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Using video narratives of womens lived experience of breastfeeding in midwifery education: exploring its impact on midwives attitudes to breastfeeding

机译:在助产士教育中使用有关女性母乳喂养经历的视频叙事:探讨其对助产士对母乳喂养态度的影响

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摘要

Strong evidence supports the health benefits of breastfeeding contributing to the public health campaign to improve initiation and duration of breastfeeding globally, yet breastfeeding continuation rates are persistently low in the UK. Inadequate support from health professionals appears to be an underlying feature, aggravated by a dearth of professional education that uses a biopsychosocial approach. This paper describes how using women's video narratives of their lived experience of breastfeeding within higher education impacted positively on the attitudes of a group of midwives in relation to supporting breastfeeding women. It reports on the qualitative element of a two‐phase sequential mixed methods study where focus group methods generated rich data about how and why the educational intervention altered attitudes. Analysis was thematic. Six major themes emerged, ‘listening and learning from real women's experiences’; ‘generation of emotions’; ‘acquisition of new knowledge and learning’; ‘reflection on practice’; ‘promotion of independent learning’ and ‘sharing learning and ideas with peers’. ‘Listening and learning from real women's experiences’ was central to learning, and was pivotal to attitudinal change, motivating an intense need to improve practice. Findings support the value of using women's video narratives within midwifery education, through their power to integrate affective and cognitive learning, and to promote a transformative learning process. This novel approach brings value‐added learning benefits by enhancing the potential to improve attitudes towards supporting breastfeeding women and improving clinical practice.
机译:有充分的证据支持母乳喂养对健康的好处,这有助于在全球范围内提高母乳喂养的开始和持续时间的公共卫生运动,但是英国的母乳喂养持续率一直很低。卫生专业人员的支持不足似乎是一个潜在特征,由于缺乏使用生物心理社会学方法的专业教育,这种情况更加恶化。本文介绍了如何利用女性在高等教育中的母乳喂养经历的视频叙述对一群助产士在支持母乳喂养妇女方面的态度产生积极影响。它报告了两阶段顺序混合方法研究的定性要素,其中焦点小组方法生成了有关教育干预如何以及为何改变态度的丰富数据。分析是主题性的。出现了六个主要主题,即“聆听和汲取真实女性的经验”。 “情绪的产生”; “获取新知识和新知识”; “反思实践”; “促进独立学习”和“与同龄人分享学习和想法”。 “从真实女性的经历中聆听和学习”是学习的中心,对于态度的变化也至关重要,因此人们迫切需要改进实践。研究结果通过整合情感和认知学习以及促进变革性学习过程的力量,支持在助产士教育中使用女性视频叙事的价值。通过提高改善支持母乳喂养妇女的态度和改善临床实践的潜力,这种新颖的方法带来了增值学习的好处。

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