Dubik Stephen Dajaan, Yirkyio Ernestina, Ebenezer Kingsley E
School of Allied Health Sciences, University for Development Studies, Tamale, Ghana.
Faculty of Health and Allied Sciences, Catholic University College of Ghana, Fiapre, Ghana.
Clin Med Insights Pediatr. 2021 Apr 19;15:11795565211010704. doi: 10.1177/11795565211010704. eCollection 2021.
Breastfeeding education is critical in improving healthcare professionals' competencies in providing breastfeeding care to mothers. We evaluated breastfeeding competencies, training, barriers and satisfaction of breastfeeding educational experiences among nurses and midwives in the Sagnarigu Municipality, Ghana.
This cross-sectional study included nurses and midwives providing maternal and child health services at various primary healthcare facilities in Sagnarigu Municipality.
Nurses and midwives had higher pre-service breastfeeding training than in-service training with a mean training score of 10.0 and 5.2, respectively. Nurses and midwives who had both pre-service and in-service training had better satisfaction score ( = .003), positive attitudes ( = .016) and higher confidence level about breastfeeding ( = .007). Approximately, 80% of the nurses and midwives reported that they need further training/updating on breastfeeding while 40% reported clinical/professional practice as the significant contributor to their breastfeeding counselling competencies. Mean satisfaction score correlated positively with confidence levels about breastfeeding counselling ( = .224, = .022) and pre-service training ( = .342, < .001); confidence levels about breastfeeding counselling also correlated positively with attitudes towards breastfeeding counselling ( = .348, < .001). Commonly reported barriers to breastfeeding counselling were mother's poor compliance with breastfeeding recommendations, too much workload, inadequate time and materials for breastfeeding counselling.
Nurses and midwives in this study felt confident about breastfeeding counselling, had positive attitudes towards breastfeeding counselling and generally, satisfied with their breastfeeding educational experiences. Despite nurses and midwives agreeing that breastfeeding counselling is integral in their professional practice, their role in providing breastfeeding counselling is hindered by individual and health systems barriers.
母乳喂养教育对于提高医护人员为母亲提供母乳喂养护理的能力至关重要。我们评估了加纳萨纳里古市护士和助产士的母乳喂养能力、培训情况、障碍以及对母乳喂养教育经历的满意度。
这项横断面研究纳入了在萨纳里古市各初级卫生保健机构提供母婴健康服务的护士和助产士。
护士和助产士的职前母乳喂养培训比在职培训更多，平均培训得分分别为10.0和5.2。接受过职前和在职培训的护士和助产士有更高的满意度得分（P = 0.003）、更积极的态度（P = 0.016）以及对母乳喂养更高的信心水平（P = 0.007）。大约80%的护士和助产士报告称他们需要进一步接受母乳喂养方面的培训/更新，而40%的人报告临床/专业实践是其母乳喂养咨询能力的重要贡献因素。平均满意度得分与母乳喂养咨询的信心水平呈正相关（r = 0.224，P = 0.022）以及职前培训（r = 0.342，P < 0.001）；母乳喂养咨询的信心水平也与对母乳喂养咨询的态度呈正相关（r = 0.348，P < 0.001）。母乳喂养咨询中常见的障碍包括母亲对母乳喂养建议的依从性差、工作量过大、母乳喂养咨询的时间和材料不足。
本研究中的护士和助产士对母乳喂养咨询有信心，对母乳喂养咨询持积极态度，总体上对他们的母乳喂养教育经历感到满意。尽管护士和助产士一致认为母乳喂养咨询是其专业实践中不可或缺的一部分，但他们在提供母乳喂养咨询方面的作用受到个人和卫生系统障碍的阻碍。
