Chang Yan-Shing, Beake Sarah, Kam Joyce, Lok Kris Yuet-Wan, Bick Debra
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, United Kingdom.
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, United Kingdom.
Midwifery. 2022 May;108:103299. doi: 10.1016/j.midw.2022.103299. Epub 2022 Mar 1.
To examine and synthesise qualitative evidence of women's, peer supporters' and healthcare professionals' views and experiences of breastfeeding peer support.
The Joanna Briggs Institute (JBI) approach to systematic reviews of qualitative studies was followed. Seven databases: CINAHL, MEDLINE, EMBASE, PsycINFO, Scopus, Maternal & Infant Care, and Web of Science were searched. Included papers were critically appraised using the JBI Critical Appraisal Checklist for Qualitative Research. JBI's meta-aggregation approach was used to synthesise findings. JBI's ConQual process was followed to assess confidence of evidence.
Primiparous and multiparous women, lay breastfeeding peer supporters, and healthcare professionals based in high, middle, and low income countries.
Twenty-three papers presenting findings from 22 studies were included. The synthesised findings included: (1) Positive characteristics, approaches and benefits of peer support(ers); (2) Relationships between healthcare professionals and peer supporters; (3) Improving women's access to peer support services; (4) Barriers and enablers to provide peer support.
Breastfeeding peer support increased women's self-esteem and confidence in breastfeeding while reducing social isolation. Peer supporters valued the experience, which gave them a sense of purpose and confidence, and felt good about helping the women they supported. Women appreciated peer supporters who were caring, spent time with them, shared experiences, provided realistic information, practical and emotional support. Although there were tensions between some healthcare professionals and peer supporters, many valued the mutual support offered. Embedding peer supporters in healthcare systems for them to work alongside healthcare professionals, combined with good communications and building trusty relationships could be a useful strategy to reduce tensions between them.
审视并综合关于女性、同伴支持者及医护人员对母乳喂养同伴支持的看法和经历的定性证据。
采用乔安娜·布里格斯研究所（JBI）定性研究系统评价方法。检索了七个数据库：护理学与健康领域数据库（CINAHL）、医学期刊数据库（MEDLINE）、荷兰医学文摘数据库（EMBASE）、心理学文摘数据库（PsycINFO）、斯高帕斯数据库（Scopus）、母婴护理数据库以及科学引文索引数据库（Web of Science）。使用JBI定性研究批判性评价清单对纳入的论文进行严格评价。采用JBI的元聚合方法综合研究结果。遵循JBI的ConQual流程评估证据的可信度。
来自高、中、低收入国家的初产妇和经产妇、非专业母乳喂养同伴支持者以及医护人员。
纳入了23篇呈现22项研究结果的论文。综合研究结果包括：（1）同伴支持者的积极特征、方法和益处；（2）医护人员与同伴支持者之间的关系；（3）改善女性获得同伴支持服务的机会；（4）提供同伴支持的障碍和促进因素。
母乳喂养同伴支持增强了女性的自尊和母乳喂养信心，同时减少了社交孤立感。同伴支持者重视这段经历，这赋予了他们使命感和信心，并且因帮助所支持的女性而感觉良好。女性欣赏体贴、花时间陪伴她们、分享经验、提供实用信息以及给予实际和情感支持的同伴支持者。尽管一些医护人员与同伴支持者之间存在紧张关系，但许多人重视彼此提供的相互支持。将同伴支持者纳入医疗保健系统，使其与医护人员并肩工作，同时辅之以良好的沟通和建立信任关系可能是减少他们之间紧张关系的有效策略。
