The Effectiveness of Breastfeeding Education Using a Lactation Simulation Model on Nursing Students' Breastfeeding Education Skills, Mothers' Breastfeeding Self-Efficacy, Breastfeeding Success, and Student Satisfaction: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Breastfeeding Education Skills of Nursing Students
研究概览
简要总结
Breastfeeding education provided by nurses is an important determinant of breastfeeding success and maternal breastfeeding self-efficacy. Nursing students should acquire effective breastfeeding counseling skills before entering clinical practice. Simulation-based education offers students the opportunity to develop communication and clinical skills in a safe learning environment.
The aim of this randomized controlled trial was to evaluate the effectiveness of breastfeeding education using a lactation simulation model among fourth-year nursing students. Students were randomly assigned to either an intervention group receiving simulation-based breastfeeding education using a lactation simulation model or a control group receiving routine theoretical breastfeeding education. During their maternity clinical placement, students provided standardized breastfeeding education to postpartum mothers.
The primary outcomes were students' breastfeeding education skills and maternal breastfeeding self-efficacy. Secondary outcomes included breastfeeding success assessed by the LATCH Breastfeeding Assessment Tool and students' educational satisfaction. The findings of this study are expected to provide evidence supporting the integration of simulation-based breastfeeding education into undergraduate nursing curricula.
详细描述
Breastfeeding is recognized as the optimal method of infant feeding and is associated with significant short- and long-term health benefits for both mothers and infants. International organizations recommend exclusive breastfeeding during the first six months of life and continued breastfeeding with appropriate complementary feeding thereafter. Effective breastfeeding counseling provided by healthcare professionals is essential for improving breastfeeding outcomes.
Nursing students frequently encounter breastfeeding mothers during maternity clinical placements; however, many students report insufficient confidence and practical competence in breastfeeding counseling. Simulation-based education has emerged as an effective educational strategy that enables students to practice clinical procedures, communication skills, and patient education in a realistic but safe learning environment before interacting with actual patients.
This randomized controlled trial evaluated the effectiveness of a lactation simulation model on nursing students' breastfeeding education competencies and maternal breastfeeding outcomes. Fourth-year nursing students enrolled in the Department of Nursing at Izmir Katip Celebi University were randomly allocated to intervention and control groups using a computer-generated randomization sequence.
All participants received routine theoretical breastfeeding education as part of the undergraduate nursing curriculum. Students allocated to the intervention group additionally received simulation-based breastfeeding education using a lactation simulation model in the Women's Health Nursing Skills Laboratory before beginning their maternity clinical placement. The simulation sessions focused on breastfeeding techniques, positioning, latch assessment, management of common breastfeeding problems, effective communication, and breastfeeding counseling.
Following completion of the educational intervention, students provided standardized breastfeeding education to postpartum mothers hospitalized in the postpartum unit of Izmir Ataturk Training and Research Hospital. Maternal breastfeeding self-efficacy was evaluated using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), breastfeeding success was assessed using the LATCH Breastfeeding Assessment Tool, students' educational performance was evaluated using a Breastfeeding Education Evaluation Form, and educational satisfaction was assessed using the Adult Education Satisfaction Scale.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nursing Students:
- •Fourth-year undergraduate nursing students enrolled in the Department of Nursing at Izmir Katip Celebi University.
- •Students undertaking their maternity nursing clinical placement during the study period.
- •Students who voluntarily agreed to participate and provided written informed consent.
- •Postpartum Mothers:
- •Mothers hospitalized in the postpartum unit of Izmir Ataturk Training and Research Hospital.
- •Mothers aged 18 years or older.
- •Mothers who delivered a healthy singleton infant.
- •Mothers who were breastfeeding their infants.
- •Mothers who were able to communicate in Turkish.
- •Mothers who voluntarily agreed to participate and provided written informed consent.
排除标准
- •Nursing Students:
- •Students who did not complete the educational intervention or clinical placement.
- •Students who withdrew from the study or had excessive absenteeism during the clinical placement.
- •Postpartum Mothers:
- •Mothers with medical conditions contraindicating breastfeeding.
- •Infants with congenital anomalies or medical conditions preventing breastfeeding.
- •Mothers whose infants required admission to the neonatal intensive care unit.
- •Mothers who declined participation or withdrew consent.
结局指标
主要结局
Breastfeeding Education Skills of Nursing Students
时间窗: During the maternity clinical placement (up to 4 weeks after the educational intervention)
Nursing students' breastfeeding education skills assessed using the Breastfeeding Education Evaluation Form after completion of the educational intervention and during clinical practice.
Maternal Breastfeeding Self-Efficacy
时间窗: Before hospital discharge (within 48-72 hours postpartum)
Maternal breastfeeding self-efficacy assessed using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) after receiving breastfeeding education from nursing students.
次要结局
- Breastfeeding Success(Before hospital discharge (within 48-72 hours postpartum))
- Student Educational Satisfaction(Immediately after completion of the educational intervention)
研究者
SINEM CATAKOGLU
Graduate Researcher
Izmir Katip Celebi University