Although breastfeeding is known to be beneficial to both mother and infant, many women encounter barriers to breastfeeding, even after successful breastfeeding initiation, which may put them at greater risk for early cessation of breastfeeding. The objectives of this study were to conduct a secondary analysis of data from a longitudinal study of postpartum depression to (a) examine factors related to very early discontinuation of breastfeeding (at 2 weeks postpartum) following hospital discharge and (b) identify women's reasons for very early cessation of breastfeeding. The results of this study support findings from previous research. Having a perceived support system, whether it is personal or professional, may have an effect on both the initiation and duration of breastfeeding. Educating expectant and new mothers, especially women who encounter multiple barriers and are at risk for very early cessation of breastfeeding, of the benefits of breastfeeding and supporting them in developing efficient techniques and problem-solving skills can help increase the duration of breastfeeding.
During a high-risk pregnancy, women who engage in more health-promoting behaviors may experience less stress; however, the causal relationship between stress and health promotion is not known. Nurses can offer stress management techniques and health-promoting self-care during this stressful time to encourage health in mother and neonate.
Labor support is known to support progress of normal labor. Nurses are encouraged to provide labor support yet may encounter barriers to the practice of labor support. The purpose of this secondary data analysis was to examine individual and institutional factors associated with labor support behaviors. Age and experience were individual factors related to labor support. Older and more experienced nurses reported providing more labor support. Institutional factors associated with labor support were lower rates of epidural analgesia use and cesarean surgery. These findings indicate birthing families should understand that the birth environment may influence the care that nurses give during labor. Choosing an environment that supports normal birth may be the best place for receiving labor supportive nursing care.
While learning to care for others, undergraduate nursing students often fail to care for themselves. This study examined the effect of a self-care intervention on undergraduate nursing students. Self-care is the practice of health-related activities in which individuals engage to adopt a healthier lifestyle. A pretest-posttest, single group design was used to test whether students increased their self-care activities after completing a course requiring self-care. Full-time junior nursing students (
N
= 67) were required to complete a lifestyle self-care plan and use 2 hours of practice time per week to engage in self-care behaviors. A measure of components of a healthy lifestyle, the Health-Promoting Lifestyle Profile-II, showed an increase on six of the seven scales. These findings suggest that nursing students may increase self-care when given time to develop self-care strategies as part of a nursing course.
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