Exclusive Breastfeeding Education - Essay Example

Affiliation

10 Strategic Points Table

The 10 Strategic Points

Broad Topic Area

• Broad Topic Area/Title of Project:

Exclusive Breastfeeding(EBF) Education

Literature Review

• Literature Review:
• Background of the Problem/Gap:
• There has been a low priority in most hospitals to support the education necessary for breastfeeding mothers.
• Nurses have not been mandated to be involved in education that will help them to equip pregnant mothers with skills for breastfeeding.
• There is inadequate provision of framework and routine for nurses to engage in breastfeeding education. Contributed majorly by the policies of the health care facility
• Theoretical Foundations (models and theories to be the foundation for the project):
• The transcultural nursing model involves understanding various human cultures that will positively change nursing careers, increasing the mother-child interaction (Giger & Haddad, 2020).
• King’s conceptual system model focuses on the pulses involved in between the first feeding and weaning. The ability to influence effective breastfeeding is focused on the Kings’ conceptual system model that defines the vital steps that must be observed to create the rapport between mother and the child (Fronczek et al., 2017).
• The planned behavior-based model explains how nurses are influenced by the prenatal education provided to mothers on breastfeeding information (Dehghan, 2017). The actions affect the nurses' ability to activate the right decisions that improve breastfeeding (Arshad et al., 2017).
• Review of Literature with Key Organizing Themes and Sub-themes

Telehealth and breastfeeding

• Most nurses give little attention to give a follow up of the process of breastfeeding for their postpartum mothers. Postpartum nurses have been recognized as distancing themselves with mothers the moment they live the health care facility after delivery (Dos Santos et al., 2019).
• Mothers also keep inquiring about breastfeeding for their babies to avoid improper growth and development (Dos Santos et al., 2019).
• The new mothers are commonly affected by the fact that they cannot know the right patterns of breastfeeding. Some seek information from their friends who have already breastfed (Dos Santos et al., 2019).

Nurse experience

• Nurses' experience is directly linked to education and duration of practice (Webber & Serowoky, 2017).
• The postpartum nurses demonstrate increased general care of the mothers and the babies over some time.
• The basic principles of nurses are improved by frequent workshops mandated by the health care facility's policies (Webber & Serowoky, 2017).
• The nurse's underlying education greatly influences the collaboration between the nurse and the patient over the specific health issue of concern (Sardinha et al., 2019).

Living standards

• The living standards of the patients directly impact the exclusive breastfeeding program provided by nurses (Griswold et al., 2018).
• The main factors associated with living standards include the ability to collaborate with the nurses (Griswold et al., 2018).
• Most nurses demonstrate increase care and attention to mothers who are organized well planned.
• Nurses give little concern for non-cooperating postpartum nurses due to pressing issues in their respective families (Griswold et al., 2018).

Setting

• The rural and urban setting of the postpartum mothers influences the ability to make a follow up by the nurses.
• The community centres
• Public hospitals have universal policies (Fulton, 2017)
• The private health care facility sector policies are influenced by the social class of the surrounding community.
• The postpartum mothers in the cooperate world demonstrate limited interaction with the child after birth.
• Summary
• Gap/Problem: There is a need to increase the breastfeeding rate amongst the postpartum mothers through the nurses' help to ensure proper growth and development of the newborn
• Prior studies: The previous studies show that the capability of the postpartum nurses to engage in improving Exclusive Breast Feeding actively is influenced by the underlying education and experience of the nurse. However, it is accompanied by many elements that indirectly contribute to the practice.
• Quantitative application: There are existing sources of data that are used to collect data quantitatively to show the impact of education of postpartum nurses on the practice understudy

Significance:

Problem Statement

• Problem Statement:

It was not known or to what degree the implementation of mandated exclusive breastfeeding education of postpartum nurses would impact the rate of breastfeeding compared to when there was no breastfeeding education amongst the nurses.

Clinical/PICOT Questions

• Clinical/PICOT Questions:

Do postpartum nurses,(P) who participate in mandated Exclusive Breastfeeding(EBF) education utilizing the BFHI model(I) compared to the current practice of no breastfeeding education training (C) demonstrate an increased rate of EBF(O)over four weeks (T)

Sample

• Sample (and Location):

a.Location: Oklahoma health care centres

b.Population (Participants): Postpartum nurses

c.Sample: 150 nurses will be appropriate in conducting the study. The sample population is effective in avoiding bias in the result as the power of analysis is above 80%.

d.Inclusion Criteria

• Nurses who have engaged in mandatory exclusive breastfeeding education
• Besides, the nurses from health care centres that have never involved in exclusive breastfeeding education.
• Nurses must register nurses.

• Exclusion Criteria
• The individual nurses that do not utilize the BFHI model will not be included in the study.
• Besides, the intern nurses and continuing Diploma student nurses will not be included.
• Those who are not willing to participate in the study will be excluded too.

Define Variables

• Define Variables and Level of Measurement:
• Independent Variable (Intervention):

Mandated Exclusive Breastfeeding(EBF) education utilizing the BFHI model

• Dependent Variable:

Increased rate of exclusive breastfeeding

Methodology and Design

Methodology and Design:

• The study will use a quantitative methodology
• The nurse participants will be evaluated based on their mandated breastfeeding education and no education on breastfeeding.
• Besides, the manipulation of the variables will be minimal to ensure the data collected is accurate.

Purpose Statement

Purpose Statement:

The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation mandated Exclusive Breastfeeding education would impact increased breastfeeding utilizing the BFHI model when compared to no breastfeeding education training among postpartum nurses in a primary care public and private health care facilities in Oklahoma within four weeks.

Data Collection Approach

Data Collection Approach:

• After the nurses' recruitment that will engage in the study, the recording of the interaction between the mother and baby with the nurses is to be accessed.
• The frequency of encouragement of breastfeeding of the mother is collected on how many times the postpartum nurse interacts.
• Moreover, the application of no artificial treats or pacifiers is monitored in the sample population.
• Engaging by showing mothers how to breastfeed is recorded to quantify the practice of Exclusive Breastfeeding (EBF) education utilizing the BFHI model.
• Information is collected daily within four weeks.

Data Analysis Approach

Data Analysis Approach:

• Data will be analyzed using the measures of central tendency. The most instrumental measure that will be used is the mean.
• The nurses with mandated education on Exclusive Breastfeeding (EBF) education utilizing the BFHI model will be evaluated on the mean degree of engagement with the mother using the variables collected.
• The nurses with no education on breastfeeding will also be evaluated on the mean of the vital element engaged with the mother and the baby within four weeks.
• The chi-square will be used to compare the two means to give the difference that will demonstrate an increased rate of EBF.
• The alpha level will be used to justify the sample size. The lower the value will require a higher sample size depending on the deviation of the value.

References

APA formatted sources.

Arshad, S. M., Khani-jeihooni, A., Moradi, Z., Kouhpayeh, S. A., Kashfi, S. M., & Dehghan, A. (2017). Effect of theory of planned behavior-based educational intervention on breastfeeding behavior in pregnant women in Fasa City, Iran. J Educ Community Health, 4(2), 55-63.

Dos Santos, L. F., Borges, R. F., & Zocche, D. A. D. A. (2019). Telehealth and Breastfeeding: An Integrative Review. Telemedicine and e-Health.

Fronczek, A. E., Rouhana, N. A., & Kitchin, J. M. (2017). Enhancing telehealth education in nursing: Applying King’s conceptual framework and theory of goal attainment. Nursing Science Quarterly, 30(3), 209-213.

Fulton, B. D. (2017). Health care market concentration trends in the United States: evidence and policy responses. Health Affairs, 36(9), 1530-1538.

Giger, J. N., & Haddad, L. (2020). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences.

Griswold, M. K., Crawford, S. L., Perry, D. J., Person, S. D., Rosenberg, L., Cozier, Y. C., & Palmer, J. R. (2018). Experiences of racism and breastfeeding initiation and duration among first-time mothers of the Black Women’s Health Study. Journal of racial and ethnic health disparities, 5(6), 1180-1191.

Sardinha, D. M., Maciel, D. O., Gouveia, S. C., Pamplona, F. C., Sardinha, L. M., de Carvalho, M. D. S. B., & Silva, A. G. I. D. (2019). PROMOTION OF BREASTFEEDING IN PRE-NATAL CARE BY THE NURSE. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 13(3).

Webber, E., & Serowoky, M. (2017). Breastfeeding curricular content of family nurse practitioner programs. Journal of Pediatric Health Care, 31(2), 189-195.