Froh Elizabeth, Dahlmeier Katherine, Spatz Diane L
The Children's Hospital of Philadelphia, Pennsylvania (Drs Froh and Spatz); and The University of Pennsylvania School of Nursing, Philadelphia (Ms Dahlmeier and Dr Spatz).
Adv Neonatal Care. 2017 Jun;17(3):203-208. doi: 10.1097/ANC.0000000000000370.
The provision of human milk and breastfeeding is essential in the neonatal intensive care unit (NICU) population. However, recent national research has demonstrated very low percentages of NICU nurses providing lactation-based support and care to patients and families, and less than half of all NICUs have an International Board Certified Lactation Consultant (IBCLC) on staff.
The purpose of this study was to describe how NICU bedside nurses are providing lactation-based support and care during their shifts and the frequency of that support. The secondary aim was to gain an understanding of the NICU nurses' attitudes toward human milk and breastfeeding.
Through a prospective descriptive cohort design, the authors of this study created and disseminated a web-based survey (SurveyMonkey) of 21 questions including the Iowa Infant Feeding Attitude Scale (IIFAS) to a Northeastern urban hospital staff of bedside nurses.
A total of 140 of the 389 eligible NICU bedside nurses responded to the survey. Between 50.7% and 72.9% of nurses reported to providing lactation-based support and care during the previous shift worked and during the previous week worked, respectively. The participants' responses to the IIFAS resulted in an overall score of 69.1, indicating an attitude of "positive to breastfeeding."
The study demonstrates that the majority provide lactation-based support and care on every shift and hold very positive attitudes toward the provision of human milk and breastfeeding. Hospitals should be encouraged to promote educational and training programs in their respective institutions.
Researchers should examine NICU nurses' attitudes and beliefs about human milk and breastfeeding on a national scale.
在新生儿重症监护病房（NICU）中，提供母乳和母乳喂养至关重要。然而，最近的全国性研究表明，为患者及家属提供基于泌乳的支持和护理的NICU护士比例极低，且所有NICU中，配备国际认证泌乳顾问（IBCLC）的不到半数。
本研究旨在描述NICU床边护士在轮班期间如何提供基于泌乳的支持和护理及其频率。次要目的是了解NICU护士对母乳和母乳喂养的态度。
通过前瞻性描述性队列设计，本研究的作者创建并向一家东北部城市医院的床边护士工作人员发放了一份包含21个问题的网络调查问卷（SurveyMonkey），其中包括爱荷华婴儿喂养态度量表（IIFAS）。
389名符合条件的NICU床边护士中，共有140人回复了调查问卷。分别有50.7%和72.9%的护士报告称，在上一个轮班工作期间以及上一周工作期间提供了基于泌乳的支持和护理。参与者对IIFAS的回答得出的总体评分为69.1，表明其态度为“对母乳喂养持积极态度”。
该研究表明，大多数护士每个轮班都会提供基于泌乳的支持和护理，并且对提供母乳和母乳喂养持非常积极的态度。应鼓励医院在各自机构中推广教育和培训项目。
研究人员应在全国范围内研究NICU护士对母乳和母乳喂养的态度及信念。
