Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Obstetrics Department, Shanghai First Maternity and Infant Hospital, Shanghai, 201204, China.
BMC Pregnancy Childbirth. 2022 Dec 1;22(1):888. doi: 10.1186/s12884-022-05227-4.
The benefits of breastfeeding for both mother and baby are well recognized. However, the separation of the mother-newborn dyad leads to a lower breastfeeding rate. These parturients who are separated from their hospitalized infants are sometimes unaware of the importance of breastfeeding, while nurses do know how important health education on breastfeeding is and how it can be improved. This descriptive qualitative study aimed to explore the experiences of nurses regarding health education on breastfeeding and summarize the potential ways to improve it.
A descriptive phenomenological qualitative approach was utilized in this study, and in-depth, semi-structured interviews were conducted with nurses at a tertiary A-grade obstetrics-and gynecology-specialized hospital in Shanghai, China. The purposive and snowball sampling method was used and Colaizzi's seven-step phenomenological analysis was employed. The Consolidated criteria for Reporting Qualitative research (COREQ) was followed to report findings.
Fifteen nurses participated in the study and shared their suggestions based on their experiences. Four overarching themes emerged from the data: (1) extending the education duration, (2) enriching the educational content, (3) expanding the education subjects, and (4) perfecting the educational process. Each theme included several subthemes.
Health education on breastfeeding should focus on the time, content, subjects, and process as a whole. The nurses' statements provided a reference for nursing or hospital supervisors to take measures to improve education and increase the breastfeeding rate of hospitalized neonates. Further research from the perspectives of parturients and their family members is needed, to find out what the key points are that all of them attach importance to.
母乳喂养对母婴双方都有好处，这一点已得到广泛认可。然而，母婴分离导致母乳喂养率下降。这些与住院婴儿分离的产妇有时没有意识到母乳喂养的重要性，而护士知道母乳喂养健康教育的重要性以及如何改进。本描述性定性研究旨在探讨护士对母乳喂养健康教育的经验，并总结潜在的改进方法。
本研究采用描述性现象学定性方法，对中国上海一家三级甲等妇产科专科医院的护士进行了深入的半结构化访谈。采用目的和滚雪球抽样法，并采用 Colaizzi 的七步现象学分析。研究结果遵循统一报告定性研究的标准（COREQ）进行报告。
15 名护士参与了研究，并根据他们的经验提出了建议。从数据中得出了四个总体主题：（1）延长教育时间，（2）丰富教育内容，（3）扩大教育对象，（4）完善教育过程。每个主题都包含几个子主题。
母乳喂养健康教育应着眼于时间、内容、对象和过程的整体。护士的陈述为护理或医院主管提供了参考，以便采取措施改进教育并提高住院新生儿的母乳喂养率。需要从产妇及其家属的角度进一步研究，找出他们都重视的关键点。
