Folker-Maglaya Catherine, Pylman Maureen E, Couch Kimberly A, Spatz Diane L, Marzalik Penny R
School of Nursing, City Colleges of Chicago-Malcolm X College, Illinois (Dr Folker-Maglaya); Research and Planning, City Colleges of Chicago-Harry S. Truman College, Illinois (Dr Pylman); Phoenix Indian Medical Center, US Public Health Service, Phoenix, Arizona, and Frontier Nursing University, Hyden, Kentucky (Dr Couch); School of Nursing, University of Pennsylvania, Philadelphia, and The Children's Hospital of Philadelphia, Pennsylvania (Dr Spatz); and Nurse-Midwifery and Women's Health Specialty Tracks, College of Nursing, The Ohio State University, Columbus (Dr Marzalik).
J Perinat Neonatal Nurs. 2018 Apr/Jun;32(2):153-163. doi: 10.1097/JPN.0000000000000330.
All health professional organizations recommend exclusive breastfeeding for at least 6 months, with continued breastfeeding for 1 year or more after birth. Women cite lack of support from health professionals as a barrier to breastfeeding. Meanwhile, breastfeeding education is not considered essential to basic nursing education and students are not adequately prepared to support breastfeeding women. Therefore, a toolkit of comprehensive evidence-based breastfeeding educational materials was developed to provide essential breastfeeding knowledge. A study was performed to determine the effectiveness of the breastfeeding toolkit education in an associate degree nursing program. A pretest/posttest survey design with intervention and comparison groups was used. One hundred fourteen students completed pre- and posttests. Student knowledge was measured using a 12-item survey derived with minor modifications from Marzalik's 2004 instrument measuring breastfeeding knowledge. When pre- and posttests scores were compared within groups, both groups' knowledge scores increased. A change score was calculated with a significantly higher mean score for the intervention group. When regression analysis was used to control for the pretest score, belonging to the intervention group increased student scores but not significantly. The toolkit was developed to provide a curriculum that demonstrates enhanced learning to prepare nursing students for practice. The toolkit could be used in other settings, such as to educate staff nurses working with childbearing families.
所有健康专业组织都建议纯母乳喂养至少6个月，并在产后持续母乳喂养1年或更长时间。女性将缺乏健康专业人员的支持视为母乳喂养的障碍。与此同时，母乳喂养教育在基础护理教育中不被视为必不可少的内容，学生也没有做好充分准备来支持母乳喂养的女性。因此，开发了一套基于全面循证的母乳喂养教育材料工具包，以提供基本的母乳喂养知识。进行了一项研究，以确定在护理学副学士学位项目中母乳喂养工具包教育的有效性。采用了带有干预组和对照组的前测/后测调查设计。114名学生完成了前测和后测。使用一份由Marzalik 2004年测量母乳喂养知识的工具稍加修改而来的包含12个条目的调查问卷来衡量学生的知识水平。当在组内比较前测和后测分数时，两组的知识分数都有所提高。计算了变化分数，干预组的平均分数显著更高。当使用回归分析来控制前测分数时，属于干预组会提高学生分数，但不显著。开发该工具包是为了提供一门能展示强化学习效果的课程，让护理专业学生为实践做好准备。该工具包可用于其他环境，比如教育照顾生育家庭的在职护士。
