Breastfeeding in Primary Healthcare Setting: Evaluation of Nurses and Midwives Competencies, Training, Barriers and Satisfaction of Breastfeeding Educational Experiences in Northern Ghana.

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2021-04-19 eCollection Date: 2021-01-01 DOI:10.1177/11795565211010704
Stephen Dajaan Dubik, Ernestina Yirkyio, Kingsley E Ebenezer
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Abstract

Background: Breastfeeding education is critical in improving healthcare professionals' competencies in providing breastfeeding care to mothers. We evaluated breastfeeding competencies, training, barriers and satisfaction of breastfeeding educational experiences among nurses and midwives in the Sagnarigu Municipality, Ghana.

Methods: This cross-sectional study included nurses and midwives providing maternal and child health services at various primary healthcare facilities in Sagnarigu Municipality.

Results: Nurses and midwives had higher pre-service breastfeeding training than in-service training with a mean training score of 10.0 and 5.2, respectively. Nurses and midwives who had both pre-service and in-service training had better satisfaction score (P = .003), positive attitudes (P = .016) and higher confidence level about breastfeeding (P = .007). Approximately, 80% of the nurses and midwives reported that they need further training/updating on breastfeeding while 40% reported clinical/professional practice as the significant contributor to their breastfeeding counselling competencies. Mean satisfaction score correlated positively with confidence levels about breastfeeding counselling (r = .224, P = .022) and pre-service training (r = .342, P < .001); confidence levels about breastfeeding counselling also correlated positively with attitudes towards breastfeeding counselling (r = .348, P < .001). Commonly reported barriers to breastfeeding counselling were mother's poor compliance with breastfeeding recommendations, too much workload, inadequate time and materials for breastfeeding counselling.

Conclusion: Nurses and midwives in this study felt confident about breastfeeding counselling, had positive attitudes towards breastfeeding counselling and generally, satisfied with their breastfeeding educational experiences. Despite nurses and midwives agreeing that breastfeeding counselling is integral in their professional practice, their role in providing breastfeeding counselling is hindered by individual and health systems barriers.

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初级医疗机构中的母乳喂养:对加纳北部护士和助产士的能力、培训、母乳喂养教育的障碍和满意度的评估》(Evaluation of Nurses and Midwives Competencies, Training, Barriers and Satisfaction of Breastfeeding Educational Experiences in Northern Ghana)。
背景:母乳喂养教育对于提高医护人员为母亲提供母乳喂养护理的能力至关重要。我们对加纳 Sagnarigu 市护士和助产士的母乳喂养能力、培训、障碍以及对母乳喂养教育经验的满意度进行了评估:这项横断面研究的对象包括在萨格纳里古市各基层医疗机构提供妇幼保健服务的护士和助产士:护士和助产士的职前母乳喂养培训高于在职培训,平均培训得分分别为 10.0 分和 5.2 分。接受过岗前和在职培训的护士和助产士对母乳喂养的满意度更高(P = .003)、态度更积极(P = .016)、信心更足(P = .007)。约 80% 的护士和助产士表示需要进一步接受母乳喂养方面的培训/更新,而 40% 的护士和助产士表示临床/专业实践是提高其母乳喂养咨询能力的重要因素。平均满意度得分与母乳喂养咨询的信心水平(r = .224,P = .022)和职前培训(r = .342,P r = .348,P 结论)呈正相关:本研究中的护士和助产士对母乳喂养咨询充满信心,对母乳喂养咨询持积极态度,并普遍对母乳喂养教育经历感到满意。尽管护士和助产士都认为母乳喂养辅导是她们专业实践中不可或缺的一部分,但她们在提供母乳喂养辅导方面的作用却受到个人和医疗系统障碍的阻碍。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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