Abstract
Background: The Baby-Friendly Hospital Initiative of 2010 recommends the proportion of mothers who breastfeed their babies in the early postpartum period should be at least 75% (Baby-Friendly USA, 2010). The exclusively breastfeeding rate at a community hospital located in the Appalachian region is 44%, well below the proposed standard. Registered nurses who lack knowledge or exhibit a negative attitude toward breastfeeding, can impede the understanding and skills necessary to empower mothers to effectively breastfeed.Purpose: This performance improvement project was designed to determine whether an online educational module was effective in increasing the knowledge and improving the attitudes of nurses working with breastfeeding mothers.Methods: A pre- and posttest design was used to evaluate nurse’s attitudes and knowledge of breastfeeding.Results: The results of the paired-sample t-test indicated a significant increase in the Breastfeeding Initiation Practice scores pre- and posttest. The exclusive breastfeeding rate had a clinically significant change from 44% to 58%.Conclusion: An online educational intervention was effective in increasing the knowledge of nurses working with breastfeeding mothers. This efficient and cost-effective intervention may be valuable to hospitals desiring to increase exclusive breastfeeding rates by increasing the knowledge and skill of staff.
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