Breastfeeding Behavior Research Articles

Maternal self-esteem and self-efficacy as factors affecting maternal long-term breastfeeding: Α comprehensive review of the literature

Background: Breastfeeding is widely recognized as the optimal feeding method for infants, providing numerous health benefits, both for the infant and the mother. Numerous factors have been noted to influence its success, and currently, maternal self-esteem and more particularly self-efficacy, have been recognized as important determinants as well. To this end, it is essential to take into account the role of maternal self-esteem in achieving and sustaining breastfeeding. Methods: This review of the current medical literature aims to investigate the correlation between maternal self-efficacy and breastfeeding duration. A total of 23 articles were selected for comprehensive review, following an online search for relevant literature dating from 2009 onward. All articles were analyzed, identifying key themes, approaches, and conclusions regarding breastfeeding behaviors and maternal self-efficacy. Results: The findings consistently demonstrated that higher levels of maternal self-efficacy were associated with better breastfeeding outcomes, including longer duration of exclusive breastfeeding. Interventions targeting self-efficacy, such as educational programs and counseling, were found to be effective in enhancing breastfeeding self-confidence and promoting prolonged breastfeeding. However, it was observed that maternal breastfeeding self-efficacy tends to decline over time, highlighting the need for continuous support and interventions. Conclusions: Maternal self-esteem, particularly self-efficacy, is vital in achieving long-term breastfeeding goals. Interventions and support programs that enhance maternal self-efficacy have shown promise in improving breastfeeding outcomes. Ongoing support, counseling, and access to breastfeeding resources are crucial for maintaining and improving self-efficacy levels throughout the breastfeeding journey. Healthcare professionals and policymakers should consider incorporating strategies to enhance maternal self-esteem into breastfeeding support initiatives for better breastfeeding outcomes. Further research is required to explore cultural and social influences on maternal self-esteem and develop tailored interventions for diverse populations

임상간호사의 COVID-19 감염예방행위에 미치는 영향요인

임상간호사의 COVID-19 감염예방행위에 미치는 영향요인

Breastfeeding Behavior and LATCH Score in Postpartum Mothers days 1-7 with Overweight and Obesity

Background: Lifestyle changes during pregnancy tend to occur less frequently, and unhealthy eating patterns resulting from consuming fast food can trigger overweight and obesity. Existing research has revealed the influence of obesity on delayed lactogenesis II and low milk production but has not revealed the influence of obesity on breastfeeding behavior and the LATCH score as an early identification of breastfeeding success. Purpose: This study aim to analyzing the differences between overweight and obesity on breastfeeding behavior and LATCH scores in postpartum mothers on 1–7 days. Method: This research uses an analytical design with a observational approach. The sample for this study was all third-trimester primigravida mothers with normal pregnancies who checked themselves at the Kediri City Community Health Center and met the research inclusion criteria amount 86 samples. Breastfeeding behavior data and LATCH scores evaluate use quistionare were assessed on days 1, 3, and 7 days postpartum. Data analysis using SPSS version 26 with paired t test. Results: The breastfeeding behavior scores of both groups did not different at 1 day (45 ± 3.34 vs. 45 ± 3.34; P = 0.760), 3 days (78 ± 5.78 vs. 67 ± 9.03; P = 0.213), and 7 days (10 ± 0.59 vs. 8 ± 0.50; P = 0.087). There was no difference in LATCH scores at 1 day (3 ± 0.67 vs. 3 ± 0.45; P = 0.646) and 3 days postpartum (78 ± 5.78 vs. 6 ± 0.03; P = 0.098), but at 7 days postpartum between the two groups were significantly different (10 ± 0.59 vs. 8 ± 0.50; P < 0.001). Conclusion: The breastfeeding behavior and LATCH score can be used to predict difficulties in breastfeeding experienced by overweight and obese mothers postpartum for 1–7 days. Having an appropriate systematic assessment can help with timely intervention and improvements in breastfeeding techniques so increase breastfeeding success.

Attitudes, knowledge and practices concerning delirium among paediatric intensive care unit nurses: a multisite cross-sectional study in Sichuan, China.

Delirium is an acute mental state associated with poor outcomes. The incidence of delirium is high, especially in the paediatric intensive care unit (PICU). It is important for staff, particularly nurses, to understand delirium and implement interventions to prevent it. We performed a survey with the aim of evaluating and analysing the factors influencing the knowledge, attitudes and behaviour of PICU nurses towards delirium. This cross-sectional descriptive study included 215 PICU nurses in 6 PICUs from five teaching hospitals in Sichuan Province, China. An online survey about the knowledge, attitudes and practices related to delirium care was conducted among PICU nurses used a self-made and validated questionnaire. The data were analysed using descriptive statistics; differences between groups were compared using t tests, ANOVA and rank-sum tests. Variables with a significance level of 0.05 in the univariate analysis were entered into the multivariable regression analysis to identify predictors. Only 14.4% of the nurses had a good understanding of delirium, and 40.9% had received relevant training. The mean knowledge score was 9.01 ± 3.86, and the overall passing rate of knowledge was 49.8%. The mean attitude and behaviour scores were 40.95 ± 5.62 and 40.33 ± 8.01, respectively. Among the hospitals, different delirium assessments for children and specific training were performed, explaining approximately 10% of the variability in knowledge scores (F = 6.152), approximately 10% of the variability in attitude/belief scores (F = 5.908), and approximately 17% of the variability in practice scores (F = 10.767). PICU nurses have poor knowledge of delirium, particularly regarding its clinical manifestations, influencing factors and medications used, and they have adequate attitudes and confidence and good behaviour regarding delirium in children. To better prevent delirium, we suggest that PICU departments routinely assess delirium and conduct delirium training for nurses. Not applicable.

The effect of perceived organizational justice on workplace deviant behavior of new nurses: the role of emotional labor and psychological capital

BackgroundNew nurses are prone to workplace deviant behavior in the constrained hospital environment, which will not only directly affect the safety of patients, but also reduce the work efficiency of nurses and bring negative results to the hospital. The purpose of this study was to investigate the relationship between perceived organizational justice, emotional labor, psychological capital, and workplace deviant behavior of new nurses.MethodsA cross-sectional study was used in this study. A survey was conducted in 5 hospitals in Henan Province, Chain from February to April 2023. The sample size was 546. The questionnaire included general information, perceived organizational justice scale, emotional labor scale, psychological capital scale, and workplace deviant behavior scale. SPSS 26.0 and PROCESS Macro were used for data analysis. PROCESS Model 4 and Model 14 were used to verify the model.ResultsThis study displays that perceived organizational justice was negatively correlated with emotional labor and workplace deviant behavior, and emotional labor was positively correlated with workplace deviant behavior. Meanwhile, emotional labor plays a partial mediating role between perceived organizational justice and workplace deviant behavior, accounting for 32.7% of the total effect. Moreover, the path of emotional labor on workplace deviant behavior is moderated by psychological capital.ConclusionThis study further understood the workplace deviant behavior of new nurses, and provided a new perspective for solving this problem. Nurse managers can reduce workplace deviant behavior by enhancing the perceived organizational justice and psychological capital of new nurses and improving emotional labor.

PERCEPTIONS AND EXPERIENCES OF MOTHERS WITH A HISTORY OF EPISIOTOMY ON BARRIERS AND SOCIAL SUPPORT IN BREASTFEEDING

Abstract Background: Breastfeeding rates in Indonesia have decreased significantly in recent years. In 2021, less than half of babies in Indonesia (48.6 percent) were breastfed in the first hour of life, down from 58.2 percent in 2018. Only 52.5 percent were exclusively breastfed in the first six months, which is a decrease sharply from 64.5 percent in 2018. The success of breastfeeding is determined by several inhibiting and supporting factors, one of which is anxiety due to an episiotomy. Episiotomy is often performed to prevent more severe perineal tearing during labor, but there is controversy regarding the benefits and risks of episiotomy, as well as its impact on breastfeeding practices. Objective: To describe the perceptions and experiences of mothers with a history of episiotomy regarding barriers and support in providing breast milk at 7 days postpartum at Airlangga University Hospital, Surabaya City. Method: This research was conducted using qualitative methods with a phenomenological approach/Interpretive Phenomelogical Analysis (IPA). The method for taking subjects used purposive sampling. This research involved a total of 8 informants. The analysis method used is content analysis. Results: It was found that the perception of mothers with a history of episiotomy regarding breastfeeding and their intention to breastfeed was still low. The experience of providing breast milk varies greatly and mothers tend to be physically and emotionally uncomfortable. Social support is very important for mothers' behavior in providing breast milk. There are physical and psychological barriers associated with episiotomy including pain, physical discomfort, anxiety about health and recovery so that breastfeeding behavior becomes disrupted.

Factors affecting environmental sustainability attitudes among nurses - Focusing on climate change cognition and behaviours: A cross-sectional study.

To investigate the relationship between climate change cognition and behaviours (awareness, concern, motivation, behaviours at home and behaviours at work), positive and negative future cognition, and environmental sustainability attitudes in nurses and to identify the factors affecting environmental sustainability attitudes. A cross-sectional study. In total, 358 nurses currently working in tertiary hospitals in Korea were recruited. Data were collected using an online questionnaire link from 1 August to 7 August 2022. Climate change cognition and behaviours were measured using the Korean version of the Climate, Health, and Nursing Tool. Positive and negative future cognition were measured using the Korean version of the Future Event Questionnaire. Environmental sustainability attitude was measured using the Korean version of the Sustainability Attitudes in Nursing Survey-2. Multiple regression analysis was used to identify the factors affecting environmental sustainability attitudes. Motivation, concern and behaviours at work were factors affecting environmental sustainability attitudes. Motivation was a pivotal influencing factor. Better scores for environmental sustainability attitudes were specifically correlated with higher scores for motivation, concern and behaviours at work. Nurses' motivation, climate change concern and pro-environmental workplace practices should all be considered to improve their attitudes towards environmental sustainability. To enhance nurses' environmental sustainability attitudes and behaviours, nurse educators must educate them to increase their motivation for climate action. Nurses are increasingly expected to contribute to environmental sustainability. Hence, awareness of climate change and environmental sustainability among nurses must be improved, and nursing engagement and action encouraged. Nurse educators and managers should explore barriers to pro-environmental behaviour engagement among nurses, examine workplace cultures that encourage pro-environmental behaviours and develop policies/regulations to develop more environmentally sustainable workplaces. We adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Neither patients nor the public were involved in our research's design, conduct, reporting or dissemination plans. The nurses partook in this study exclusively as research participants and were not involved in any research process.

Pilot Study Focused on Knowledge, Attitudes, and Health Access Behaviors of Psychiatric-Mental Health Nurses Regarding Suicide Prevention.

OBJECTIVE: The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric-mental health nurses. METHODS: A quasi-experimental pretest-posttest design was employed. Registered nurses from two academic health center units and a 239-bed Psychiatric Hospital were invited to participate. Scores on knowledge of suicide risk and prevention, attitudes, subjective norms, perceived behavioral control, and intent to seek help upon experiencing suicidal ideations were obtained before and after administering a 25-min web-based training. RESULTS: Twenty-nine participants completed the pre-survey, web-based education module, and post-survey. Significant increases from baseline in the scores on knowledge, attitudes, subjective norms, and intentions related to help-seeking behaviors for nurse suicide prevention were noted. Perceived behavioral control median scores increased but were not statistically significant. More than 40% of the participants reported having experienced suicidal thoughts. CONCLUSIONS: Further study is needed to determine contributors to this higher rate. Understanding the effectiveness of strategies to reduce nurse suicide can provide insights into building better nurse suicide prevention programs.

Breastfeeding patterns in one-year-old children was not affected by a breastfeeding support intervention

BackgroundBreastfeeding patterns in 12-month-old children play a central role in the mother-infant dyad, but studies describing the patterns are scarce. AimTo investigate breastfeeding patterns in 12-month-old infants before and after a breastfeeding support programme. Study designA baseline/intervention design as part of a larger implementation project aiming to revive the Ten Steps to Successful Breastfeeding programme. SubjectsDuring a 24-h period, 28 mothers from a baseline group and 24 mothers from an intervention group recorded all breastfeeding sessions on a pen and paper form. ResultsThe median (range) frequency of breastfeeding sessions was 6 (1−22) in the baseline group and 7 (1−20) times per 24 h in the intervention group. No significant difference was observed in frequencies between the two groups. The majority of children (57 % in the baseline group and 62 % in the intervention group) exhibited a pattern classified as partial breastfeeding, engaging in breastfeeding 6 or more times per 24 h throughout a substantial part of the day. A second pattern was classified as token breastfeeding, with few breastfeeding sessions, suggesting that breastfeeding occurred primarily for comfort. ConclusionThis study illuminates the breastfeeding behaviours of 12-month-old children and can serve to normalise frequent breastfeeding patterns, potentially aiding mothers who wish to continue breastfeeding beyond infancy. The findings indicate no difference between the groups, suggesting that the implemented intervention did not influence maternal breastfeeding practices at one year of age. This underscores the potential necessity for prolonged support for parents throughout the breastfeeding period.ISRCTN registry: doi.org/10.1186/ISRCTN91972905.

Combining Embryo Transfer and Artificial Insemination to Achieve Twinning in Beef Cattle, and Effects of Different Twin Calf-Raising Methods on Neonatal Behavior and Growth

As the beef industry moves towards efficient animal production to improve sustainability in agriculture, new production and management approaches are emerging. Among the many facets of the beef industry, cow–calf operations have the most opportunity for efficiency improvement, including improvements in fertility. This project accounts for measures and methods of (1) twinning reproductive technologies and (2) twin calf perinatal care and pre-weaning rearing. The overall objective was to produce twin calves using two reproductive technologies—embryo transfer and artificial insemination. The subobjectives were to determine accuracy of twin pregnancies embryo/fetal losses using ultrasonography, evaluate parturition and dystocia, and determine the effects of different twin-raising methods on neonatal behavior and growth. A fixed-time artificial insemination (FTAI) protocol was applied to 77 multiparous Angus-cross cows from a commercial beef herd in northcentral South Dakota during the summer of 2019. Cows were assigned to two different treatments groups: only artificially inseminated (AI) or received an embryo transfer following artificial insemination (ET + AI). They were estrous-synchronized, artificially inseminated (AI) with black Angus semen at day 0, and received and embryo transfer (ET) at day 7. Ultrasound examination detected 56% pregnancy risk for both groups, with sensitivity, specificity, and accuracy of 75%, 100%, and 90.5%, respectively, for bilateral twin detection. Calves were born during spring 2020. Twin calves (n = 34) and singleton calves (n = 11) were assigned to one of three raising methods: (1) twin born and twin raised (TT; n = 16), (2) twin born and single raised (TS; n = 18), and (3) single born and single raised (S; n = 11). Neonatal nursing behavior and birth weights were recorded, and adjusted day 200 and day 280 were calculated measures of vitality and growth. Blood samples were collected at age 24 h for colostrum intake measures (total serum protein, IgG1, and IgM). Twin calves were born 20% (p < 0.05) lighter in body weight than singletons; however, weights did not differ at day 280 between TT and S calves. TS calves had the shortest average latency to stand, but immunoglobulin concentrations did not differ among treatments. At weaning, cows that had birthed and raised twins produced more kilograms of live weight per pregnancy than cows birthing and raising singletons. Using ET + AI proved to increase twinning rate, and growth was maintained when raising both twins with their dam.

Exploring the influence of nursing diagnosis education on Romanian nurses' intention, attitudes, and behavior: a cross-sectional study.

The introduction of accreditation criteria for hospitals has generated increased interest in applying the nursing process to clinical practice and developing nursing care plans. Nursing diagnosis plays a pivotal role in the formulation of these care plans.The objective of the study is to investigate the correlation between nursing diagnosis education and nurses' intentions, attitudes toward the use of nursing diagnosis and the behavior in using it in practice; to explore the differences between nurses' intentions, attitudes and behavior, considering nurses' socio-demographic and professional data. A cross-sectional design was used. A web-based survey was applied to gather data. A sample of 664 hospital nurses was recruited from five Romanian hospitals. Education on nursing diagnosis showed significant results in relation to nurses' intentions (F(2,126.35) = 23.99, p < 0.001), attitudes (χ2 (2, N = 664) = 44.62, p < 0.001) and behavior (F(2,167.69) = 29.53, p < 0.001) in using it in clinical practice. Nurses with education highly focused on nursing diagnosis have significantly stronger intention to use it, more positive attitudes and higher behavior in using it in clinical practice compared to nurses whose education simply had included a nursing diagnosis course, or nurses without any education on the topic. Significant differences were identified in intention (t (83.86) = -4.49, p < 0.001) and attitudes (U = 12697.50, z = -3.99, p < 0.001, r = -0.0006) of management nurses compared to clinical nurses. Nursing education on nursing diagnosis significantly impacts nurses' intentions, attitudes, and behavior in their daily practice. Romanian nurses display slightly positive intention and attitudes toward nursing diagnosis but need more training for effective/practical clinical application.

Risk Factors that Influence the Incidence of Diarrhea in Toddlers

Diarrhea is a condition where the frequency of defecation is more than 4 times in babies and more than 3 times in children. The incidence of diarrhea is closely related to the clean and healthy living behavior carried out by family members and the increase in cases is strongly influenced by an unclean environment. This research is to analyze the effect of breastfeeding, nutritional status, and hand washing behavior on the incidence of diarrhea in the Naioni Health Center Work Area, Kupang City. Method: This research uses an analytical survey method with a cross sectional design. The population in this study was 1,120 toddlers in the Naioni Community Health Center Working Area. The sampling technique in this research is cluster random sampling with a sample size of 92 people. Statistical analysis of the data used in this research was the chi square test. Analysis found that variables related to the incidence of diarrhea in toddlers were breastfeeding (pvalue=0.005:RP=3.778), nutritional status (pvalue=0.347:RP=0.589), hand washing behavior (pvalue=0.009:RP=3.429. The incidence of diarrhea which has the greatest impact on toddlers is because of the attention of the community in their life activities to be able to use appropriate water for eating, drinking and other basic human needs and how how to manage food properly and correctly.

Breastfeeding duration is associated with favorable body composition and lower glycoprotein acetyls in later life.

The aim of the present study was to investigate associations between lifetime breastfeeding behaviors and cardiovascular risk in later reproductive years. This was a prospective 10-year longitudinal cohort study of 168 parous women. Health, lifestyle and infant feeding questionnaires, blood samples, anthropometry and body composition were collected. Cardiovascular risk was estimated using QRISK®3 and hierarchical multiple linear regression analysis performed. Mean age was 42.4 years (SD 3.8; range 31-50) and 98.7% (n = 156/158) were premenopausal. Ever breastfeeding rates were 72.6% (n = 122/168) and 37.5% (n = 63/168) lifetime ≥12 months breastfeeding duration. Median durations were 5.5 weeks for exclusive breastfeeding (IQR 35.8; range 0-190) and 30.5 weeks for any breastfeeding (IQR 84.0; range 0-488). Breastfeeding duration was not associated with QRISK®3 scores in adjusted models. Lower glycoprotein acetyls were associated with ever breastfeeding (P = 0.03), and lifetime breastfeeding ≥12 months (P = 0.001). Lifetime breastfeeding ≥12 months and longer exclusive breastfeeding were associated with lower fat mass index (P = 0.03, P = 0.01), tissue percentage fat (P = 0.02, P = 0.009) and visceral adipose tissue volume (P = 0.04, P = 0.025) after correcting for confounders including body mass index. Longer breastfeeding is associated with favorable body composition and lower glycoprotein acetyls, a novel inflammatory biomarker associated with cardiometabolic risk. Breastfeeding is a low-cost, health promoting behavior for women and infants. Pregnant women, especially those at higher risk of cardiovascular disease, should be counseled about the potential benefits of exclusive and longer breastfeeding duration.

The environmental awareness of nurses as environmentally sustainable health care leaders: a mixed method analysis

BackgroundPeople worldwide are concerned with the possibility of climate change, microplastics, air pollution, and extreme weather affecting human health. Countries are implementing measures to reduce environmental impacts. Nurses play a vital role, primarily through Green Teams, in the process of promoting sustainable practices and minimizing the environmental footprint of health care facilities. Despite existing knowledge on this topic, assessing nurses’ environmental awareness and behavior, including the barriers they face, is crucial with regard to improving sustainable health care practices.AimTo analyze the environmental awareness and behavior of nurses, especially nurse leaders, as members of the Green Team and to identify areas for improvement with regard to the creation of a sustainable environment.MethodsA sequential mixed-method study was conducted to investigate Spanish nurses. The study utilized an online survey and interviews, including participant observation. An online survey was administered to collect quantitative data regarding environmental awareness and behavior. Qualitative interviews were conducted with environmental nurses in specific regions, with a focus on Andalusia, Spain.ResultsMost of the surveyed nurses (N = 314) exhibited moderate environmental awareness (70.4%), but their environmental behavior and activities in the workplace were limited (52.23% of participants rarely performed relevant actions, and 35.03% indicated that doing so was difficult). Nurses who exhibited higher levels of environmental awareness were more likely to engage in sustainable behaviors such as waste reduction, energy conservation, and environmentally conscious purchasing decisions (p < 0.05). Additionally, the adjusted model indicated that nurses’ environmental behavior and activities in the workplace depend on the frequency of their environmental behaviors outside work as well as their sustainable knowledge (p < 0.01). The results of the qualitative study (N = 10) highlighted certain limitations in their daily practices related to environmental sustainability, including a lack of time, a lack of bins and the pandemic. Additionally, sustainable environmental behavior on the part of nursing leadership and the Green Team must be improved.ConclusionsThis study revealed that most nurses have adequate knowledge, attitudes, and behaviors related to environmental sustainability both inside and outside the workplace. Limitations were associated with their knowledge and behaviors outside of work. This study also highlighted the barriers and difficulties that nurses face in their attempts to engage in adequate environmental behaviors in the workplace. Based on these findings, interventions led by nurses and the Green Team should be developed to promote sustainable behaviors among nurses and address the barriers and limitations identified in this research.Graphical

The Role of Leadership Styles in Fostering Organizational Commitment Among Nurses

This study aims to explicitly examine the relationship between leadership styles and nurse organizational commitment, providing specific correlations and regression results to enhance readers’ understanding of the findings. Nurses’ well-being is significantly influenced by the leadership styles they observe, and effective healthcare leadership is crucial for improving healthcare systems’ efficacy. The study population consists of private hospital nurses from Vellore City, Tamil Nadu, India. Questionnaires were disseminated using Google Forms, resulting in 308 responses, of which 283 ( N = 283) were deemed usable. Nurses self-rated their perceptions of their various managers’ leadership styles using the Multifactor Leadership Questionnaire 5x-short, along with the Three-Component Model (TCM) Employee Commitment Survey and a demographic questionnaire. Descriptive statistics, correlation, and regression were examined using SPSS 26.0. The study’s regression analysis found significant links between leadership styles and various types of commitment among nurses. Specifically, the results show that transformational (TRF) and laissez-faire (LF) leadership styles positively impacted affective commitment. TRF had a stronger influence (TRF: β = .938, p &lt; .001; LF: β = .580, p &lt; .001). The findings also indicate that TRF and LF styles positively influenced normative commitment (TRF: β = .803, p &lt; .001; LF: β = .392, p &lt; .001), while transactional (TRA) leadership had a negative effect on normative commitment (TRA: β = −.308, p = .007). These results provide valuable insights for healthcare organizations looking to increase commitment among their nursing staff by fostering specific leadership styles. This study contributes to nursing and organizational behavior by filling a gap in the current knowledge on the relationship between leadership styles and organizational commitment among nurses. Given the specific obstacles and stresses nurses face in their jobs, understanding how different leadership styles affect their commitment can assist healthcare organizations in better supporting their nursing staff. Healthcare organizations can apply these results by implementing targeted leadership development programs to identify and cultivate leaders with transformational and laissez-faire traits. Additionally, organizations can create a work environment that values autonomy and decision-making, fostering commitment among nurses. Future research could explore the long-term effects of implementing leadership development programs based on the identified effective leadership styles. Additionally, examining the broader implications of these findings for the field of nursing and healthcare management would be valuable for advancing the understanding of organizational commitment among nurses.

Evaluation of breastfeeding behaviors and complementary feeding practices of Turkish and Syrian refugee mothers.

Objectives: The purpose of this study was to compare breastfeeding and related factors (age, level of education, age at first pregnancy, etc.), and complementary feeding practices between Syrian refugee and native Turkish mothers. Material and methods: This descriptive-comparative study examined the nutritional characteristics of infants aged 9 to 60 months whose mothers were Turkish or Syrian refugees who attended Kızıltepe State Hospital between January 2022 and July 2022. Results: 204 mothers (126 Turkish and 78 Syrian) who had a child aged 9-60 months were included. The average age of the mothers was 27.60 ± 5.17 years for Turkish citizens and 28.91 ± 5.62 for Syrian refugees, without significant difference between the two groups (p: 0.091). Postpartum breastfeeding was 91.3% and breastfeeding duration was 12 (0-24) months in Turkish citizens; in Syrian refugees, breastfeeding was 84.6% and average breastfeeding time was 9 (0- 24) months (respectively, breast milk intake p: 0.144, uptake time p: 0.161; no statistical difference). Breastfeeding training was received by 23.8% of Turkish citizens and 5.1% of Syrian refugees; there was a significant difference between the two groups (p: 0.001). Conclusion: In refugee groups, infant and maternal nutrition practices are disrupted. Working in conjunction with local and international organizations and state agencies that give help to refugee groups, the appropriate interventions, initiatives, supports, and awareness-raising activities would strive to improve practices in mother and baby nutrition and narrow gaps.

Prevalence and determinants of continued breastfeeding beyond 6 months among Algerian women. Evidence for Multiple Indicators Cluster Surveys

Breastfeeding is considered the best nutrition for infants and plays a significant role in a child's growth and development. In this regard, the World Health Organization (WHO) strongly recommends exclusive breastfeeding for the first 6 months of life, as well as continued breastfeeding when safe and appropriate complementary foods are introduced, up to 2 years of age or beyond. Nonetheless, breastfeeding practices remain sub-optimal in many parts of the world. In this respect, many children have shown not to be breastfed up to 6 months of age or are not breastfed during their first hours of life or are weaned too early. This allows for the use of infant formula, which can be life threatening due to poor hygiene, storage conditions or inappropriate foods. Likewise, breastfeeding rates in the Middle East and North Africa (MENA) region are lower than the global average. In Algeria, the breastfeeding rate up to 6 months of age is among the lowest in the world according to previous Multiple Indicators Cluster Surveys (MICS) reports. In addition, by the end of the sixth month, the percentage of children exclusively breastfed is less than 3% and only 23% of children receive breast milk at 22-23 months. The median duration of breast-feeding is 12 weeks. However, the socio-demographic factors associated with this sub-optimal breastfeeding practice are not explored in these reports, as studies and research conducted in this context using other data are few and mostly conducted in limited geographical areas. This stands for a descriptive cross-sectional study of all children who were breastfed in the MICS database, carried out in 2019, 8 709 children, including 4 471 boys and 4 238 girls, registered in the database. To explore factors associated with the duration of breastfeeding, we only included weaned children to minimize bias related to children who were still breastfeeding. This allowed to analyze data from 3 761 children, including 1 930 boys (5.4%) and 1,831 girls (48.6%). Through using a logistic regression model, we could attain the assessment of the role of different socio-demographic, economic and geographical factors in the maintenance of breastfeeding beyond 6 months. The prevalence of breastfeeding is 81.1%; the rate of exclusive breastfeeding of children aged 0-6 months is 28.7%. The factors associated with breastfeeding beyond six months are area of residence, mother's occupational status and wealth quintile. In fact, rural area appears to be a factor favoring the continuation of breastfeeding beyond six months, compared with urban area (OR = 1.29; CI [1.032-1.369]). Mothers living in the Eastern Highlands geographic region appear to be 1.56 times more likely to maintain breastfeeding for more than six months compared to those living in the Southern region (OR = 1.56; CI [1.123 - 1.677]). Children of non-working mothers are almost 1.5 times more likely to be breastfed after 6 months than those of working mothers (OR = 1.489; CI [1.107 - 1.947]). Parents belonging to the "richest" wealth quintiles appear to increase the chance of continued breastfeeding after 6 months with a 1.24-fold increase compared to those belonging to the "poorest" quintile (OR = 1.24; CI [1.086 - 1.812]). Factors such as the child's gender, maternal education level, and functional difficulties do not appear to be determining factors for the continuation of breastfeeding after six months. The prevalence and factors associated with the initiation and continuation of breastfeeding vary from one country to another. Notwithstanding the numerous studies to better comprehend mothers' breastfeeding behaviour and various initiatives for promotion thereof, many countries have low rates. In consequence, the downward trend in breastfeeding is directly linked to advances in the production and marketing of industrial milks, the lack of information and awareness among mothers and the lack of training of health professionals. In this respect, it is highly recommended to encourage behavioural changes, to improve communication about the duration of breastfeeding, to increase the use of postnatal counselling and training of paramedical staff according to the recommendations with support for mothers.This study is of great interest in developing countries like Algeria, in order to adopt preventive interventions, and to organise communication and pre- and post-natal counselling in the breastfeeding project. Clearly, this study should be enhanced with supplementary qualitative studies concerning the factors contributing to early discontinuation of breastfeeding.

간호사의 행복감, 셀프리더십, 간호조직문화 유형이 혁신행동에 미치는 영향

Purpose : This descriptive study aims to identify the influencing factors of happiness, self-leadership, and the nursing organizational culture type of nurses on innovative behavior. Methods : Data were collected from 204 nurses working in 5 hospitals with more than 100 beds in G Metropolitan City from August 15-30, 2022. Data were analyzed though descriptive statistics, t-tests, ANOVA, Pearson’s correlation, and multiple regression analysis using the SPSS WIN 26.0 program. Results : A statistically significant difference was found in innovative behavior according to the participants' marital status (t＝－2.12, p＜.05), religion (t＝1.98, p＜.05), education level (F＝8.79, p＜.001), total clinical experience (t＝－2.13, p＜.05), length of work with the current nursing unit manager (t＝－2.29, p＜.05), work type (t＝3.76, p＜.001), and satisfaction with the nursing job (F＝12.10, p＜.001). For innovative behavior of the participants, positive correlations were shown in the order of innovation- oriented culture (r＝.55, p＜.001), self-leadership (r＝.54, p＜.001), happiness (r＝.48, p＜.001), work-oriented culture (r＝.40, p＜.001), relationship-oriented culture (r＝.31, p＜.001) and hierarchy-oriented culture (r＝.27, p＜.001). The factors influencing nurses’ innovative behavior were innovation-oriented culture (β＝.36, p＜.001), self-leadership (β＝.26, p＜.001), hierarchical culture (β＝.16, p＜.01), happiness (β＝.14, p ＜.05), work-oriented culture (β＝.14, p＜.05), and work type (β＝.13, p＜.01). These factors showed a 50.9% explanatory power for nurses’ innovative behavior. Conclusion : Therefore, improving the innovative behavior of nurses requires an environment where they can enhance happiness and learn leadership through programs tailored to individual characteristics. Additionally, forming a systematic organizational culture is essential.

A Scoping Review of Breastfeeding Interventions and Programs Conducted Across Spanish-Speaking Countries.

Breastfeeding is vital to a child's lifelong health and has significant positive benefits to mother's health. World Health Organization recommends beginning exclusively breastfeeding within the first hour after birth and continuing during the first 6 months of infant's life. The purpose of this review is to identify and examine breastfeeding interventions conducted across the Spanish-speaking countries. A scoping review of the literature was conducted across 14 databases for relevant publications published through April 2023 to find studies in Spanish-speaking countries that involved breastfeeding as an intervention component. A total of 46 peer-reviewed articles were included in this review, across 12 Spanish-speaking countries. Participants ranged from pregnant women, mothers, mother-infant pair, and health care professionals. Intervention at the individual level in combination with support from trained health care professionals or peer counselors seemed to have higher improvements in breastfeeding rates. The greatest improvement in exclusively breastfeeding for 6 months was seen in interventions that included prenatal and postnatal intensive lactation education, for a period of 12 months. The most effective interventions that improved rates of any breastfeeding included promotional activities, educations workshop, and training of health care staff along with changes in hospital care. Breastfeeding promotion is an economical and effective intervention to increase breastfeeding behavior and thereby improving breastfeeding adherence across Spanish-speaking countries.

Determination of attitudes and behaviours towards end-of-life care and psychological well-being levels of intensive care nurses

Aims: This study was conducted to determine the attitudes and behaviors of intensive care nurses towards end-of-life care and their psychological well-being levels. Methods: This descriptive study was conducted using a face-to-face interview technique with 101 nurses working at Aksaray University Training and Research Hospital between March and July 2023. Data were collected using the Nurse Introductory Information Form, Intensive Care Nurses’ Attitudes and Behaviors Towards End-of-Life Care Scale, and Psychological WellBeing Scale. The relationship between the variables was investigated with the Spearman correlation test. Results: It was determined that 74.3% of the nurses were women, 60.4% were single, and 61.4% had worked in the profession for 1-5 years. It was determined that nurses’ attitudes and behaviors towards end-of-life care scale scores showed a significant difference depending on whether they received information about end-of-life care and that there was a significant difference between the psychological well-being scale score and satisfaction with the department they worked in (p&lt;0.05). There is a moderate and positive relationship between the behavioral scale and the psychological well-being scale mean scores (r=0.368, p&lt;0.001). Conclusion: The study found that as nurses’ attitudes and behavior levels towards end-of-life care increased their psychological well-being levels also increased. It is recommended that nurses evaluate their psychological well-being and quality of life within the scope of holistic care and that studies be carried out to provide training and consulting services to nurses in this direction.