Evidence map›Paper›PMID 35193604›Full record

ArticleInternational breastfeeding journal2022

The use of Kumpfer's resilience framework in understanding the breastfeeding experience of employed mothers after returning to work: a qualitative study in China.

Honghua Guo, Rong Zhou, Minxiang Li, Siqi Zhang, Huanying Yi, Linjie Wang, Tong Li, Caihong Zhang, Hong Lu

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
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  3. Supporting NICU Mothers' Breastfeeding Goals During Climate-Related Disasters Using Kumpfer's Resilience Framework and CMIST.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2026
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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

9 authors at 2 institutions in 1 country.

Honghua Guo *International Nursing School, Hainan Medical University, Haikou, China.
Rong Zhou *International Nursing School, Hainan Medical University, Haikou, China.
Minxiang LiDepartment of Nursing, Second Affiliated Hospital of Hainan Medical University, Haikou, China.
Siqi ZhangInternational Nursing School, Hainan Medical University, Haikou, China.
Huanying YiInternational Nursing School, Hainan Medical University, Haikou, China.
Linjie WangInternational Nursing School, Hainan Medical University, Haikou, China.
Tong LiInternational Nursing School, Hainan Medical University, Haikou, China.
Caihong ZhangInternational Nursing School, Hainan Medical University, Haikou, China. zhangcaihong@hainmc.edu.cn.
Hong LuSchool of Nursing, Peking University, Beijing, China. luhong@bjmu.edu.cn.
Hainan Medical University · CNPeking University · CN

Funding

Hainan Provincial Department of Science and Technology 819QN234
6 · The paper itself

Abstract

backgroundThe increasing numbers of women in the workforce is an inevitable trend in China. More and more employed women stop breastfeeding because of working stressors. Many mothers, however, overcome the challenges and insist on breastfeeding after returning to work. Their individual experience of breastfeeding may provide a new insight to promote and support breastfeeding on employed mothers. This study sought to understand mothers' experience with insisting on breastfeeding after returning to work based on Kumpfer's Resilience Framework in Chinese context.

methodsThis qualitative study was designed with semi-structured interviews. Purposive sampling and snowball sampling were employed to recruit 13 full-time working mothers with a stable job in the public sector who continued to breastfeed for 1 month or longer after returning to work in Haikou, Hainan Province, China. Interviews were conducted from January to March 2020 to capture participants' experiences of breastfeed after returning to work. Grounded theory and Kumpfer's Resilience Framework were used to analyze data via a systematic and iterative process.

resultsEmployed mothers built resilience while continuing to breastfeed after returning to work. The core concept was "dynamic interaction". Other categories were the background and explanation of this phenomenon. For working mothers who continued to breastfeed, resilience involved "dynamic interaction", which started from "experiencing stressors" and "obtaining support", two environmental factors interacted with the individual to "build resilience qualities", which interact with environment led to "behavioral resilience". And then the ongoing dynamic interaction between behavioral resilience and environment ultimately led to three different "weaning processes", including natural weaning, active weaning, and forced weaning.

conclusionsThis study identified the framework of resilience in mothers who were in the adversity of breastfeeding after returning to work based on Kumpfer's Resilience Framework. It provided a new insight into the resilience of employed mothers around the world to continue breastfeeding and showed the different culture of breastfeeding on employed mothers.

Indexed as

Breast FeedingMothersAsian PeopleChinaFemaleHumansQualitative ResearchChinaContinuing to breastfeedEmployed mothersKumpfer’s Resilience FrameworkQualitative studyReturning to work

Identifiers

PMID35193604
PMCPMC8864792
OpenAlexW4212842427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.