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2021 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 94, article id 102919Article in journal (Refereed) Published
Abstract [en]
Objective: The aim of this study was to develop an instrument that measures health care professionals' (HCPs) attitudes to breastfeeding and skin-to-skin contact in relation to the Baby-Friendly Hospital Initiative for neonatal intensive care.
Design: The study was part of a larger project aiming to revive the Ten Steps to Successful Breastfeeding for both full-term and preterm infants. The study had a pre-test/post-test design using online questionnaires distributed by email before and after a training programme.
Setting and participants: A total of 70 specialist registered nurses, registered nurses, assistant nurses and physicians working at a Swedish neonatal intensive care unit answered 55 breastfeeding attitudes questions online before the training. The Preterm Breastfeeding Attitudes Instrument (PreBAI) consists of twelve of these 55 items/questions, selected using exploratory factor analysis.
Measurements and findings: Higher scores indicated more positive attitudes and the median total PreBAI score was 42 points (out of 48), on both the preand the post-test questionnaires, showing no significant difference. In the pre-test questionnaire, the majority of HCPs (84%) stated that they needed further breastfeeding training. They also stated that they perceived breastfeeding as very important, scoring a median of 10 (range 5-10) points on a 10-point scale. Three separate underlying dimensions were identified in the questionnaire, indicating different attitudes: Facilitating (five items), Regulating (four items), and Breastfeedingand skin-to-skin contact-friendly (three items). A positive correlation was found between how many years the HCPs had worked in neonatal care, and their PreBAI score (r(s) = 0.383, p = 0.001). Those who had previously received extra breastfeeding education scored higher on the instrument.
Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
attitudes, breastfeeding, healthcare professionals, instrument, preterm infant
National Category
Pediatrics
Identifiers
urn:nbn:se:uu:diva-408021 (URN)10.1016/j.midw.2020.102919 (DOI)000615888000001 ()33422884 (PubMedID)
Funder
Gillbergska stiftelsen
2020-04-022020-04-022024-01-15Bibliographically approved