Exploration of Factors Related to the Prevalence of Sustained Breastfeeding in Infants Born Between 35 -37 6/7 Weeks Gestation

Background: The late preterm (35-36 6/7 weeks gestation) and early term (37-37 6/7 weeks gestation) infant exhibits physiologic risk for less than adequate nutritional intake when exclusively breastfeeding. There is little evidence to support the best practice to produce the outcome of sustained breastfeeding in this population. Purpose: The purpose of this pilot, exploratory, correlational study was to determine the prevalence of sustained breastfeeding in late preterm and early term breastfeeding infants at one and two months of age and to identify the factors that were related to sustained breastfeeding. Methods: Subjects were identified through purposive sampling, consented to participate, and completed the Breastfeeding Self-Efficacy Scale. Lactation support, supplemental feeding methods used, hospital course and demographic factors were collected. At one and two months of age, telephone structured interviews determined the current feeding status and assessed post discharge lactation support. Analysis and Results: Descriptive statistical, contingency table methods and bivariate logistic regression analysis were conducted on the sample of 125 mothers. Of those mothers, 82% experienced sustained breastfeeding at 1 month, and 71.2% experienced sustained breastfeeding at 2 months. A sensitivity analysis was conducted to determine if the noncompleters biased the sample. Significant results still found sustained breastfeeding at 2 months associated with a college complete education (p=0.014), higher Breastfeeding Self-Efficacy scores (p=0.046), and the practice of skin to skin on day 2 or later (p=0.007). High breastfeeding assessment scores on day 1 (Via Christi) were associated with sustained breastfeeding at 2 months (p=0.007) and high day 2 or later breastfeeding assessment scores were associated with sustained breastfeeding at 1 month (p=0.000) and 2 months (p=0.001). Unsustained breastfeeding at 1 and 2 months was associated with the occurrence of supplemental feedings (p=0.001) and pumping at discharge (1 month p=0.002, 2 months p=0.015). Discussion: Identifying the high sustained breastfeeding rate in this population and the potential factors associated with that outcome, build evidence on what factors should be included in the professional organizations’ clinical practice guidelines and protocols, subsequently tested on larger samples in multicenter studies, and therefore lead to impact clinical practice and national public policy regarding the Family Medical Leave Act

Enhancing Empathy in Undergraduate Nursing Students: An Experiential Ostomate Simulation.

aim The aim of this study was to implement and evaluate an experiential learning simulation created to enhance nursing students\u27 empathy during patient care encounters. background The investigators proposed that an ostomy simulation experience would be an efficient method for providing this educational content. method Content analysis was conducted on essays using Krippendorff\u27s technique to quantify the simulation. results Each unit of measure, or paper, contained between 1 to 14 empathie comments. Of the total sample, 22.8 percent had three or five empathie comments; 10 percent had four, and 9 percent had six or more comments per paper. Eighty-five percent of participants felt this simulation experience was beneficial for enhancing empathy in clinical practice. conclusion The assignment was an effective, objective method that utilized simulation to teach empathy to baccalaureate nursing students

Enhancing Empathy In Undergraduate Nursing Students: An Experiential Ostomate Simulation

aim The aim of this study was to implement and evaluate an experiential learning simulation created to enhance nursing students\u27 empathy during patient care encounters. background The investigators proposed that an ostomy simulation experience would be an efficient method for providing this educational content. method Content analysis was conducted on essays using Krippendorff\u27s technique to quantify the simulation. results Each unit of measure, or paper, contained between 1 to 14 empathie comments. Of the total sample, 22.8 percent had three or five empathie comments; 10 percent had four, and 9 percent had six or more comments per paper. Eighty-five percent of participants felt this simulation experience was beneficial for enhancing empathy in clinical practice. conclusion The assignment was an effective, objective method that utilized simulation to teach empathy to baccalaureate nursing students

Creating Caring and Empathic Nurses: A Simulated Ostomate

Background: This qualitative study explored the lived experience of student nurses (N = 69) wearing an ostomy appliance for 48 hours in a clinical simulation experience. Method: The descriptive phenomenology by Colaizzi (1978) was used to study the question: What are the themes that emerge to describe the lived experience of an ostomate? Results: Five themes are emerged from written reflections. Conclusion: Students\u27 retention and application of the information learned in simulation may influence clinical practice and improve patient outcomes. Insight into nursing students\u27 transformation on caring and empathy into their practice, the art of nursing, was gleaned from this study