Ranch Matilda Möller, Jämtén Sofia, Thorstensson Stina, Ekström-Bergström Anette C
Neonatal Care Unit, NÄL Hospital Trollhättan, Sweden.
Pediatric Healthcare Setting, Capio, Lysekil, Sweden.
Nurs Res Pract. 2019 Aug 6;2019:8731705. doi: 10.1155/2019/8731705. eCollection 2019.
Although the World Health Organization recommends exclusive breastfeeding for six months, the rate of breastfeeding has decreased worldwide. Breastfeeding is the natural way of feeding a baby, but it is a process that has to be learnt. It is not unusual for problems to occur and hence support for breastfeeding is vital. The aim of this study was to explore first-time mothers' experiences of the breastfeeding support offered by pediatric nurses, as well as to develop and evaluate the Mother Perceived Support from Professionals (MoPPS) scale.
A qualitative design involving both inductive and deductive approaches was chosen. Nine first-time mothers were interviewed regarding their experiences of the breastfeeding support offered by pediatric nurses. Semistructured interviews were conducted. The mothers were also asked to grade their experiences of breastfeeding support on the MoPPS scale. A qualitative content analysis was applied when analyzing the data obtained using both the inductive (interviews) and deductive (MoPPS scale) approaches.
The results revealed that the mothers felt the desire to breastfeed, although they all experienced some difficulties. They wanted the pediatric nurses to be perceptive and provide professional support based on their own experiences. When the pediatric nurses took time and booked extra appointments, the mothers felt supported. The inductive analysis resulted in one theme: "When wanting to breastfeed, mothers have a desire to be offered professional breastfeeding support". Two main categories were identified, namely "Mothers wanted but lacked breastfeeding support" and "Mothers received professional support." The deductive analysis of the MoPPS scale showed similar results, and the questions were perceived as relevant to the aim. The mothers considered it important that the pediatric nurses had sufficient knowledge about breastfeeding. It was also considered important that the pediatric nurses involved the mothers' partners in the breastfeeding support. Therefore, we suggest that these areas should be included in the MoPPS scale for pediatric nurses.
The MoPPS scale can be a useful tool for helping pediatric nurses to offer mothers professional breastfeeding support. Indeed, when offering breastfeeding support, pediatric nurses can use the items included on the MoPPS scale as guidance.
尽管世界卫生组织建议纯母乳喂养六个月，但全球母乳喂养率却有所下降。母乳喂养是喂养婴儿的自然方式，但这是一个需要学习的过程。出现问题并不罕见，因此对母乳喂养的支持至关重要。本研究的目的是探讨初产妇对儿科护士提供的母乳喂养支持的体验，并开发和评估专业人员感知支持量表（MoPPS）。
选择了一种涉及归纳法和演绎法的定性设计。就初产妇对儿科护士提供的母乳喂养支持的体验，对九位初产妇进行了访谈。进行了半结构化访谈。还要求母亲们根据MoPPS量表对她们的母乳喂养支持体验进行评分。在分析使用归纳法（访谈）和演绎法（MoPPS量表）获得的数据时，采用了定性内容分析法。
结果显示，母亲们有母乳喂养的意愿，尽管她们都经历了一些困难。她们希望儿科护士能够敏锐察觉，并根据自身经验提供专业支持。当儿科护士花时间并安排额外预约时，母亲们感到得到了支持。归纳分析得出一个主题：“当想要母乳喂养时，母亲们希望得到专业的母乳喂养支持”。确定了两个主要类别，即“母亲们想要但缺乏母乳喂养支持”和“母亲们得到了专业支持”。对MoPPS量表的演绎分析显示了类似结果，且这些问题被认为与研究目的相关。母亲们认为儿科护士对母乳喂养有足够的知识很重要。儿科护士让母亲们的伴侣参与母乳喂养支持也被认为很重要。因此，我们建议这些方面应纳入针对儿科护士的MoPPS量表。
MoPPS量表可以成为帮助儿科护士为母亲们提供专业母乳喂养支持的有用工具。实际上，在提供母乳喂养支持时，儿科护士可以将MoPPS量表中的项目用作指导。
