntary-sector practitioners, 58% had worked with women and their infants for more than 10 years, and 56% were currently spending at least 25% of their working time providing direct care to breastfeeding women. Those already competent were most likely to want more updating. Those with longer experience of breastfeeding support were more competent on three of the four competence subscales. Relationships between self-assessed competence and current intensity of breastfeeding experience were inconsistent. Respondents preferred training with a practical component. Respondents had poor knowledge of evidence-based policy, and only 51% had access to a breastfeeding policy. Organizational barriers to breastfeeding support were experienced by all, and especially by those with fewer years of experience (t = -2.32, d.f. = 547; P = 0.02) and those currently spending less time supporting breastfeeding women (t = -10.35, d.f. = 547; P < 0.0001). Core training is relevant to all practitioners, and practice-based training with access to evidence-based policies is required.
本研究是对英国卫生专业人员学习需求评估的一部分，报告了一项关于医疗保健从业者母乳喂养支持技能培训需求的调查。受访者对26项母乳喂养支持技能的能力、更新的重要性、培训的实际和潜在帮助以及未来两年的可获得性进行了评分。测量了对母乳喂养支持的组织障碍的认知以及从业者对母乳喂养政策和指南的了解。报告了549名医疗保健从业者的数据，他们大多是为公共卫生服务工作的助产士和健康访视员，还有一些志愿部门的从业者，58%的人从事妇女及其婴儿护理工作超过10年，56%的人目前至少将25%的工作时间用于为母乳喂养的妇女提供直接护理。那些已经具备能力的人最有可能希望获得更多更新。在四个能力子量表中的三个上，有更长母乳喂养支持经验的人能力更强。自我评估的能力与当前母乳喂养经验的强度之间的关系并不一致。受访者更喜欢有实践内容的培训。受访者对循证政策的了解较差，只有51%的人能够获取母乳喂养政策。所有人都经历过母乳喂养支持的组织障碍，尤其是经验较少的人（t = -2.32，自由度 = 547；P = 0.02）和目前用于支持母乳喂养妇女的时间较少的人（t = -10.35，自由度 = 547；P < 0.000）。核心培训对所有从业者都很重要，需要开展基于实践且能获取循证政策的培训。
