Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia; Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
Women Birth. 2019 Jun;32(3):e334-e340. doi: 10.1016/j.wombi.2018.08.167. Epub 2018 Sep 6.
Optimal nutrition during the first year of life is critical to infants' healthy growth and development. Hence, it is vital that undergraduate health professional curricula provide good quality learning environments to enable students to acquire the necessary knowledge and skills to support breastfeeding mothers.
To examine the change in knowledge and attitude in Taiwanese nursing students following theoretical and clinical learning experiences on breastfeeding.
This study used a pre-test/post-test survey design with two cohorts of nursing students (N=215). Knowledge and attitude were assessed before and after: (a) theoretical (didactic and skills laboratory) education in Cohort One, and (b) clinical placement in Cohort Two.
Students in both cohorts demonstrated significant improvements in knowledge and attitude post-theoretical education, and post-clinical placement. Prior to theoretical education in Cohort One, those with experience of close family members being breastfed were more than 14 times (adjusted odds ratio: 14.09, 95% confidence interval: 1.73-114.64) to be in the high knowledge group. However, following theoretical or clinical education, there were no sociodemographic group differences in breastfeeding knowledge or attitude in Cohorts One or Two.
Results revealed that the current breastfeeding education program in Taiwan, both theoretical and clinical components, increased nursing students' knowledge and improved positive attitudes towards breastfeeding, and any sociodemographic differences in knowledge and attitude about breastfeeding were ameliorated following theoretical and clinical placement experience focused on breastfeeding.
婴儿期的最佳营养对其健康成长和发育至关重要。因此，本科医疗专业课程必须提供优质的学习环境，使学生能够获得支持母乳喂养母亲所需的知识和技能。
考察台湾护理学生在接受母乳喂养理论和临床学习体验后的知识和态度变化。
本研究采用了两个护理学生队列（N=215）的预测试/后测试调查设计。在以下两种情况下评估知识和态度：（a）队列一的理论（讲授和技能实验室）教育，以及（b）队列二的临床实习。
两个队列的学生在理论教育后和临床实习后，知识和态度都有显著提高。在队列一的理论教育之前，那些有亲密家庭成员母乳喂养经验的人，其知识水平处于较高水平的可能性超过 14 倍（调整后的优势比：14.09，95%置信区间：1.73-114.64）。然而，在接受理论或临床教育后，队列一或队列二的任何社会人口统计学群体在母乳喂养知识或态度方面都没有差异。
结果表明，台湾目前的母乳喂养教育计划，包括理论和临床两部分，提高了护理学生的知识水平，并改善了他们对母乳喂养的积极态度，并且任何关于母乳喂养的知识和态度的社会人口统计学差异，在理论和以母乳喂养为重点的临床实习后都得到了改善。
