Using Rasch analysis to identify midwifery students' learning about providing breastfeeding support.
Ian Blackman1, Linda Sweet1, Jen Byrne1
1School of Nursing and Midwifery, Flinders University, Australia.
Summary
Midwifery students
Area of Science:
- Midwifery Education
- Lactation Support
- Healthcare Professional Training
Background:
- Assessing midwifery students' skills in teaching and supervising breastfeeding mothers is crucial for effective maternal and infant care.
- Current educational strategies may not fully equip students with the necessary competencies for comprehensive breastfeeding support.
Purpose of the Study:
- To measure midwifery students' self-reported abilities in teaching and supervising breastfeeding mothers.
- To evaluate changes in these abilities after a maternal and infant nutrition module with integrated clinical practice.
Main Methods:
- A pre- and post-intervention survey was administered to midwifery students.
- Rasch analysis was employed to assess the validity and reliability of a 37-item tool measuring breastfeeding support abilities.
- A hierarchical scale was developed to reflect the difficulty of various breastfeeding support activities.
Main Results:
- The 37-item tool demonstrated reliable estimation of midwifery students' self-efficacy in breastfeeding support.
- A hierarchical learning scale for clinical breastfeeding skills was generated.
- While most items became easier to perform, eight specific breastfeeding support activities were perceived as more difficult post-intervention.
Conclusions:
- Findings suggest a need for midwifery educators to re-evaluate current curricula and educational activities.
- Enhanced clinical opportunities, directly involving learning from breastfeeding mothers, are recommended to improve student competency.
- Educational interventions should be refined to better prepare students for complex breastfeeding support scenarios.
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