{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_73"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_73","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Evaluating the effectiveness of a baby-friendly breastfeeding course in enhancing confidence among registered nurses in maternal-child health","abstract":"Program Focus: The Baby-Friendly Breastfeeding Initiative is a global program focused on improving breastfeeding rates through evidence-based nurse training. This evaluation assesses whether a hospital-based education program, aligned with the Ten Steps, effectively increases confidence among maternal child health nurses. Target population: The education program is designed to serve maternal child health nurses providing breastfeeding education in the hospital setting. Evaluation objectives: The new education program, led by the hospital's lactation consultants, combines didactic instruction with hands-on skills stations. Nurse competency in all 70 Baby-Friendly performance indicators will be assessed through teach-backs, scenarios, quizzes, and role-playing, with an expectation of 100% competency by the end of the course. Methods: Confidence and beliefs of maternal child health nurses were measured using a 4-point Likert scale at three time points: before, immediately after, and 30 days post-education. Composite scores were calculated, and a t-test was used to determine statistical significance. Key findings: Data analysis revealed a statistically significant association between confidence levels and the awareness and beliefs of maternal-child nurses following the education course. Implications/Conclusion: This program evaluation demonstrated a measurable increase in nurse confidence following the education course, effectively achieving its objective. Future emphasis should be placed on individual nurse perception as a barrier to breastfeeding education. Ongoing monitoring of long-term outcomes is also recommended to assess the sustained impact of this education course on nurse confidence and breastfeeding rates.","abstract_html":"Program Focus: The Baby-Friendly Breastfeeding Initiative is a global program focused on improving breastfeeding rates through evidence-based nurse training. This evaluation assesses whether a hospital-based education program, aligned with the Ten Steps, effectively increases confidence among maternal child health nurses. Target population: The education program is designed to serve maternal child health nurses providing breastfeeding education in the hospital setting. Evaluation objectives: The new education program, led by the hospital's lactation consultants, combines didactic instruction with hands-on skills stations. Nurse competency in all 70 Baby-Friendly performance indicators will be assessed through teach-backs, scenarios, quizzes, and role-playing, with an expectation of 100% competency by the end of the course. Methods: Confidence and beliefs of maternal child health nurses were measured using a 4-point Likert scale at three time points: before, immediately after, and 30 days post-education. Composite scores were calculated, and a t-test was used to determine statistical significance. Key findings: Data analysis revealed a statistically significant association between confidence levels and the awareness and beliefs of maternal-child nurses following the education course. Implications/Conclusion: This program evaluation demonstrated a measurable increase in nurse confidence following the education course, effectively achieving its objective. Future emphasis should be placed on individual nurse perception as a barrier to breastfeeding education. Ongoing monitoring of long-term outcomes is also recommended to assess the sustained impact of this education course on nurse confidence and breastfeeding rates.","abstract_has_math":false,"creators":["Seehase, Jenna","Eli, Brianna"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Schrader, Kara"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-24T03:16:39Z","subjects":["Breastfeeding promotion","Nurses--Attitudes","Nurses--In-service training"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:73","oclc:1569639870","local:R_5r2kw7mWfz3pXiz"],"render_values":[{"text":"dnp:73","href":null,"code":true},{"text":"oclc:1569639870","href":null,"code":true},{"text":"local:R_5r2kw7mWfz3pXiz","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/4xaq-yf85","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Schrader, Kara"]},{"key":"dc:creator","label":"Author","values":["Seehase, Jenna","Eli, Brianna"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Breastfeeding promotion","Nurses--Attitudes","Nurses--In-service training"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:73","oclc:1569639870","local:R_5r2kw7mWfz3pXiz","https://doi.org/doi:10.25335/4xaq-yf85"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Program Focus: The Baby-Friendly Breastfeeding Initiative is a global program focused on improving breastfeeding rates through evidence-based nurse training. This evaluation assesses whether a hospital-based education program, aligned with the Ten Steps, effectively increases confidence among maternal child health nurses. Target population: The education program is designed to serve maternal child health nurses providing breastfeeding education in the hospital setting. Evaluation objectives: The new education program, led by the hospital's lactation consultants, combines didactic instruction with hands-on skills stations. Nurse competency in all 70 Baby-Friendly performance indicators will be assessed through teach-backs, scenarios, quizzes, and role-playing, with an expectation of 100% competency by the end of the course. Methods: Confidence and beliefs of maternal child health nurses were measured using a 4-point Likert scale at three time points: before, immediately after, and 30 days post-education. Composite scores were calculated, and a t-test was used to determine statistical significance. Key findings: Data analysis revealed a statistically significant association between confidence levels and the awareness and beliefs of maternal-child nurses following the education course. Implications/Conclusion: This program evaluation demonstrated a measurable increase in nurse confidence following the education course, effectively achieving its objective. Future emphasis should be placed on individual nurse perception as a barrier to breastfeeding education. Ongoing monitoring of long-term outcomes is also recommended to assess the sustained impact of this education course on nurse confidence and breastfeeding rates.","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2025","Includes bibliographical references (pages 37-41)"]},{"key":"dc:format","label":"Dc Format","values":["55 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["Evaluating the effectiveness of a baby-friendly breastfeeding course in enhancing confidence among registered nurses in maternal-child health"]}]}],"canonical_facts":{"dc:contributor":["Schrader, Kara"],"dc:creator":["Seehase, Jenna","Eli, Brianna"],"dc:date":["2025"],"dc:description":["Program Focus: The Baby-Friendly Breastfeeding Initiative is a global program focused on improving breastfeeding rates through evidence-based nurse training. This evaluation assesses whether a hospital-based education program, aligned with the Ten Steps, effectively increases confidence among maternal child health nurses. Target population: The education program is designed to serve maternal child health nurses providing breastfeeding education in the hospital setting. Evaluation objectives: The new education program, led by the hospital's lactation consultants, combines didactic instruction with hands-on skills stations. Nurse competency in all 70 Baby-Friendly performance indicators will be assessed through teach-backs, scenarios, quizzes, and role-playing, with an expectation of 100% competency by the end of the course. Methods: Confidence and beliefs of maternal child health nurses were measured using a 4-point Likert scale at three time points: before, immediately after, and 30 days post-education. Composite scores were calculated, and a t-test was used to determine statistical significance. Key findings: Data analysis revealed a statistically significant association between confidence levels and the awareness and beliefs of maternal-child nurses following the education course. Implications/Conclusion: This program evaluation demonstrated a measurable increase in nurse confidence following the education course, effectively achieving its objective. Future emphasis should be placed on individual nurse perception as a barrier to breastfeeding education. Ongoing monitoring of long-term outcomes is also recommended to assess the sustained impact of this education course on nurse confidence and breastfeeding rates.","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2025","Includes bibliographical references (pages 37-41)"],"dc:format":["55 pages","application/pdf"],"dc:identifier":["dnp:73","oclc:1569639870","local:R_5r2kw7mWfz3pXiz","https://doi.org/doi:10.25335/4xaq-yf85"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Breastfeeding promotion","Nurses--Attitudes","Nurses--In-service training"],"dc:title":["Evaluating the effectiveness of a baby-friendly breastfeeding course in enhancing confidence among registered nurses in maternal-child health"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}