Abstract
Objective: To establish breastfeeding clinical holistic nursing model used in clinical nursing and teaching, it is possible to improve nurses and nursing students to master knowledge of breastfeeding, analysis, judgment, decision-making and the ability to care-related issues, promoting pure improve breastfeeding rates. Method: 1) The North American Nursing Diagnosis Nursing Association (NANDA), Nursing Outcomes Classification (NOC) and Nursing Classification (NIC) link (NNN link) clinical clues reasoning to determine the contents of the questionnaire were used. Then, the Delphi method to care was used. 2) The survey questionnaire was designed. The content included the clinical holistic nursing care model in breastfeeding and the model’s use situation. 3) Questionnaire survey: in the national midwifery care industries, volunteers were collected who were willing to use the breastfeeding clinical holistic nursing care model in the nursing work. We issued 98 questionnaires and took back 76 valid questionnaires. Results: The construction of the breastfeeding clinical holistic nursing model includes 9 nursing diagnoses which contain the breastfeeding effective, the lack of knowledge, the decision conflicts, the risk of breast tenderness, the risk of cracked nipple, the invalid hazard occurring in breastfeeding, the risk of caregiver role strain, the risk of breast feeding jaundice and the ineffective community coping, 18 nursing outcomes and 64 nursing measures. In the composition of breastfeeding after clinical holistic nursing model in clinical practice, 100% of obstetric nurses think that the breastfeeding nursing model can promote the nursing staff to care patients according to the nursing process, can help nurses to analyze, evaluate, make decision, and care about breastfeeding related problems, as well as can promote the mother’s milk feeding rate. Conclusion: The establishment of the breastfeeding nursing model provides a learning material for obstetric breast-feeding. Moreover, nursing diagnosis, nursing outcomes and nursing measures correspond according to the form of chart, which are easy to use and find. The breastfeeding clinical holistic nursing model is practicing in clinical nursing, which can help nursing staff to improve the ability of nursing personnel according to evidence-based nursing patients, to improve the ability of nursing personnel analysis, evaluation, decision-making and nursing in breastfeeding problems and to promote the rate of breastfeeding.
Highlights
In recent years, the study found that to implement the breastfeeding, to children, from the physiological level, could reduce the occurrence of gastroenteritis, otitis media, severe lower respiratory tract infections, atopic eczema and sudden infant death syndrome, etc., in infancy
Nursing diagnosis, nursing outcomes and nursing measures correspond according to the form of chart, which are easy to use and find
The breastfeeding clinical holistic nursing model is practicing in clinical nursing, which can help nursing staff to improve the ability of nursing personnel according to evidence-based nursing patients, to improve the ability of nursing personnel analysis, evaluation, decision-making and nursing in breastfeeding problems and to promote the rate of breastfeeding
Summary
The study found that to implement the breastfeeding, to children, from the physiological level, could reduce the occurrence of gastroenteritis, otitis media, severe lower respiratory tract infections, atopic eczema and sudden infant death syndrome, etc., in infancy. Implementation of the breastfeeding that could reduce the incidence of the type 1 diabete and type 2 diabete, overweight and obesity. When they are adults, they are less plagued by chronic diseases. Breast-feeding advice and care takes a long work time; it lacks job evaluation index system; nursing workload calculation pay is out of step with income, etc. The presence of these elements will affect the implementation of the quality of obstetric care and breastfeeding. In gynecology and obstetrics nursing teaching material list, only one “breastfeeding is invalid” breastfeeding related nursing diagnosis [1] cannot satisfy the nurses and nursing students at the present stage in China according to the nursing process to breastfeed needs of clinical evidence-based nursing
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