ArticleBMC medical education2025
Improving nurse's knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Breastfeeding challenges experienced by postpartum nurses after maternity leave: a qualitative systematic review.BMC pregnancy and childbirth · 2026Pooled it
- Nurses' knowledge, attitudes, and practices toward breastfeeding in neonatal care: a survey.Frontiers in pediatrics · 2025Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundBreastfeeding is crucial for newborn health; however, India faces unique challenges in promoting breastfeeding. Nurses play a vital role in supporting breastfeeding, and their knowledge, attitudes, and skills are essential. This study aimed to assess the effectiveness of a blended learning approach in improving nurses' competencies in lactation and breastfeeding management.
methodsA quasi-experimental, one-group pre-test and post-test study was conducted with 129 newly appointed nurses at a tertiary care center in India. The intervention was a week-long blended learning program that included self-study materials, interactive sessions, and hands-on practice. Nurses' knowledge, attitudes, and skills were assessed before, immediately after, and three months post-intervention using structured questionnaires and observation checklists.
resultsNurses' knowledge scores significantly improved immediately post-intervention (24.7 ± 3.8) and were sustained at three months (24.2 ± 3.6) compared to pre-intervention (17.5 ± 4.9) (p < .001). The majority of nurses demonstrated a good attitude post-intervention (63.6%), which further increased at three months (79.1%). Skill scores related to positioning and attachment, management of breast problems, manual expression of milk, paladai feeding, and orogastric tube feeding significantly improved post-intervention and were maintained at three months after the intervention.
conclusionsThe blended learning approach effectively improved nurses' knowledge, attitudes, and skills in lactation and breastfeeding management, with sustained competencies at three months post intervention. Implementing regular training programs and incorporating lactation education into nursing curricula can enhance nurses' capacity to support optimal breastfeeding. Future studies should explore the impact of these interventions on patient outcomes.
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