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评估跨学科母乳喂养及泌乳知识、态度与技能:对一项面向医疗保健专业人员的专业研究生课程的评估

Evaluating interdisciplinary breastfeeding and lactation knowledge, attitudes and skills: An evaluation of a professional graduate programme for healthcare professionals.

作者信息

McGuinness Denise, Frazer Kate, Conyard Karl F, Cornally Paula, Cooper Lauren, Vickers Niamh

机构信息

School of Nursing, Midwifery & Health Systems University College, Dublin, Ireland.

School of Public Health, Physiotherapy and Sports Science, Dublin, Ireland.

出版信息

PLoS One. 2025 Jan 31;20(1):e0310500. doi: 10.1371/journal.pone.0310500. eCollection 2025.

DOI:10.1371/journal.pone.0310500
PMID:39888875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11785295/
Abstract

Breastfeeding theoretical and skills training is important for health care professionals engaging with the mother infant dyad to increase breastfeeding exclusivity and duration. The aim of this study was to evaluate the knowledge, attitudes and practices (KAPs) of health care professionals following completion of a university professional graduate programme in breastfeeding and lactation. A pre and post-educational study design was used. All students enrolled in a six month programme were invited to complete an online anonymous survey at two time points: January 2023 and July 2023. Ethical approval (LS-C-23-17) was obtained in January 2023. Descriptive statistics were utilised to report percentages and means, and independent T tests were used to report mean differences between variables on knowledge, attitude and practices. All students completed the module. The pre survey participant response rate was n = 55 (92.82%) and the post survey participant response rate n = 33 (60%). Comparison of the pre and post questionnaire report nine statistically significant results following completion of the university breastfeeding and lactation programme. Knowledge scores increased specifically with higher mean knowledge scores for reporting "I am confident with my knowledge about breastfeeding" and statistically significant mean difference of 0.29 following completion of the module (95% CI, 0.13 to 0.45) (t (64) = 3.59, p = 0.001). The programme evaluation identifies the importance of a professional graduate breastfeeding and lactation education programme for interdisciplinary health care professionals increasing knowledge, attitudes and practices and ultimately increasing breastfeeding rates in the short and long term, with improved maternal and child health outcomes.

摘要

母乳喂养理论与技能培训对于接触母婴二元组的医护人员来说非常重要,有助于提高纯母乳喂养率和持续时间。本研究的目的是评估医护人员在完成大学母乳喂养与泌乳专业研究生课程后的知识、态度和实践(KAP)情况。采用了教育前后的研究设计。参加为期六个月课程的所有学生被邀请在两个时间点完成一项在线匿名调查:2023年1月和2023年7月。2023年1月获得了伦理批准(LS-C-23-17)。使用描述性统计来报告百分比和均值,并使用独立t检验来报告知识、态度和实践变量之间的均值差异。所有学生都完成了该模块。调查前的参与者回复率为n = 55(92.82%),调查后的参与者回复率为n = 33(60%)。对问卷前后的比较显示,在完成大学母乳喂养与泌乳课程后有九个具有统计学意义的结果。知识得分有所提高,特别是在报告“我对自己关于母乳喂养的知识有信心”方面有更高的平均知识得分,并且在完成该模块后有统计学意义的平均差异为0.29(95%可信区间,0.13至0.45)(t(64)=3.59,p = 0.001)。该项目评估确定了专业研究生母乳喂养与泌乳教育项目对于跨学科医护人员的重要性,该项目可增加知识、态度和实践,最终在短期和长期内提高母乳喂养率,并改善母婴健康结果。

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Nurse Educ Today. 2023 Jul;126:105813. doi: 10.1016/j.nedt.2023.105813. Epub 2023 Apr 17.
2
The lactation skill gaps of multidisciplinary paediatric healthcare professionals in the United Kingdom.英国多学科儿科保健专业人员的哺乳技能差距。
J Hum Nutr Diet. 2023 Jun;36(3):848-863. doi: 10.1111/jhn.13172. Epub 2023 Apr 17.
3
Breastfeeding: crucially important, but increasingly challenged in a market-driven world.母乳喂养:至关重要,但在市场经济驱动的世界中,面临越来越多的挑战。
Lancet. 2023 Feb 11;401(10375):472-485. doi: 10.1016/S0140-6736(22)01932-8. Epub 2023 Feb 7.
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Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries.与 17 个世卫组织欧洲区域国家在 COVID-19 大流行期间出院时纯母乳喂养相关的因素。
Int Breastfeed J. 2022 Dec 2;17(1):83. doi: 10.1186/s13006-022-00517-1.
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Understanding the challenges related to breastfeeding education and barriers to curricular change: a systems perspective for transforming health professions education.理解母乳喂养教育相关挑战及课程变革障碍:转变卫生专业教育的系统视角
Can Med Educ J. 2022 Jul 6;13(3):91-104. doi: 10.36834/cmej.73178. eCollection 2022 Jul.
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