"Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)": Clinical validation
Natália Aparecida de Godoy1, Suellen Cristina Dias Emidio2, Dorothy A Jones3
1School of Nursing, University of Campinas, Campinas, São Paulo, Brazil.
International Journal of Nursing Knowledge
|November 19, 2024
Summary
This study clinically validated NANDA International nursing diagnoses for ineffective and readiness for enhanced breastfeeding in postpartum women. Findings confirm the accuracy of these diagnoses, aiding nurses in clinical reasoning and intervention strategies.
Area of Science:
- Nursing
- Maternal-Child Health
- Lactation Support
Background:
- Accurate nursing diagnoses are crucial for effective breastfeeding support.
- NANDA International nursing diagnoses (ND) require clinical validation to ensure their applicability and accuracy in diverse populations.
- Understanding the prevalence and defining characteristics of breastfeeding-related NDs can improve clinical practice.
Purpose of the Study:
- To clinically validate the NANDA International nursing diagnoses of "Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)" in postpartum women and their infants.
- To determine the sensitivity, specificity, and predictive value of the elements associated with these nursing diagnoses.
- To enhance the level of evidence for these NANDA International nursing diagnoses.
Main Methods:
- A cross-sectional study was conducted with 205 Brazilian dyads recruited from a public teaching hospital.
- Data collection involved researcher assessment of dyads, review of medical records, and application of a standardized tool.
- Statistical analysis utilized accuracy measures and inferential statistics to evaluate the nursing diagnoses.
Main Results:
- The study found "Ineffective breastfeeding (00104)" in 27.80% of dyads and "Readiness for enhanced breastfeeding (00106)" in 99.02%.
- "Unsustained sucking on the breast" was the most sensitive defining characteristic for "Ineffective breastfeeding (00104)".
- All defining characteristics for "Readiness for enhanced breastfeeding (00106)" demonstrated relevant sensitivity.
Conclusions:
- The NANDA International nursing diagnoses "Ineffective breastfeeding (00104)" and "Readiness for enhanced breastfeeding (00106)" were clinically validated in the studied population.
- The findings support the accuracy of these diagnoses in postpartum dyads.
- This validation can improve nurses' clinical reasoning and identify mothers needing specific interventions for breastfeeding success.
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