Nehring-Gugulska Magdalena, Nehring Piotr, Królak-Olejnik Barbara
The Centre for Lactation Science, Warsaw, Poland.
Department of Neonatology, Medical University in Wroclaw, Poland.
Nurse Educ Pract. 2015 Sep;15(5):381-6. doi: 10.1016/j.nepr.2015.03.011. Epub 2015 Apr 3.
The aim of the study was to evaluate the level of breastfeeding knowledge among healthcare practitioners taking care for mothers and children in the perinatal period, the training needs for such practitioners, and the forms of breastfeeding support in Poland.
The study involved a group of 361 health care practitioners, of whom 168 had followed a professional development course in breastfeeding knowledge, whilst the remaining 193 had not. A ten-point test was used with this group to assess their 2nd level of lactation knowledge as defined by Wellstart International guidelines.
The study included 227 midwives, 58 medical doctors, 40 nurses, 8 educators and psychologists and 28 members of other professions. Breastfeeding support was being provided by 309 of the participants (86.3%). The highest mean test score (7.58 points) was obtained by medical doctors who had completed a professional development course in the field of breastfeeding knowledge. The probability of achieving a high score was increased by: following a professional course in breastfeeding knowledge (OR = 8.73; 95% CI: 4.99-15.32), following the longest breastfeeding support skills training (OR = 4.80; 95% CI: 2.83-8.14) and IBLCE certification (OR = 5.07; 95% CI: 2.71-9.47).
Specialist professional development courses are effective sources of knowledge for practitioners who provide breastfeeding support. There is a need to include breastfeeding education in curriculum for undergraduate medical training, as well as to organize professional development courses to provide evidence-based knowledge and practice to support breastfeeding mothers and babies.
本研究旨在评估围产期照顾母婴的医护人员的母乳喂养知识水平、此类医护人员的培训需求以及波兰的母乳喂养支持形式。
该研究涉及361名医护人员,其中168人参加过母乳喂养知识专业发展课程,其余193人未参加过。对这组人员使用了一项十分制测试,以评估他们按照国际母乳会(Wellstart International)指南定义的二级泌乳知识水平。
该研究纳入了227名助产士、58名医生、40名护士、8名教育工作者和心理学家,以及28名其他职业的人员。309名参与者(86.3%)提供母乳喂养支持。完成母乳喂养知识领域专业发展课程的医生获得了最高平均测试分数(7.58分)。通过以下方式提高了获得高分的可能性:参加母乳喂养知识专业课程(比值比=8.73;95%置信区间:4.99-15.32)、参加最长时间的母乳喂养支持技能培训(比值比=4.80;95%置信区间:2.83-8.14)和国际泌乳顾问考试委员会(IBLCE)认证(比值比=5.07;95%置信区间:2.71-9.47)。
专业发展课程是为提供母乳喂养支持的医护人员提供知识的有效来源。有必要将母乳喂养教育纳入本科医学培训课程,并组织专业发展课程,以提供循证知识和实践,支持母乳喂养的母亲和婴儿。