Ny Pernilla, Andersson Johanna, Bergholtz Elin, Janlöv Ann-Christin, Ekstrand Ragnar Maria
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Health Care Centre Näsby, Kristianstad, Sweden.
Front Pediatr. 2025 Jul 14;13:1584468. doi: 10.3389/fped.2025.1584468. eCollection 2025.
In Sweden, evidence-based breastfeeding support is provided as part of the 2022-2027 Swedish Food Agency's breastfeeding strategy. Despite 98% of mothers intending to breastfeed, exclusive breastfeeding rates have dropped from 82% in 2014 to 67% in 2022. Child health service nurses offer guidance regarding breastfeeding to women and their partners. The aim of this study was to explore the challenges perceived by nurses in child health services in providing breastfeeding support to mothers in Sweden.
Qualitative methodology, using semi-structured interviews with 12 purposively recruited Child Health Service Nurses (CHSN) in southern Sweden. The interviews were recorded, transcribed verbatim and analysed using qualitative content analysis.
The analysis identified three main categories, eleven sub-categories and one overall theme: "", which illustrates the CHSNs' struggles during consultations. It reflects communication barriers (i.e., language gaps), relational concerns (i.e., fear of harming trust), cultural factors (i.e., different perceptions of breastfeeding), and organizational hurdles (i.e., time constraints, limited access), prompting CHSNs to delicately balance support while respecting individual choices, often resulting in stepping back from evidence-based breastfeeding advice when faced with obstacles.
The study highlights challenges in breastfeeding support among CHSNs, underscoring the need for evidence-based, person-centred care. Further education and guidance are essential to improve support and advance global health goals.
在瑞典，基于证据的母乳喂养支持是2022 - 2027年瑞典食品局母乳喂养战略的一部分。尽管98%的母亲打算母乳喂养，但纯母乳喂养率已从2014年的82%降至2022年的67%。儿童健康服务护士为妇女及其伴侣提供有关母乳喂养的指导。本研究的目的是探讨瑞典儿童健康服务中的护士在为母亲提供母乳喂养支持时所面临的挑战。
采用定性研究方法，对瑞典南部12名经过有目的招募的儿童健康服务护士（CHSN）进行半结构化访谈。访谈进行录音、逐字转录，并采用定性内容分析法进行分析。
分析确定了三个主要类别、十一个子类别和一个总体主题：“”，它说明了儿童健康服务护士在咨询过程中的挣扎。它反映了沟通障碍（即语言差距）、关系问题（即担心损害信任）、文化因素（即对母乳喂养的不同看法）和组织障碍（即时间限制、获取机会有限），促使儿童健康服务护士在尊重个人选择的同时巧妙地平衡支持，在面对障碍时往往会放弃基于证据的母乳喂养建议。
该研究突出了儿童健康服务护士在母乳喂养支持方面的挑战，强调了基于证据的、以患者为中心的护理的必要性。进一步的教育和指导对于改善支持并推进全球健康目标至关重要。
