Impact of an Educational Intervention on Knowledge and Attitudes Concerning Maternity Care Practices Consistent with the "Baby-Friendly Hospital Initiative"

2.50
Hdl Handle:
http://hdl.handle.net/10755/621215
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Quasi-Experimental Study, Other
Research Approach:
Quantitative Research
Title:
Impact of an Educational Intervention on Knowledge and Attitudes Concerning Maternity Care Practices Consistent with the "Baby-Friendly Hospital Initiative"
Author(s):
Young, Marjorie H.
Additional Author Information:
Marjorie H. Young, BSN, RNC, IBCLC, DNP
Advisors:
Ramsey, A.; Carter, K.
Degree:
DNP
Degree Year:
2015
Grantor:
Radford University
Abstract:

Objective: The purpose of this study is to examine if an educational intervention increases knowledge and positively influence attitudes in maternity care staff in regards to maternity care practices consistent with the Baby-Friendly Hospital Initiative (BFHI)?
Design: This study used a pretest-posttest quasi experimental design with the target population healthcare professionals in facilities which provide maternity care services.
Setting: The study participants consisted of 15 pediatricians, 13 obstetricians, 2 certified nurse midwives and 181 nurses. Included in the nurses’ group were seven obstetric technicians for a total of 218 participants.
Methods: The pre and posttest knowledge/attitude survey tool was an investigator developed tool. The survey tool items were developed in accordance with the Baby-Friendly Hospital Initiative (BFHI) Ten Steps to Successful Breastfeeding which was created by the World Health Organization and UNICEF in 1989. Content validity of the survey tool was verified by expert staff from the BFHI. A paired-samples t-test using pre and posttest survey results was conducted on each individual survey item to evaluate the impact of the educational intervention on the understanding of and attitudes about maternity care practices consistent with the BFHI. The eta squared statistics were calculated for effect size.
Results: On the survey’s 10 knowledge questions, the average pretest score was 69%. This increased to 91% following the staff training. On the Likert scale questions concerning attitude, pretest scores were 3.84, increasing to 4.32 following the intervention. This increase carries a p<.000, indicating a strongly significant increase in positive attitude toward BFHI maternity care
practices. A combined result of the 15 questions resulted in a p<.05 indicating statistical and a clinical significance with an overall Eta square of 0.19 indicating large effect size.
Conclusion: Findings indicate a significant impact on knowledge and attitude about BFHI consistent maternity care practices when healthcare staff is provided targeted education.

Keywords:
Knowledge; attitude; Breast Feeding; maternity care practices; Baby-Friendly Hospital Initiative
CINAHL Headings:
Breast Feeding Promotion; Maternal-Child Care; Medical Staff, Hospital; Medical Staff, Hospital--Education; Staff Development; Maternal Health Services; Hospitals
Sponsors:
March of Dimes; LewisGale Regional Health System
Description:
The author retains copyright.; LewisGale Regional Health System is an affiliate of Hospital Corporation of America.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-02-23T18:20:50Z
Date of Publication:
2017-02-23

Full metadata record

DC FieldValue Language
dc.contributor.advisorRamsey, A.en
dc.contributor.advisorCarter, K.en
dc.contributor.authorYoung, Marjorie H.en
dc.date.accessioned2017-02-23T18:20:50Z-
dc.date.available2017-02-23T18:20:50Z-
dc.date.issued2017-02-23-
dc.identifier.urihttp://hdl.handle.net/10755/621215-
dc.descriptionThe author retains copyright.en
dc.descriptionLewisGale Regional Health System is an affiliate of Hospital Corporation of America.en
dc.description.abstract<p>Objective: The purpose of this study is to examine if an educational intervention increases knowledge and positively influence attitudes in maternity care staff in regards to maternity care practices consistent with the Baby-Friendly Hospital Initiative (BFHI)?<br />Design: This study used a pretest-posttest quasi experimental design with the target population healthcare professionals in facilities which provide maternity care services.<br />Setting: The study participants consisted of 15 pediatricians, 13 obstetricians, 2 certified nurse midwives and 181 nurses. Included in the nurses’ group were seven obstetric technicians for a total of 218 participants.<br />Methods: The pre and posttest knowledge/attitude survey tool was an investigator developed tool. The survey tool items were developed in accordance with the Baby-Friendly Hospital Initiative (BFHI) Ten Steps to Successful Breastfeeding which was created by the World Health Organization and UNICEF in 1989. Content validity of the survey tool was verified by expert staff from the BFHI. A paired-samples t-test using pre and posttest survey results was conducted on each individual survey item to evaluate the impact of the educational intervention on the understanding of and attitudes about maternity care practices consistent with the BFHI. The eta squared statistics were calculated for effect size.<br />Results: On the survey’s 10 knowledge questions, the average pretest score was 69%. This increased to 91% following the staff training. On the Likert scale questions concerning attitude, pretest scores were 3.84, increasing to 4.32 following the intervention. This increase carries a p<.000, indicating a strongly significant increase in positive attitude toward BFHI maternity care<br />practices. A combined result of the 15 questions resulted in a p<.05 indicating statistical and a clinical significance with an overall Eta square of 0.19 indicating large effect size.<br />Conclusion: Findings indicate a significant impact on knowledge and attitude about BFHI consistent maternity care practices when healthcare staff is provided targeted education.</p>en
dc.description.sponsorshipMarch of Dimesen
dc.description.sponsorshipLewisGale Regional Health Systemen
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectKnowledgeen
dc.subjectattitudeen
dc.subjectBreast Feedingen
dc.subjectmaternity care practicesen
dc.subjectBaby-Friendly Hospital Initiativeen
dc.titleImpact of an Educational Intervention on Knowledge and Attitudes Concerning Maternity Care Practices Consistent with the "Baby-Friendly Hospital Initiative"en_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorRadford Universityen
thesis.degree.levelDNPen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
dc.primary-author.detailsMarjorie H. Young, BSN, RNC, IBCLC, DNPen
thesis.degree.year2015en
dc.type.categoryFull-texten
dc.evidence.levelQuasi-Experimental Study, Otheren
dc.research.approachQuantitative Researchen
dc.subject.cinahlBreast Feeding Promotionen
dc.subject.cinahlMaternal-Child Careen
dc.subject.cinahlMedical Staff, Hospitalen
dc.subject.cinahlMedical Staff, Hospital--Educationen
dc.subject.cinahlStaff Developmenten
dc.subject.cinahlMaternal Health Servicesen
dc.subject.cinahlHospitalsen
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