Assignment: Synopsis of eight peer-reviewed articles

Assignment: Synopsis of eight peer-reviewed articles

Assignment: Synopsis of eight peer-reviewed articles

For this assignment, the student will provide a synopsis of eight peer-reviewed articles (ATTACHED) from nursing journals using an evaluation table (ATTACHED) that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines. Please DO NOT modify the table. It will expand as words are typed into it.

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Knowledge, attitudes, and breast feeding practices of postnatal mothers: A cross sectional survey Poreddi Vijayalakshmi, (1) Susheela T, (2) Mythili D (3) RN, RM, BSN, MSN, Clinical instructor, College of Nursing, (1, 2, 3) National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore. Abstract Background: Breast feeding has several benefits for both the infants and mothers. However, despite strong evidences in support of breast feeding its prevalence has remained low worldwide. The objective of the present study was to examine the knowledge and attitude towards breast feeding and infant feeding practices among Indian postnatal mothers. Methodology: A cross sectional descriptive study was carried out among randomly selected postnatal mothers at Pediatric outpatient department at a tertiary care center. Data was collected through face-to-face interview using a structured questionnaire. Results: Our findings revealed that a majority (88.5%) of the mothers were breast feeders. However, merely 27% of the mothers were exclusive breast feeders and only 36.9% initiated breast feeding within an hour. While mothers have good knowledge on breast feeding (12.05±1.74, M±SD), the average score of the Iowa Infant Feeding Scale (IIFAS) (58.77±4.74, M ±SD) indicate neutral attitudes toward breast feeding. Mothers those who were currently breast feeding (58.83 ± 4.74) had more positive attitudes than non- breastfeed mothers (45.21±5.22). Conclusion: Our findings also show that the level of exclusive breast-feeding was low. Thus, it is important to provide prenatal education to mothers and fathers on breast-feeding. We also recommend strengthening the public health education campaigns to promote breast-feeding. Keywords: Attitudes, Breast feeding, India, Infant feeding practices, Knowledge, Mothers Corresponding author: Poreddi Vijayalakshmi Clinical Instructor, College of Nursing, Department of Nursing, National Institute of Mental Health and Neuro Sciences, Institute of National Importance, Bangalore, 560 029, India. Email: Assignment: Synopsis of eight peer-reviewed articles
Knowledge, attitudes, and breast feeding practices of postnatal mothers…

Introduction Breastfeeding is a basic human activity, vital to infant and maternal health and of immense economic value to households and societies. (1) The WHO recommends that for the first six months of life, infants should be exclusively breastfed to achieve optimal growth, development, and health. Thereafter, infants should receive nutritionally adequate and safe complementary foods, while continuing to breastfeed for up to two years or more. (2) Exclusive Breast Feeding (EBF) is defined as infant feeding with human milk without the addition of any other liquids or solids. (3) The benefits of breast-feeding, to both mother and baby, have long been recognized. (4) Despite strong evidences in support of EBF for the first six months of life, its prevalence has remained low worldwide (5-7) and it is estimated that only about one-third of infants were exclusively breastfed for the first six months of life. (3) In India, breastfeeding appears to be influenced by social, cultural, and economic factors. In 1991, Breastfeeding Promotion Network of India (BPNI) was born to protect, promote and support breastfeeding. (8) Further, the Government of India has undertaken National Rural Health Mission, which intends to implement Integrated Management of Neonatal and Childhood Illnesses (IMNCI) through the existing healthcare delivery system. (9) Poor practices and attitudes toward exclusive breastfeeding have been reported to be among the major reasons for poor health outcomes among children, particularly in developing countries. Nonetheless, the promotion and acceptance of practices, such as exclusive breastfeeding, are especially important in developing countries with high levels of poverty, and that are characterized by a high burden of disease and low access to clean water and adequate sanitation. (10) Breastfeeding has declined worldwide in recent years, as a result of urbanization and maternal employment outside the home. Studies in India have also shown a decline in breastfeeding trends, especially in urban areas. (11) Early initiation of breastfeeding is not seen in over 75% of the nation’s children and over 50% of children are not exclusively breastfed. (12) Hence, the low figures for early initiation of breastfeeding in India are a matter

of urgent concern. Although, the practice of breast feeding is influenced by various social, cultural and religious beliefs, maternal infant feeding attitude has been shown to be a stronger independent predictor of breastfeeding initiation. (13) In addition, maternal positive attitudes toward breastfeeding are associated with continuing to be breastfeeding longer and have a greater chance of success. (14) On contrary, negative attitudes of women toward breastfeeding is considered to be a major barrier to initiate and continue to breastfeeding. (15) While, a number of studies have assessed knowledge, attitude and practice of breastfeeding in different parts of the world; such studies are limited among Indian mothers. (16-18) However, there were no reported studies of breastfeeding knowledge and attitudes of mothers using the IIFAS (Iowa Infant Feeding Attitudes Scale) from India, which may be different from other cultures. Further, maternal attitude is also a concept of interest to health professionals who support breastfeeding. Thus the present study was developed to examine the infant feeding practices, knowledge and attitude towards breast feeding among Indian postnatal mothers’ using the IIFAS. Materials and methods This was a cross sectional study carried out among post natal mothers who attended immunization clinics and the Pediatric Out Patient Department with their children for vaccination and for the treatment of other minor illnesses at a tertiary care hospital in the month of January 2014. Study participants were selected through a random sampling method of the database of children attending the Pediatric outpatient department. Those who met the inclusion criteria were interviewed. The study criteria were; a) mothers of healthy infants aged 6 months, b) born between 37 and 42 gestation weeks, c) and without major birth defects such as congenital heart disease, cleft lip/cleft palate and Down syndrome and d) who volunteered to participate. Mothers of preterm babies, and multiple gestations were excluded. One hundred and thirty eight mothers were enrolled in to the present study. However, the final sample comprised of 122 mothers because of few of the participants (n=12) refused to participate due to lack of interest Assignment: Synopsis of eight peer-reviewed articles


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