基于双向视角的产科护士母乳喂养咨询能力的质性研究

Breastfeeding counselling ability of obstetric nurses based on two-way perspective:a qualitative study

目的深入了解哺乳期女性和产科护士对护士母乳喂养咨询能力的认知差异。方法本研究为描述性现象学质性研究。采用目的抽样法,选取2021年10月—2022年6月在北京协和医院产科进行母乳喂养咨询的11名哺乳期女性以及开展母乳喂养咨询工作的13名产科护士进行半结构化访谈,运用Giorgi分析法提取和分析资料。结果哺乳期女性和产科护士对护士母乳喂养咨询能力的认知差异主要表现在4个方面,分别为哺乳知识和技能、咨询实践能力、提高咨询能力及个性特质。结论哺乳期女性和产科护士对护士母乳喂养咨询能力的认知不同,产科护士应结合哺乳期女性需求提高自身的母乳喂养咨询能力,为其提供个体化的母乳喂养咨询服务。

Objective To gain a deeper understanding of the cognitive differences between lactating women and obstetric nurses regarding their breastfeeding counselling abilities.Methods This study was a descriptive phenomenology qualitative study.From October 2021 to June 2022,purposive sampling was used to select 11 lactating women who received breastfeeding counselling and 13 obstetric nurses who provided breastfeeding counselling services in Department of Obstetrics at Peking Union Medical College Hospital for semi-structured interviews.Giorgi analysis method was used to extract and analyze data.Results The cognitive differences between lactating women and obstetric nurses regarding breastfeeding counselling abilities were mainly manifested in four aspects,namely breastfeeding knowledge and skills,counselling practice ability,improving counselling ability,and personality traits.Conclusions Lactating women and obstetric nurses have cognitive differences in breastfeeding counselling abilities.Obstetric nurses should improve their breastfeeding counselling skills based on the needs of lactating women and provide personalized breastfeeding counselling services.