Development of a tool to evaluate the ability of health providers’ assessment skills in breastfeedingDevelopment of a tool to evaluate the ability of health providers’ assessment skills in breastfeedingAA11599711 授乳場面におけるアセスメント能力の評価ツールの開発
34 , 2015-07-28 , 金沢大学つるま保健学会 = Tsuruma Health Science Society, Kanazawa University
To support breastfeeding, which is recommended around the world, it is vital for
healthcare providers to conduct accurate assessments when observing breastfeeding.
Therefore, a means of evaluating this ability is required to improve assessment by healthcare
providers. This study was performed to develop a tool for evaluating the ability to assess
breastfeeding by mothers in the early postpartum period and to investigate the reliability
and validity of this tool. Using seven existing assessment tools, observation items required
for assessment and evaluation criteria were organized and summarized into 11 compositional
elements. Content was put into two composition levels. In the first half, compositional
elements were freely described, and in the second half, images of breastfeeding scenes were
used to examine assessment of the 11 compositional elements. The tool was scored from 0
to 61 points, with higher scores indicating greater assessment ability. A total of 105 subjects
participated in this study. They consisted of 17 International Board Certified Lactation
Consultants （IBCLCs）, 57 midwives, and 31 midwifery students in the Chubu region,
Japan, and the response rate was 100.0%. Scores （mean±standard deviation） for the three
groups were as follows: IBCLCs, 42.9±5.4 points; midwives, 35.3 ± 5.5 points; and midwifery
students, 38.2±5.5 points. Significant differences of 0.1% and 5% were observed between the
groups. Scores for midwives in workplaces with IBCLCs present were significantly high.
Furthermore, scores were significantly higher for midwives that worked at facilities with
high rates of mothers continuing breastfeeding after hospital discharge than midwives and
midwifery students working at other facilities. The reliability of the tool was supported by
a consistency of 0.93 – 1.00 between scorers for the free description portion and the Kuder–
Richardson formula （KR-20） alpha coefficient of 0.78. Scores for IBCLCs appeared to be
higher because they had undergone continuous education as breastfeeding specialists and
had a great deal of experience. The lack of significant differences between midwives and
midwifery students may have been affected by subject background factors, such as whether
they were undergoing continuous training and attitudes regarding breastfeeding support.
The results suggest that the tool developed here has a constant level of reliability and could
be utilized for evaluating the ability of healthcare providers to assess breastfeeding.