林波波省马胡杜塔马加市部分初级医疗保健机构护士对实施母婴友好倡议的态度

Nurses' attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province.

作者信息

Mgolozeli Siyabulela E, Shilubane Hilda N, Khoza Lunic B

机构信息

Department of Advanced Nursing Science, University of Venda, Thohoyandou.

出版信息

Curationis. 2019 Mar 5;42(1):e1-e9. doi: 10.4102/curationis.v%vi%i.1929.

DOI:10.4102/curationis.v%vi%i.1929

PMID:30843404

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6407316/

Abstract

BACKGROUND

The implementation of the Mother-Baby Friendly Initiative (MBFI) strategy demonstrated its capabilities to improve global children's health and maternal survival. However, its implementation in primary healthcare (PHC) facilities remains a challenge as many nurses are reluctant to adopt it for the improvement of child and maternal healthcare services in their respective clinics.

OBJECTIVES

The primary objective of this study was to determine the attitudes of nurses towards the implementation of the MBFI in selected PHC facilities in the Makhuduthamaga Municipality, Limpopo province.

METHOD

This study used a quantitative, descriptive design, and all respondents were conveniently sampled. A self-administered questionnaire was used to collect data. One-hundred and seventy-seven questionnaires were distributed, and 153 nurses responded and completed the questionnaire. The Statistical Package for Social Sciences version 23 was used to analyse data.

RESULTS

Results show that the majority of nurses (professional nurses [PNs] = 65, 78%; enrolled nurses [ENs] = 18, 72%; enrolled nursing auxiliaries [ENAs] = 23, 51%) had a positive attitude towards the MBFI strategy implementation as they agreed that it increased breastfeeding rates. Most PNs (n = 58, 70%) and ENs (n = 15, 60%) showed positive attitudes towards exclusive breastfeeding (EBF) as they agreed that it was the ideal feeding option for any child, and most ENAs (n = 38, 84%) showed a negative attitude as they disagreed that EBF was the ideal feeding option for any child.

CONCLUSION

In this study, most PNs and ENs had a positive attitude in all the aspects that determined their attitudes towards MBFI strategy implementation. A concern is the fact that most ENAs showed negative attitudes in almost all the statements that were in line with the principles of MBFI, as they disagreed in most aspects. Therefore, this study recommends that on-going orientation and trainings should be offered to all nurses including ENAs to equip them with information that can assist in changing their attitudes towards MBFI implementation in PHC facilities.

摘要

背景

母婴友好倡议（MBFI）战略的实施展现出其改善全球儿童健康和孕产妇存活率的能力。然而，在初级卫生保健（PHC）机构中实施该战略仍是一项挑战，因为许多护士不愿采用它来改善各自诊所的儿童和孕产妇保健服务。

目的

本研究的主要目的是确定林波波省马胡杜塔马加市选定的初级卫生保健机构中护士对实施母婴友好倡议的态度。

方法

本研究采用定量描述性设计，所有受访者均为方便抽样。使用自填式问卷收集数据。共发放177份问卷，153名护士回复并完成了问卷。使用社会科学统计软件包第23版进行数据分析。

结果

结果显示，大多数护士（专业护士[PNs]=65人，占78%；注册护士[ENs]=18人，占72%；注册护理辅助人员[ENAs]=23人，占51%）对母婴友好倡议战略的实施持积极态度，因为他们认同该倡议提高了母乳喂养率。大多数专业护士（n=58人，占70%）和注册护士（n=15人，占60%）对纯母乳喂养（EBF）持积极态度，因为他们认同这是任何儿童的理想喂养方式，而大多数注册护理辅助人员（n=38人，占84%）持消极态度，因为他们不同意纯母乳喂养是任何儿童的理想喂养方式。

结论

在本研究中，大多数专业护士和注册护士在决定其对母婴友好倡议战略实施态度的所有方面都持积极态度。令人担忧的是，大多数注册护理辅助人员在几乎所有符合母婴友好倡议原则的陈述中都持消极态度，因为他们在大多数方面都不同意。因此，本研究建议应为包括注册护理辅助人员在内的所有护士提供持续的培训和指导，使他们掌握有助于改变其对在初级卫生保健机构实施母婴友好倡议态度的信息。