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本科护生母乳喂养体验的质性研究。

Breastfeeding Experiences of Baccalaureate Nursing Students: A Qualitative Study.

机构信息

5535 School of Nursing, Linfield University, Portland, OR, USA.

出版信息

J Hum Lact. 2021 Nov;37(4):689-696. doi: 10.1177/0890334420979981. Epub 2020 Dec 22.

DOI:10.1177/0890334420979981
PMID:33351687
Abstract

BACKGROUND

Students returning to school who are breastfeeding face unique challenges. There is limited literature on breastfeeding university students. Several researchers have studied breastfeeding employees in the workplace. Institutions of higher education closely mimic the employment environment. Breastfeeding college students who express their milk while at school share similar challenges to employed mothers. A baccalaureate nursing program is rigorous and little is known about the challenges facing breastfeeding student nurses returning to classes.

RESEARCH AIM

To explore the breastfeeding experience of baccalaureate nursing students.

METHODS

Our study was a cross-sectional descriptive qualitative design. Purposive sampling was used to enroll participants ( = 12). In depth, semi-structured interviews were conducted. Qualitative thematic analysis was used to analyze the data both manually and using Dedoose QDA software.

RESULTS

An overarching theme of pervasive conflict between the role of the breastfeeding mother and the role of the student nurse surfaced. Three interrelated organizing themes also emerged; challenging, vulnerability, and resilience. Time constraints, self-care versus role demands, and structural accommodations contributed to the challenges. Only one participant indicated a knowledge of her breastfeeding rights. All of the participants expressed gratitude for faculty and community support, regardless of conflicts.

CONCLUSION

Breastfeeding participants were both vulnerable and resilient. Faculty may improve experiences through providing specific areas of support. A breastfeeding support policy outlining student rights and faculty responsibilities is needed to educate, guide, and enforce protections. Health care providers may enhance breastfeeding students' experiences through anticipatory guidance, education, and continued support.

摘要

背景

正在返回学校的哺乳期学生面临着独特的挑战。关于哺乳期大学生的文献很少。一些研究人员研究了工作场所的母乳喂养员工。高等教育机构紧密模仿就业环境。在学校表达母乳的哺乳期大学生与在职母亲面临着类似的挑战。护理学士学位课程要求严格,很少有人了解返回课堂的哺乳期护理专业学生所面临的挑战。

研究目的

探索护理专业学生的母乳喂养经历。

方法

我们的研究采用了横断面描述性定性设计。采用目的性抽样方法招募参与者(n=12)。进行了深入的半结构式访谈。采用定性主题分析方法对数据进行手动和 Dedoose QDA 软件分析。

结果

母乳喂养母亲的角色和学生护士的角色之间存在普遍冲突的主题浮出水面。还出现了三个相互关联的组织主题:挑战、脆弱性和韧性。时间限制、自我保健与角色需求以及结构上的适应措施导致了挑战。只有一名参与者表示了解自己的母乳喂养权利。所有参与者都表示感谢教师和社区的支持,尽管存在冲突。

结论

母乳喂养的参与者既脆弱又有韧性。教师可以通过提供特定的支持领域来改善体验。需要制定母乳喂养支持政策,阐明学生的权利和教师的责任,以进行教育、指导和执行保护。医疗保健提供者可以通过预期指导、教育和持续支持来提高母乳喂养学生的体验。

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