Morristown Memorial Hospital Morristown, NJ, USA.
MCN Am J Matern Child Nurs. 2011 Mar-Apr;36(2):82-8; quiz 89-90. doi: 10.1097/NMC.0b013e318205589e.
To investigate whether implementation of a formal breastfeeding education program including a breastfeeding protocol, a resource guide, and educational presentations would have an impact on knowledge, comfort level, and attitudes toward breastfeeding among healthcare providers, and on amount of exclusive breastfeeding at our hospital.
Quasi-experimental study that included a survey to obtain a preintervention baseline measurement and a postintervention measurement 6 months after the implementation of the formal breastfeeding education program. The sample was obstetricians, pediatricians, and nurses who interact with breastfeeding mothers at our hospital. Additionally, we surveyed breastfeeding mothers who gave birth at our hospital to determine the impact on the nurse observation of breastfeeding, exclusivity of breastfeeding, and nighttime feedings.
Healthcare providers showed increased levels of knowledge and comfort dealing with breastfeeding issues after the education program. Knowledge scores were significantly improved (pre- vs. postimplementation scores were 20.2 vs. 22.2, p < .05). Comfort level scores were also significantly improved (pre- vs. postimplementation scores were 20.7 vs. 29.4, p < .05). There was no statistically significant change in attitude toward breastfeeding (preimplementation score = 43.8, postimplementation score = 43.4, p = .075). For the mothers, the preintervention group reported exclusive breastfeeding 55% of the time versus 63% (p = .046) in the postintervention group. There was an increase in nurse observation of breastfeeding after the intervention: 84% versus 92% (p = .046), and breastfeeding patients reported an increase in nighttime breastfeeding after the intervention (55% vs. 71%, p = 0.001), with a resulting decrease in formula supplementation in the nursery at night (28% vs. 21%, p = .006).
This study shows how an educational program and adherence to protocols can increase exclusive breastfeeding as well as improve healthcare provider knowledge, comfort level, and attitudes about breastfeeding. Our interventions also resulted in an increase in nurse observation of breastfeeding, nighttime breastfeeding, and a decrease in the use of formula supplementation at night. This study suggests that positive changes can be made with an educational program and protocols.
研究实施一项正式的母乳喂养教育计划（包括母乳喂养方案、资源指南和教育演示）是否会对医疗保健提供者的母乳喂养知识、舒适度和态度以及我们医院的纯母乳喂养量产生影响。
准实验研究，包括在正式母乳喂养教育计划实施后 6 个月进行调查，以获取干预前的基线测量和干预后的测量。样本包括在我们医院与母乳喂养母亲互动的产科医生、儿科医生和护士。此外，我们还调查了在我们医院分娩的母乳喂养母亲，以确定对护士观察母乳喂养、母乳喂养的排他性和夜间喂养的影响。
医疗保健提供者在接受教育计划后表现出更高水平的母乳喂养知识和处理问题的舒适度。知识得分显著提高（干预前与干预后的得分分别为 20.2 分和 22.2 分，p<.05）。舒适度得分也显著提高（干预前与干预后的得分分别为 20.7 分和 29.4 分，p<.05）。母乳喂养态度没有统计学上的显著变化（干预前得分=43.8，干预后得分=43.4，p=0.075）。对于母亲，干预前组报告纯母乳喂养的时间为 55%，干预后组为 63%（p=0.046）。干预后，护士观察母乳喂养的比例增加：84%对 92%（p=0.046），母乳喂养的患者报告干预后夜间母乳喂养增加（55%对 71%，p=0.001），夜间在新生儿室补充配方奶的比例下降（28%对 21%，p=0.006）。
这项研究表明，教育计划和遵守方案如何能够增加纯母乳喂养，并改善医疗保健提供者关于母乳喂养的知识、舒适度和态度。我们的干预措施还导致护士观察母乳喂养、夜间母乳喂养的增加，以及夜间配方奶补充的减少。这项研究表明，通过教育计划和方案可以实现积极的变化。
