Evidence map›Paper›PMID 26503218›Full record

Trial reportBMC pregnancy and childbirth2015

Nurses and midwives professional support increases with improved attitudes - design and effects of a longitudinal randomized controlled process-oriented intervention.

Anette C Ekström, Stina Thorstensson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
    Pooled it
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  7. Observational
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  12. Young women's social support networks during pregnancy in Soweto, South Africa.African journal of primary health care & family medicine · 2024
    Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anette C EkströmSchool of health and education, University of Skövde, Post box 408, S 541 28, Skövde, Sweden. anette.ekstrom@his.se.
Stina ThorstenssonSchool of health and education, University of Skövde, Post box 408, S 541 28, Skövde, Sweden. stina.thorstensson@his.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecoming parents for the first time is challenging. Mothers need both social and professional support to handle these challenges. Professionals' attitudes affect quality of care and support. So to improve professional support, an intervention consisting of a process-oriented training was performed. Due to the positive results of the intervention there is a need to illuminate the methodological approach further. The overall aim was therefore to describe a methodological approach to improve and evaluate health care professionals' attitudes toward breastfeeding and parental support in order to improve quality of care in childbearing.

methodsThis study was a longitudinal randomized control intervention study, in which groups of mothers received care in childbearing from midwives and child health nurses. These health professionals had gone through a process-oriented training, or not. In order to improve attitudes of health professionals the training was based on evidence, practical skills and reflective processes (both private and professional experiences) in relation to breastfeeding and parental support. Included in the longitudinal study were health professionals from five intervention municipalities n = 36 and health professionals from five control municipalities n = 45. All mothers who fulfilled the inclusion criteria were consecutively identified from the hospital register and asked to participate in the study. Mothers who accepted to participate were included in the interventions group (n = 206) or control groups (n = 162, n = 172 respectively) based on which municipality they belonged to.

resultsThe results of the process-oriented training improved the professionals' attitudes toward breastfeeding and parental support. These improved attitudes in health professionals increased intervention-group mother's satisfaction with professional and social support. Intervention-group mother's relation to and feelings for their baby as well as breastfeeding was also improved.

conclusionThese results stress the importance of professionals' attitude in quality of care during childbearing, as well as pointing to the possibility to improve professionals' attitudes with a process-oriented training.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR), trial registration: ACTRN12611000354987 .

Indexed as

Attitude of Health PersonnelBreast FeedingAdultEducation, Nursing, ContinuingFemaleHumansLongitudinal StudiesMaternal-Child NursingMidwiferyMother-Child RelationsMothersPatient Education as TopicPatient SatisfactionSocial SupportYoung Adult

Identifiers

PMID26503218
PMCPMC4621925

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.