Sherriff Nigel, Hall Valerie, Panton Christina
Centre for Health Research (CHR), Mayfield House, University of Brighton, Falmer, Brighton BN1 9PH, UK.
Centre for Health Research (CHR), Mayfield House, University of Brighton, Falmer, Brighton BN1 9PH, UK.
Midwifery. 2014 Jun;30(6):667-77. doi: 10.1016/j.midw.2013.07.014. Epub 2013 Aug 17.
Empirical evidence demonstrates that fathers have a strong influence on a mother's decision to initiate and continue breast feeding. However, no clear delineation of what behaviours and attributes constitute father support or differentiate it from other kinds of support is provided in the current literature. The purpose of this study was to analyse the concept of 'father support' in relation to maternity services and broader health settings, thereby clarifying meaning to enable comprehension and application in practice, education, and research.
A concept analysis combining the evolutionary model of concept development with the inter-related theoretical, fieldwork and analytical phases of the hybrid model of concept development.
Children's Centres in East and West Sussex in Southern England.
Repeated qualitative research over two phases with 16 parents of breast fed infants through seven focus groups and five telephone interviews.
CINAHL, PsycINFO, AMED, MEDLINE, OVID and EMBASE databases were searched for articles published in English between 1999 and 2013 using the keywords breast feeding, father, and support. Seven same-sex focus groups and five individual interviews were also conducted over two research phases with the parents of breast fed infants to expand and exemplify, and then validate the analysis of the literature search. Five main attributes of father support in relation to breast feeding were identified: (1) knowledge about breast feeding; (2) positive attitude to breast feeding; (3) involvement in the decision-making process; (4) practical support; and (5) emotional support. Multiple antecedents and consequences to these attributes were also identified.
This study has contributed to clarifying the meaning of father support in relation to breast feeding and provides an important starting point for the development of a theoretical and practical model of optimal breast feeding that takes into account father support.
Identification of attributes, antecedents, and consequences of father support may assist practitioners to reflect on current working practices and service delivery models, and offer important educational opportunities for the training of student midwives and other health professionals.
实证证据表明，父亲对母亲开始并持续母乳喂养的决定有很大影响。然而，目前的文献中并未明确界定哪些行为和特质构成父亲的支持，或将其与其他类型的支持区分开来。本研究的目的是分析与产妇服务及更广泛健康环境相关的“父亲支持”概念，从而厘清其含义，以便在实践、教育和研究中理解和应用。
将概念发展的进化模型与概念发展混合模型中相互关联的理论、实地考察和分析阶段相结合的概念分析。
英格兰南部东萨塞克斯郡和西萨塞克斯郡的儿童中心。
通过七个焦点小组和五次电话访谈，对16位母乳喂养婴儿的父母进行了两个阶段的重复定性研究。
使用关键词“母乳喂养”“父亲”和“支持”，在CINAHL、PsycINFO、AMED、MEDLINE、OVID和EMBASE数据库中搜索1999年至2013年期间以英文发表的文章。在两个研究阶段，还与母乳喂养婴儿的父母进行了七个同性焦点小组和五次个人访谈，以扩展和举例说明，然后验证文献检索分析。确定了父亲在母乳喂养方面支持的五个主要特质：（1）关于母乳喂养的知识；（2）对母乳喂养的积极态度；（3）参与决策过程；（4）实际支持；（5）情感支持。还确定了这些特质的多个前因和后果。
本研究有助于厘清与母乳喂养相关的父亲支持的含义，并为开发考虑到父亲支持的最佳母乳喂养理论和实践模型提供了重要起点。
识别父亲支持的特质、前因和后果，可能有助于从业者反思当前的工作实践和服务提供模式，并为培训助产专业学生和其他卫生专业人员提供重要的教育机会。
