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Journal of Human Lactation
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Evaluation of an Educational Intervention on Breastfeeding for NICU Nurses

Erica Siddell, PhD, RN

NICU at Connecticut Children's Medical Center, medical center

Kathleen Marinelli, MD, IBCLC

Connecticut Children's Medical Center

Robin D. Froman, RN, PhD, FAAN

School of Nursing at the University of Texas Medical Branch

Georgine Burke, PhD

Child Health Data Center at Connecticut Children's Medical Center, University of Connecticut School of Medicine

The effect of breastfeeding education on breastfeeding knowledge and attitudes of nurses in a neonatal intensive care unit (NICU) was evaluated. NICU nurses (intervention) and pediatric nurses (untreated control) working at a northeastern US children's hospital participated in the pretest/posttest design study. Both groups answered the same breastfeeding questionnaire on 2 occasions. NICU nurses completed the questionnaire the second time after attending the education session. Outcome measures evaluated by questionnaire items were (1) breastfeeding knowledge, (2) pro-breastfeeding attitudes, (3) baby-focused care attitudes, and (4) nurse-focused care attitudes. Comparison groups were similar at pretest on demographic variables and remained so despite attrition between pretesting and posttesting. A significant increase(P < .001) occurred in NICU nurses' breastfeeding knowledge after the education session. Findings suggest that an educational intervention has potential for improving NICU nurses' knowledge and certain attitudes about breastfeeding but may not alter other attitudes of interest in the desired direction. J Hum Lact. 19(3):293-302.

Key Words: breastfeeding • neonatal intensive care unit (NICU) • lactation support • nursing education

Journal of Human Lactation, Vol. 19, No. 3, 293-302 (2003)
DOI: 10.1177/0890334403255223
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K. H. Nyqvist and E. Kylberg
Application of the Baby Friendly Hospital Initiative to Neonatal Care: Suggestions by Swedish Mothers of Very Preterm Infants
J Hum Lact, August 1, 2008; 24(3): 252 - 262.
[Abstract] [PDF]