Improving knowledge of breastfeeding management: A practice development intervention for paediatric nurses

Williams, Alison, Young, Jeanine, Kearney, Lauren and Keogh, Samantha (2013) Improving knowledge of breastfeeding management: A practice development intervention for paediatric nurses. Neonatal, Paediatric and Child Health Nursing, 16 2: 8-14.

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Author Williams, Alison
Young, Jeanine
Kearney, Lauren
Keogh, Samantha
Title Improving knowledge of breastfeeding management: A practice development intervention for paediatric nurses
Journal name Neonatal, Paediatric and Child Health Nursing   Check publisher's open access policy
ISSN 1441-6638
Publication date 2013-07-01
Year available 2013
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 16
Issue 2
Start page 8
End page 14
Total pages 7
Place of publication West Leederville, Australia
Publisher Cambridge Publishing
Formatted abstract
Aim: The primary aim of this study was to evaluate the impact of a targeted, practical education intervention on paediatric nurses' knowledge of appropriate breastfeeding management in an acute practice setting.

Background:
Breastfeeding provides the optimal method for infant growth and nutrition, yet studies have demonstrated knowledge deficits of Australian paediatric nurses regarding the management of the mother-infant breastfeeding dyad. Limited evidence is available evaluating which educational approach is effective in the dynamic and busy acute care setting.

Design: This study was a two-phased, mixed-method design, conducted in a large, tertiary, metropolitan children's hospital in south-east Queensland, Australia.

Methods: Reference groups were conducted in Phase One to advise development of the resource kit. Phase Two was the experimental phase and included a pre-test knowledge survey, the educational intervention, and a post-test knowledge survey.

Results: Pre- and post-test response rates of 75% (n=49) and 34% (n=23) respectively were achieved from the population of 67 eligible participants. Post-intervention study results demonstrated knowledge improvement in four key breastfeeding management areas: importance of baby-led feeding; reduction in otitis media risk for breastfed infants; ongoing management of maternal milk supply when breastfeeding is interrupted; and the correct storage and management of expressed breast milk. Areas for further knowledge improvement included management of more complex breastfeeding scenarios, such as mastitis.

Conclusion: The implementation of a resource kit and brief education series has improved the knowledge of paediatric nurses in some areas of breastfeeding practice and management.
Keyword Breastfeeding
Nurse education
Paediatric nurse
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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Created: Fri, 29 Nov 2013, 05:46:13 EST by System User on behalf of School of Medicine