Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Breastfeeding Knowledge, Attitude, and Nursing Practice of Nurses in Neonatal Intensive Care Units

신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동

  • Ra, Jin-Suk (College of Nursing, Chungnam National University) ;
  • Chae, Sun-Mi (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • 라진숙 (충남대학교 간호대학) ;
  • 채선미 (서울대학교 간호대학, 간호대학.간호과학연구소)
  • Received : 2012.12.11
  • Accepted : 2013.03.08
  • Published : 2013.04.30
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Abstract

Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item $3.70{\pm}0.41$ on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, $3.26{\pm}0.74$. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

목적 본 연구의 목적은 신생아중환자실 간호사의 모유수유에 대한 지식, 태도, 간호활동을 파악하고, 신생아집중치료실 간호사의 일반적 특성과 모유수유 특성에 따른 모유수유에 대한 지식, 태도 및 간호활동의 차이를 확인하고, 이들간의 상관관계를 파악하는 것이다. 방법 자가보고식 설문조사 방법을 적용하였으며, 서울과 대전, 대구의 총7개 대학병원의 신생아집중치료실 간호사 153명으로 자료수집 하였다. 결과 신생아집중치료실 간호사의 모유수유에 대한 지식은 59.3%의 정답율을 나타냈다. 그리고 모유수유에 대한 태도는 5점 척도에서 평점 $3.70{\pm}0.41$으로 다소 긍정적으로 확인되었다. 모유수유 간호활동은 중간정도로, 평점 $3.26{\pm}0.74$이었다. 모유수유 지식은 모유수유 태도(r=.554, p<.001) 및 모유수유 간호활동(r=.203, p=.002)과 유의한 양적 상관관계를 나타냈다. 모유수유 태도와 간호활동도 유의한 양적 상관관계를 보였다(r=.243, p=.002). 결론 본 연구의 결과는 신생아집중치료실 간호사의 모유수유 지식과 태도, 간호활동을 향상시킬 수 있도록 신생아집중치료실 간호사를 위한 모유수유 교육 프로그램 개발의 필요성을 지지한다.

Keywords

References

  1. Ahmed, A., Bantz, D., & Richardson, C. (2011). Breastfeeding knowledge of university nursing students. The American Journal of Maternal/Child Nursing, 36, 361-367. https://doi.org/10.1097/NMC.0b013e31822de549
  2. Ahmed, A., & Guindy, E. I. (2011). Breastfeeding knowledge and attitudes among Egyptian baccalaureate students. International Nursing Review, 58, 372-378. https://doi.org/10.1111/j.1466-7657.2011.00885.x
  3. Bernaix, L. W. (2000). Nurse's attitudes, subjective norms, and behavioral intentions toward support of breastfeeding mothers. Journal of Human Lactation, 16, 201-209. https://doi.org/10.1177/089033440001600304
  4. Bernaix, L. W., Magaret, L. B., Schmidt, C. A., Harris, J. K., & Miller, L. M. (2010). Success of an educational intervention on maternal/newborn nurses' breastfeeding knowledge and attitudes. Journal of Obstetric, Gynecologic and Neonatal Nursing, 39, 658-666. https://doi.org/10.1111/j.1552-6909.2010.01184.x
  5. Bernaix, L. W., Schmidt, C. A., Arrizola, M., Iovinelli, D., & Medina-Poelinez, C. (2008). Success of a lactation education program on NICU nurses' knowledge and attitude. Journal of Obstetric, Gynecologic and Neonatal Nursing, 37, 436-445. https://doi.org/10.1111/j.1552-6909.2008.00261.x
  6. Black, A. (2012). Breastfeeding the premature infant and nursing implications. Advances in Neonatal Care, 12(1), 10-14. https://doi.org/10.1097/ANC.0b013e3182425ad6
  7. Boucher, C. A., Brazal P. M., Graham-Certosini, C., Carnaghan-Sherrard, K., & Feeley, N. (2011). Mothers' breastfeeding experience in the NICU. Neonatal Network, 30, 21-28. https://doi.org/10.1891/0730-0832.30.1.21
  8. Brodribb, W., Fallon, A. B., Jackson, C., & Hegney, D. (2008). Breastfeeding and Austrailian GP registars: Their knowledge and attitudes. Journal of Human Lactation, 24, 422-439. https://doi.org/10.1177/0890334408323547
  9. Cosimano, A., & Sandhurst, H. (2011). Strategies for successful breastfeeding in the NICU. Neonatal Network, 30, 340-343. https://doi.org/10.1891/0730-0832.30.5.340
  10. De la Mora, A., & Russell, D. W. (1999). The iowa infant feeding attitude scale: Analysis of reliability and validity. Journal of Applied Social Psychology, 29, 2362-2380. https://doi.org/10.1111/j.1559-1816.1999.tb00115.x
  11. DiGirolamo, A., Thompson, N., Martorell, R., Fein, S., & Grummer-Stran, L. (2005). Intention or experience? Predictors of continued breastfeeding. Health Education and Behavior, 32(2), 208-226. https://doi.org/10.1177/1090198104271971
  12. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  13. Gagnon, A. J., Leduc, G., Waghorn, K., Yang, H., & Platt, R. W. (2005). In hospital formula supplementation of healthy breastfeeding newborns. Journal of Human Lactation, 21, 397-405. https://doi.org/10.1177/0890334405280835
  14. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measure: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46, 1417-1432. https://doi.org/10.1016/0895-4356(93)90142-N
  15. Hellings, P., & Howe, C. (2004). Breastfeeding knowledge and practice of pediatric nurse practitioners. Journal of Pediatric Health Care, 18(1), 8-14. https://doi.org/10.1016/S0891-5245(03)00108-1
  16. Jung, M. S., Kim, M. Y., Koh, H. J., Shin, Y. H., Chung, K. A., Lee, I. H., et al. (1993). Nurse's knowledge and nursing activities for breastfeeding promotion. The Korean Journal of Maternal and Child Health Nursing, 3(2), 187-196.
  17. Killersreiter, B., Grimmer, I., Buhrer, C., Dudenhausen, J. W., & Obladen, M. (2001). Early cessation of breast milk feeding in very low birth weight infants. Early Human Development, 60, 193-205. https://doi.org/10.1016/S0378-3782(00)00116-X
  18. Kim, M. S., Kim, J. E., Ahn, Y. M., Bae, S. M., & Kim, M. J. (2003). The research on the breastfeeding and its related factors of premature infant. Korean Journal Academy of Child Health Nursing, 9, 272-284.
  19. Miracle, D. J., Meier, P. P., & Bennett, P. A. (2004). Mothers' decisions to change from formula to mothers' milk for very-low-birth-weight infants. Journal of Obstetric. Gynecologic and Neonatal Nursing, 33, 692-703. https://doi.org/10.1177/0884217504270665
  20. Moran, V. H., Bramwell, R., Dykes, F., & Dinwoodie, K. (2000). An evaluation of skills acquisition on the WHO/UNICEF breastfeeding management course using the pre-validated breastfeeding support skills tool (BeSST). Midwifery, 16, 197-203. https://doi.org/10.1054/midw.2000.0214
  21. Newton, E. R. (2004). Breastmilk: The gold standard. Clinical Obstetrics and Gynecology, 47, 632-642. https://doi.org/10.1097/01.grf.0000136184.19927.98
  22. Patton, C., Beaman, M., Csar, N., & Lewinski, C. (1996). Nurses' attitudes and behaviors that promote breastfeeding. Journal of Human Lactation, 12, 111-115. https://doi.org/10.1177/089033449601200213
  23. Sable, M. R., & Patton, C. B. (1998). Prenatal lactation advice and intention to breast feed: Selected maternal characteristics. Journal of Human Lactation, 14, 35-40. https://doi.org/10.1177/089033449801400113
  24. Siddell, E., Marinelli, K., Froman, R. D., & Burke, G. (2003). Evaluation of an educational intervention on breastfeeding of NICU nurses. Journal of Human Lactation, 19, 293-302. https://doi.org/10.1177/0890334403255223
  25. Singer, L.T., Salvator, A., Guo, S., Colin, M., Lilien, L., & Baley, J. (1999). Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. Journal of the American Medical Association, 281, 799-805. https://doi.org/10.1001/jama.281.9.799
  26. Smale, M., Renfrew, M. J., Marshall, J. L., & Spiby, H. (2006). Turning policy into practice: More difficult than it seems. The case of breastfeeding education. Maternal and Child Nutrition, 2, 103-113. https://doi.org/10.1111/j.1740-8709.2006.00045.x
  27. Smith, M. M., Durkin, M., Hinton, V. J., Bellinger, D., & Kuhn, L. (2003). Initiation of breastfeeding among mothers of very low birth weight infants. Pediatrics, 111, 1337-1342. https://doi.org/10.1542/peds.111.6.1337
  28. Spear, H. J. (2006). Baccalaureate nursing students' breastfeeding knowledge: A descriptive study. Nurse Education Today, 26, 332-337. https://doi.org/10.1016/j.nedt.2005.10.014
  29. Sung, M. H. (2000). Nurse's knowledge to breast-feeding and nursing activities related to breast-feeding. Korean Journal of Women Health Nursing, 6(2), 258-268.
  30. Wheeler, B. (2009) Human-milk feeding after NICU discharge. Neonatal Network, 28, 381-389. https://doi.org/10.1891/0730-0832.28.6.381

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