Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of a Breastfeeding Effectiveness Scale (BES)

모유수유의 효과성 측정도구 개발

  • Received : 2016.09.28
  • Accepted : 2016.11.29
  • Published : 2016.12.20
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop and evaluate breastfeeding effectiveness scale to measure effectiveness of breastfeeding for mothers in the early postpartum period. Methods: A conceptual framework was constructed from properties of effective breastfeeding (Yang and Seo, 2011), and item construction was derived from literature review and analysis of the data along with interviews with breastfeeding mothers. Content validity was tested by experts. Each item was scored on a five-point Likert scale. The preliminary questionnaire was administered to 248 breastfeeding mothers. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's ${\alpha}$. Results: From the factor analysis, 20 items in seven factors were derived. The factors were identified as mother's satisfaction, suckling, assurance of milk quantity, infant's satisfaction, latching on, infant's feeding desire, and breastfeeding positioning. The seven factors explained 65.1% of total variance, Cronbach's ${\alpha}$ of the total items was .83 and the factors ranged from .44 to .75. Conclusion: Results of this study suggest that breastfeeding effectiveness scale is a reliable and valid instrument to measure breastfeeding effectiveness of mothers in the early postpartum period.

Keywords

References

  1. Cooke M, Sheehan A, Schmied V. A Description of the relationship between breastfeeding experiences, breastfeeding satisfaction, and weaning in the first 3 months after birth. Journal of Human Lactation. 2003;19(2):145-146. https://doi.org/10.1177/0890334403252472
  2. Kronborg H, Vaeth M. How are effective breastfeeding technique and pacifier use related to breastfeeding problems and breastfeeding duration? Birth. 2009;36(1):34-42. https://doi.org/10.1111/j.1523-536X.2008.00293.x
  3. Shrago L, Bocar D. The infant's contribution to breastfeeding. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1990;19(3):209-215. https://doi.org/10.1111/j.1552-6909.1990.tb01638.x
  4. Mulford C. The Mother-Baby Assessment(MBA):An “Apgar score" for breastfeeding. Journal of Human Lactation. 1992;8(2):79-82. https://doi.org/10.1177/089033449200800216
  5. Jensen D, Wallace S, Kelsay P. LATCH: A breastfeeding charting system and documentation tool. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1994;23(1):27-32. https://doi.org/10.1111/j.1552-6909.1994.tb01847.x
  6. Mulder PJ, Johnson TS. The beginning breastfeeding survey:Measuring mother's perceptions of breastfeeding effectiveness during the postpartum hospitalization. Research in Nursing & Health. 2010;33(4):329-344. https://doi.org/10.1002/nur.20384
  7. Mulder PJ. A concept analysis of effective breastfeeding. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006;35 (3):332-339. https://doi.org/10.1111/j.1552-6909.2006.00050.x
  8. Yang HJ, Seo JM. Concept analysis of effective breastfeeding. Korean Journal of Women Health Nursing. 2011;17(4):317-327. https://doi.org/10.4069/kjwhn.2011.17.4.317
  9. Jeong GH. Effect of the nursing intervention program on promoting the breast-feeding practice in primipara [dissertation]. Seoul: Ewha Womans University; 1997. p. 1-133.
  10. Lee EJ. The effect of prenatal breastfeeding education on breastfeeding practice and retention of knowledge [master's thesis]. Daegu: Keimyung University; 1997. p. 1-60.
  11. Kim SH. Development of a breast feeding adaptation scale. Journal of Korean Academy of Nursing. 2009;39(2):259-269. https://doi.org/10.4040/jkan.2009.39.2.259
  12. Kim YM, Park YS. A study on the development of the Korean breastfeeding empowerment scale. Korean Journal of Women Health Nursing. 2004;10(4):360-367.
  13. Dennis CL. The breastfeeding self-efficacy scale: Psychometric assessment of the short form. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2003;32(6):734-744. https://doi.org/10.1177/0884217503258459
  14. Matthews MK. Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery. 1998;4(4):154-165. https://doi.org/10.1016/S0266-6138(88)80071-8
  15. Johnson TS, Mulder PJ, Strube K. Mother-infant breastfeeding progress tool: a guide for education and support of the breastfeeding dyad. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2007;36(4):319-327. https://doi.org/10.1111/j.1552-6909.2007.00165.x
  16. Leff EW, Jefferis SC, Gagne MP. The development of the maternal breastfeeding evaluation scale. Journal of Human Lactation. 1994;10(2):105-111. https://doi.org/10.1177/089033449401000217
  17. Lee EO, Im NY, Park HA. Lee IS, Kim JI, Bae JY, et al. Nursing research and statistical analysis. 1st ed. Seoul: Soomoonsa;2009. p. 1-733.
  18. Stevens J. Applied multivariate statistics for the social sciences. Mahwah, NJ: Lawrence Erlbaum Associates; 1996. p. 1-659.
  19. Yang HJ, Seo JM. A structural model for primiparas' breastfeeding behavior. Journal of Korean Academy of Nursing. 2013;43(3):399-408. https://doi.org/10.4040/jkan.2013.43.3.399
  20. Lee HS, Im JH. Structural equation modeling with AMOS 18.0/19.0. 1st ed. Seoul: Jiphyeonjae; 2011. p. 1-319.
  21. Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis:The use of factor analysis for instrument development in health care research. California: Sage publication; 2003. p. 1-348.
  22. Kim SK, Kim YK, Kim HR, Park CS, Shon SK, Choi YJ, et al. The 2012 national survey on fertility, family health and welfare in Korea. Research report. Seoul: Korea Institute for Health and Social Affairs; 2012. Report No.:2012-54.
  23. Netsu Y. Breast management. 2nd ed. Kim YR. translator. Seoul:Knowledge and creative; 2007. p. 25.
  24. Streiner DL. Starting at the beginning: An introduction to coefficient alpha and internal consistency. Journal of Personality Assessment. 2003;80(1):99-103. https://doi.org/10.1207/S15327752JPA8001_18

Cited by

  1. 산후 2주 축약형 모유수유 적응 측정도구의 구성 타당도, 신뢰도와 측정 불변성 vol.26, pp.4, 2016, https://doi.org/10.4069/kjwhn.2020.11.10