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Core Outcome Set and Unique Outcomes of Nursing Interventions for Women With Lactational Mastitis: A Mixed Methods
Yun-Peng Lv1, Ke-Ke Lin1, Fen Zhou1,2
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Journal of Advanced Nursing
|January 2, 2025
Summary
This study developed a core outcome set for lactational mastitis nursing care, identifying key outcomes for different stages and interventions. The findings promote standardized reporting and evaluation of nursing practices for improved patient outcomes.
Area of Science:
- Nursing Research
- Maternal Health
- Evidence-Based Practice
Background:
- Lactational mastitis requires standardized outcome measurement in nursing care.
- Existing research lacks a consensus on core outcomes for lactational mastitis.
Purpose of the Study:
- To develop a core outcome set for lactational mastitis nursing.
- To identify unique outcomes specific to the stages and interventions of lactational mastitis care.
Main Methods:
- A mixed-methods approach was employed.
- Systematic literature review, stakeholder interviews, Delphi surveys, and consensus meetings were conducted.
Main Results:
- Seven core outcomes were agreed upon: Pain Level, Breast Establishment (infant and maternal), Breast Maintenance, Client Satisfaction: care, Sleep, and Family Support.
- Unique outcomes were identified for three stages (Breastfeeding Maintenance, Infection Severity, Wound Healing) and five interventions (Pain level, Infection Severity, Wound Healing, Comfort, Knowledge).
Conclusions:
- The developed core outcome set is evidence-based and incorporates stakeholder perspectives.
- Standardized reporting of core and unique outcomes in lactational mastitis research and clinical practice is recommended.
- This promotes comparability, reduces bias, and enhances evaluation of nursing effectiveness.
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