Tanaka Rie, Horiuchi Shigeko
Graduate Course of Midwifery, Teikyo University, Tokyo, Japan.
Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.
Heliyon. 2022 Oct 15;8(10):e11072. doi: 10.1016/j.heliyon.2022.e11072. eCollection 2022 Oct.
Breastfeeding is important for preterm mothers and infants. However, evidence-based practice and standardized education remain inadequate. To implement evidence-based practice, continuous education is mandatory for nurse-midwives. We previously implemented our developed education program on early essential milk expression care for preterm mothers among Japanese nurse-midwives. Herein, we aimed the effects of our education program on in terms of changes in their correct answer rates for 20 specific knowledge items before and after the education program implementation. We also aimed program-related issues from nurse-midwives' comments to improve the program.
We conducted a secondary analysis of our previous data and surveyed the knowledge of 36 nurse-midwives who received a similar face-to-face education program on milk expression care for mothers three months before (Pre-1), just before (Pre-2), just after (Post-1), and three months after (Post-2) the program. We obtained their comments at Post-2 and identified issues for program improvement.
The knowledge items, in which the correct answer rates of Post-1 were significantly higher than those of Pre-2, were Verification of the motivation and intent, Benefits of breastfeeding for mothers and infants, Milk volume on the fourth day and at around the second week after birth, Lactogenesis stage 3, Autocrine control, Time between birth and the initiation of milk expression, Early initiation of milk expression, Frequent milk expression, and Duration of pumping. The issues identified were practical training, knowledge retention, and misunderstanding knowledge.
Nurse-midwives' unacquired knowledge of milk expression care for preterm mothers was effectively supplemented by the education program. Pre-education knowledge items with low correct answer rates must be strengthened during in-service education. Practical training, knowledge retention, and misunderstanding knowledge can be improved.
母乳喂养对早产母亲和婴儿都很重要。然而，循证实践和标准化教育仍然不足。为了实施循证实践，对助产护士进行持续教育是必不可少的。我们之前在日本助产护士中实施了我们开发的针对早产母亲的早期基本挤奶护理教育项目。在此，我们旨在评估我们的教育项目在项目实施前后20个特定知识项目的正确回答率变化方面的效果。我们还旨在从助产护士的评论中找出与项目相关的问题，以改进该项目。
我们对之前的数据进行了二次分析，并调查了36名助产护士的知识掌握情况，这些助产护士在项目实施前三个月（Pre-1）、即将实施前（Pre-2）、刚实施后（Post-1）以及实施后三个月（Post-2）接受了类似的关于母亲挤奶护理的面对面教育项目。我们在Post-2时获取了她们的评论，并确定了项目改进的问题。
Post-1正确回答率显著高于Pre-2的知识项目有：动机和意图的确认、母乳喂养对母婴的益处、出生后第四天和第二周左右的奶量、泌乳三期、自分泌控制、出生至开始挤奶的时间、早期开始挤奶、频繁挤奶以及挤奶持续时间。发现的问题有实践培训、知识保留和知识误解。
该教育项目有效地补充了助产护士对早产母亲挤奶护理方面未掌握的知识。在职教育期间必须加强正确回答率较低的预教育知识项目。实践培训、知识保留和知识误解的情况可以得到改善。
