Impact of an Educational Intervention on Knowledge and Attitudes Concerning Maternity Care Practices Consistent with the "Baby-Friendly Hospital Initiative"
Young, Marjorie H.
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<p>Objective: The purpose of this study is to examine if an educational intervention increases knowledge and positively influence attitudes in maternity care staff in regards to maternity care practices consistent with the Baby-Friendly Hospital Initiative (BFHI)?<br />Design: This study used a pretest-posttest quasi experimental design with the target population healthcare professionals in facilities which provide maternity care services.<br />Setting: The study participants consisted of 15 pediatricians, 13 obstetricians, 2 certified nurse midwives and 181 nurses. Included in the nurses’ group were seven obstetric technicians for a total of 218 participants.<br />Methods: The pre and posttest knowledge/attitude survey tool was an investigator developed tool. The survey tool items were developed in accordance with the Baby-Friendly Hospital Initiative (BFHI) Ten Steps to Successful Breastfeeding which was created by the World Health Organization and UNICEF in 1989. Content validity of the survey tool was verified by expert staff from the BFHI. A paired-samples t-test using pre and posttest survey results was conducted on each individual survey item to evaluate the impact of the educational intervention on the understanding of and attitudes about maternity care practices consistent with the BFHI. The eta squared statistics were calculated for effect size.<br />Results: On the survey’s 10 knowledge questions, the average pretest score was 69%. This increased to 91% following the staff training. On the Likert scale questions concerning attitude, pretest scores were 3.84, increasing to 4.32 following the intervention. This increase carries a p<.000, indicating a strongly significant increase in positive attitude toward BFHI maternity care<br />practices. A combined result of the 15 questions resulted in a p<.05 indicating statistical and a clinical significance with an overall Eta square of 0.19 indicating large effect size.<br />Conclusion: Findings indicate a significant impact on knowledge and attitude about BFHI consistent maternity care practices when healthcare staff is provided targeted education.</p>