Use of a Web‐based Education Program Improves Nurses’ Knowledge of Breastfeeding

Deloian, Barbara; Lewin, Linda; O’Connor, Mary

doi:10.1111/1552-6909.12534

Cited by 30 publications

(35 citation statements)

References 28 publications

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“…We identified 6 papers [23,41,42,44-46] that discussed 4 training tools for health care professionals. These systems aimed to improve breastfeeding knowledge and support skills.…”

Section: Resultsmentioning

confidence: 99%

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Tang¹,

Gerling²,

Chen³

et al. 2019

J Med Internet Res

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BackgroundBreastfeeding has many benefits for newborns, mothers, and the wider society. The World Health Organization recommends mothers to feed newborns exclusively with breastmilk for the first 6 months after birth, but breastfeeding rates in many countries fail to align with the recommendations because of various barriers. Breastfeeding success is associated with a number of determinants, such as self-efficacy, intention to breastfeed, and attitudes toward breastfeeding. Information and communication technology (ICT) has been leveraged to support breastfeeding by means of improving knowledge or providing practical supports in different maternal stages. Previous reviews have examined and summarized the effectiveness and credibility of interventions; however, no review has been done from a human-computer interaction perspective that is concerned with novel interaction techniques and the perspective of end users.ObjectiveThe objective of this review was to provide a comprehensive overview of existing digital interventions that support breastfeeding by investigating systems’ objective, technology design, validation process, and quality attributes, both in terms of clinical parameters as well as usability and user experience.MethodsA systematic search was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in the following libraries: PubMed, Science Direct, Association for Computing Machinery Digital Library (ACM Digital Library), and Institute of Electrical and Electronics Engineers Xplore (IEEE Xplore).ResultsA total of 35 papers discussing 30 interventions were included. The main goals of these interventions were organized into 4 categories: breastfeeding education (n=12), breastfeeding promotion (n=8), communication support (n=6), and daily practical support (n=4). Of the interventions, 13 target mothers in the postnatal period. Most interventions come in forms of client communication systems (n=18), which frequently leverage Web technologies, text message, and mobile apps to provide breastfeeding support. Systems predominantly focus on mothers; validation strategies were rather heterogeneous, with 12 user studies concerning usability and user experience and 18 clinical validation studies focusing on the effects of the interventions on breastfeeding determinants; 5 papers did not report results. Generally, straightforward systems (eg, communication tools or Web-based solutions) seem to be more effective than complex interventions (eg, games).ConclusionsExisting information and communication systems offer effective means of improving breastfeeding outcomes, but they do not address all relevant periods in parenthood (eg, the antenatal period) and often do not involve important stakeholders, such as partners. There is an opportunity to leverage more complex technical systems to open up avenues for the broader design of ICT to support breastfeeding; however, considering evaluation outcomes of existing support systems of higher complexity, such systems need to be...

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“…We identified 6 papers [23,41,42,44-46] that discussed 4 training tools for health care professionals. These systems aimed to improve breastfeeding knowledge and support skills.…”

Section: Resultsmentioning

confidence: 99%

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Tang¹,

Gerling²,

Chen³

et al. 2019

J Med Internet Res

View full text Add to dashboard Cite

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“…Increasingly online education is used in undergraduate curriculum. Recently, researchers found that the additional online module improved undergraduate nursing students’ learning as well as their confidence in the clinical setting [ 35 ]. Researchers suggest a variety of forms of educational programmes, including workshops, seminars and more traditional teaching programmes are required [ 20 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding knowledge and attitudes of health professional students: a systematic review

et al. 2018

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BackgroundBreastfeeding support from health professionals can be effective in influencing a mother’s decision to initiate and maintain breastfeeding. However, health professionals, including nursing students, do not always receive adequate breastfeeding education during their foundational education programme to effectively help mothers. In this paper, we report on a systematic review of the literature that aimed to describe nursing and other health professional students’ knowledge and attitudes towards breastfeeding, and examine educational interventions designed to increase breastfeeding knowledge and attitudes amongst health professional students.MethodsA systematic review of peer reviewed literature was performed. The search for literature was conducted utilising six electronic databases, CINAHL, MEDLINE, ProQuest, PubMed, Scopus, and Cochrane, for studies published in English from January 2000 to March 2017. Studies focused on nursing students’ or other health professional students’ knowledge, attitudes or experiences related to breastfeeding. Intervention studies to improve knowledge and attitudes, were also included. All papers were reviewed using the relevant Critical Appraisal Skills Programme (CASP) checklist.ResultsFourteen studies were included in the review. This review indicates that in some settings, health professional students demonstrated mid-range scores on breastfeeding attitudes, and their knowledge of breastfeeding was limited, particularly in relation to breastfeeding assessment and management. All of the studies that tested a specialised breastfeeding education programme, appeared to increase nursing students’ knowledge overall or aspects of their knowledge related to breastfeeding. Several factors were found to influence breastfeeding knowledge and attitudes, including timing of maternal and child health curriculum component, previous personal breastfeeding experience, gender, cultural practices and government legislation.ConclusionsBased on this review, it appears that nursing curriculum, or specialised programmes that emphasise the importance of breastfeeding initiation, can improve breastfeeding knowledge and attitudes and students’ confidence in helping and guiding breastfeeding mothers.

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“…The implementation of breastfeeding education into the training of medical and nursing students, residents, and professionals has been shown to improve their level of knowledge. Studies have found an association between improving health care professionals’ breastfeeding knowledge and favorable breastfeeding outcomes, thus reiterating the importance of incorporating and making breastfeeding education an integral part of the health care providers' professional training …”

Section: Discussionmentioning

confidence: 99%

Association Between Type of Health Professional at Birth and Exclusive Breastfeeding

Haile

Elmasry²,

Chavan³

et al. 2017

J Midwife Womens Health

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Exclusive breastfeeding continuation may be influenced by the type of health professional attending the birth. In addition to having a skilled workforce, health care professionals involved in perinatal care need to be educated and trained to promote and support exclusive breastfeeding as recommended. The complex and multifactorial nature of the maternal decision to exclusively breastfeed requires broader understanding of contextual factors.

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Use of a Web‐based Education Program Improves Nurses’ Knowledge of Breastfeeding

Cited by 30 publications

References 28 publications

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Breastfeeding knowledge and attitudes of health professional students: a systematic review

Association Between Type of Health Professional at Birth and Exclusive Breastfeeding

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