Grassley Jane S, Nelms Tommie P
College of Nursing, Texas Woman's University, Denton, TX 76204, USA.
ANS Adv Nurs Sci. 2008 Oct-Dec;31(4):E55-66. doi: 10.1097/01.ANS.0000341420.34457.63.
Nurses play a vital role in mothers' early experiences with breast-feeding. Literature enumerates both supportive and nonsupportive behaviors, as well as the "interpersonal" aspect of breast-feeding support, although little direction is given to nurses about how to facilitate the relationship. This article conceptualizes breast-feeding support within Gadamerian hermeneutics as a conversation among nurses, mothers, and their newborns. Hermeneutically, breast-feeding conversation encompasses a text (a particular feeding at the breast), conversational partners (a mother, her newborn, and a nurse), and a dialogue that facilitates effective breast-feeding and maternal breast-feeding confidence through interpretation or understanding of the text. History and language are essential as a partnership is formed.
护士在母亲早期的母乳喂养经历中起着至关重要的作用。文献列举了支持性和非支持性行为，以及母乳喂养支持的“人际”方面，尽管对于护士如何促进这种关系几乎没有给出指导。本文将伽达默尔诠释学中的母乳喂养支持概念化为护士、母亲及其新生儿之间的对话。从诠释学角度来看，母乳喂养对话包括一个文本（在乳房处的一次特定喂养）、对话伙伴（一位母亲、她的新生儿和一名护士），以及通过对文本的诠释或理解来促进有效母乳喂养和母亲母乳喂养信心的对话。在形成伙伴关系时，历史和语言至关重要。
