OBJECTIVES:To test an educational intervention designed to improve lactation knowledge, attitudes, and beliefs of NICU nurses and to improve their intentions to provide mothers with lactation support. DESIGN:Quasi-experimental, time-series pretest/posttest. SETTING:NICU of a Midwestern, free-standing, tertiary-care children's hospital. PARTICIPANTS:Convenience sample of 64 NICU nurses and 2 separate convenience samples of mothers of infants hospitalized in the NICU (n=19 and 13, respectively). METHODS:Nurses were measured on study outcomes at multiple time points, beginning with 2 weeks before and ending at 3 months after attendance to a 4-hour educational program. Mothers were sampled before and 3 months after the intervention. MAIN OUTCOME MEASURE(S):Nurses' lactation knowledge, attitudes, beliefs, and intentions to support lactation and mothers' perceptions of lactation support in the NICU. RESULTS:Findings suggest that this educational intervention was effective for improving NICU nurses' lactation knowledge and attitudes, and that these improvements were maintained over time. Further, the supportive atmosphere for lactation in this NICU significantly improved following the implementation of the educational intervention for nurses. CONCLUSION:Intermittent, short educational programs which include practical how-to's and motivational encouragement for staff may provide the empowerment nurses need in order to be supportive of lactation.

译文

目的:测试一项旨在改善新生儿重症监护病房(NICU)护士的哺乳知识,态度和信念,并改善其为母亲提供哺乳支持的意图的教育干预措施。
设计:准实验性,时间序列的前测/后测。
地点:中西部独立式三级儿童医院的NICU。
参与者:64位新生儿重症监护病房护士的便利性样本和在新生儿重症监护病房住院的婴儿母亲的2个单独的便利性样本(分别为n = 19和13)。
方法:从多个时间点(从参加4小时教育计划的前2周开始到结束3个月后)对学习结局进行测量。在干预前和干预后三个月对母亲进行了采样。
主要观察指标:护士对哺乳的知识,态度,信念和意图,以及母亲对新生儿重症监护病房的哺乳支持的看法。
结果:研究结果表明,这种教育干预措施可有效改善重症监护病房护士的哺乳知识和态度,并且随着时间的流逝,这些改善措施得以保持。此外,在实施护士教育干预后,该新生儿重症监护室(NICU)的哺乳支持气氛得到了显着改善。
结论:间歇性,短期的教育计划包括实用的操作方法和对员工的激励性鼓励,可以为护士提供支持哺乳所需的能力。

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