Emzirme eğitiminde güncel yaklaşım; sürdürülebilir emzirme eğitimi

Yıl 2024, Cilt: 17 Sayı: 2, 332 - 340, 16.08.2024

Aslı Eker , Mine Yurdakul

Öz

Sürdürülebilir eğitim modeli; ekonomik, kültürel ve sosyal açıdan sürdürülebilirlik ilkelerini eğitim sistemine entegre edip, dönüştürmeyi amaçlayan bir yaklaşımdır. Sürdürülebilir emzirme eğitimi ise gebelikten itibaren annelere sağlık çalışanları tarafından sunulan ve emzirmenin tanımlanması, memelerin anatomisi, emzirmenin fizyolojisi, uygun teknikler ve yöntemlerin öğretilmesi, emzirmenin anne ve bebek sağlığı üzerindeki faydalarını vurgularken, doğal kaynakların korunması ve sürdürülebilirliğinin desteklenmesi için stratejileri de içeren bir programdır. Bu eğitim, annelere bebekleri ile birlikte sürdürülebilir bir gelecek yaratmak için, gerekli bilgi, beceri, tutum ve değerleri geliştirmesine yardımcı olmayı amaçlamaktadır. Gebelikten başlayarak doğum sonu süreçte bebeğin ilk 6 ay sadece anne sütü alması hedefiyle sunulacak olan sürdürülebilir emzirme eğitimi için kompakt uygulamalara ihtiyaç vardır. Bireyin ihtiyacı doğrultusunda ve kişiselleştirilmiş şekilde sunulacak olan eğitim farklı yollarla (tele sağlık, hibrit model ve yüz yüze eğitim) yapılabilir. Emzirme verilerinin istendik düzeyde olması ve sürecin iyileştirilmesi için sunulacak en önemli hizmetlerden birisi eğitimdir. Bu düşünceden yola çıkarak derlemede; sürdürülebilir emzirme eğitiminin önemine vurgu yapmak amaçlanmıştır.

Anahtar Kelimeler

Emzirme , eğitim , hibrit eğitim , tele sağlık , yüzyüze eğitim

Current approach to breastfeeding education; sustainable breastfeeding education

Öz

Sustainable education model; It is an approach that aims to integrate and transform economic, cultural and social sustainability principles into the education system. Sustainable breastfeeding education is a program offered to mothers by health professionals starting from pregnancy and includes strategies to teach all information, techniques and methods related to breastfeeding, and to support the protection and sustainability of natural resources. This training aims to help mothers develop the necessary knowledge, skills, attitudes and values to create a sustainable future with their babies. There is a need for compact practices for sustainable breastfeeding education, which will be offered with the aim of the baby receiving only breast milk for the first 6 months, starting from pregnancy and postpartum. Education, which will be provided in a personalized manner in line with the individual's needs, can be provided in different ways (tele health, hybrid model and face-to-face education). One of the most important services to be provided to ensure that breastfeeding data is at the desired level and to improve the process is education. Based on this idea, in the compilation; It is aimed to emphasize the importance of sustainable breastfeeding education.

Anahtar Kelimeler

Breastfeeding , education , hybrid education , tele health , face-to-face education

Kaynakça

• Mohanty A. Education for sustainable development: A conceptual model of sustainable education for India. International Journal of Development and Sustainability. 2018; 7 (9): 2242-2255. https://www.researchgate.net/publication/333133272_Education_for_sustainable_development_A_conceptual_model_of_sustainable_education_for_India. 20 Mayıs 2024’de erişildi.
• Van Den Branden K. Sustainable education: basic principles and strategic recommendations. School Effectiveness and School İmprovement. 2012; 23(3): 285-304. doi: https://doi.org/10.1080/09243453.2012.678865n.
• Santone S, Saunders S, Seguin C. Essential elements of sustainability in teacher education. Journal of Sustainability Education. 2014; 6. http://www.jsedimensions.org/wordpress/wp-content/uploads/2014/05/Santone-Et-Al-JSE-May-2014-PDF-Ready.pdf. 10 Nisan 2024’de erişildi.
• Lotz-Sisitka H, Wals A, Kronlid D, McGarry D. Transformative, transgressive social learning: rethinking higher education pedagogy in times of systemic global dysfunction. Current Opinion in Environmental Sustainability. 2015; 16: 73–80. doi: https://doi.org/10.1016/j.cosust.2015.07.018.
• Pauw JBD, Gericke N, Olsson D, Berglund T. The effectiveness of education for sustainable development. Sustainability. 2015; 7: 15693-15717. doi: https://doi.org/10.3390/su71115693.
• Van Den Branden K. Sustainable education: exploiting students’ energy for learning as a renewable resource. Sustainability. 2015; 7: 5471-5487. doi: https://doi.org/10.3390/su7055471.
• Kelley C, Dikkers S. Framing feedback for school improvement around distributed leadership. Educational Administration Quarterly. 2016; 52 (3): 392-422. doi: https://doi.org/10.1177/0013161X16638416.
• UNESCO. Education for Sustainable Development Goals: Learning Objectives. https://unesdoc.unesco.org/ark:/48223/pf0000247444 (2017). 22 Mayıs 2024’de erişildi.
• OECD. Education 2030: The Future of Education and Skills. https://www.oecd.org/en/about/projects/future-of-education-and-skills-2030.html (2018). 11 Nisan 2024’de erişildi.
• World Health Organization. Environmentally sustainable health systems: a strategic document. https://www.who.int/publications/i/item/WHO-EURO-2017-2241-41996-57723 (2017). 12 Mayıs 2024’de erişildi.
• Walpole SC, Barna S, Richardson J, Rother HA. Sustainable healthcare education: integrating planetary health into clinical education. The Lancet Planetary Health. 2019; 3(1): e6-e7. doi: https://doi.org/10.1016/S2542-5196(18)30246-8 https://www.thelancet.com/action/showPdf?pii=S2542-5196%2818%2930246-8
• Eker A, Aslan E. Effect of Lactation Management Model on breastfeeding process after cesarean: a prospective randomized controlled study. Reprod. Sci. 2024; 31: 1108–1116. doi: https://doi.org/10.1007/s43032-023-01409-3.
• James L, Sweet L, Donnellan-Fernandez R. Self-efficacy, support and sustainability–a qualitative study of the experience of establishing breastfeeding for first-time Australian mothers following early discharge. International Breastfeeding Journal. 2020; 15: 1-10. doi: https://doi.org/10.1186/s13006-020-00337-1
• Kloeben-Tarver AS, Thompson NJ, Miner KR. Intent to breast-feed: the impact of attitudes, norms, parity and experience. American Journal of Health Behavior. 2002; 26 (3): 182-187. doi: https://doi.org/10.5993/ajhb.26.3.3.
• Haynes SG. National breastfeeding awareness campaign results: babies were born to be breastfeed. presentation on breastfeeding campaign with campaign research findings, a report for HHS. 2005. https://webarchive.library.unt.edu/eot2008/20081104211817/http://www.womenshealth. gov/breastfeeding/campaign_results.pdf. 15 Nisan 2024’de erişildi.
• Johnson BT, Maio GR, Smith-McLallen A. communication and attitudechange: causes, processes and effects. İn: Albarracin D, Johnson BT, Zanna MP, ed. The Handbook of Attitudes. Mahway, New Jersey: Lawrence Erlbaum Associates; 2005: 617-669.
• Reeves CC, Close FT, Simmons MC, Hollis AL. Social support indicators that ınfluence breastfeeding decisions in mothers of North Florida. Florida Public Health Review. 2006; 3: 1-7. https://www.ut.edu/uploadedFiles/Academics/CNHS/Health_Sciences_and_Human_Performance/Public_Health/Florida_Public_Health_Review/2006pp001007FPHRVOL3Closeresearchformatted.pdf. 12 Mayıs 2024’de erişildi.
• Eker A, Aydın Beşen M, Köksoy Vayisoğlu S. Support experiences of mothers with breastfeeding problems: a qualitative study. African Journal of Reproductive Health. 2022; 26(7): 102-111. file:///C:/Users/aeker/Downloads/3408-8900-1-PB.pdf. 15 Nisan 2024’de erişildi.
• Snyder LB. Health communication campaigns and their impact on behavior. Journal of Nutrition Education & Behavior. 2007; 39: S32-S40. doi: https://doi.org/10.1016/j.jneb.2006.09.004
• Ogunba B. Breastfeeding–the environmentally friendly and ideal method of infant feeding. Nigerian Journal of Environment and Health. 2019; 2(1): 30-36. https://www.researchgate.net/profile/Beatrice-Olubukola-Ogunba/publication/341616545_Breastfeeding_-The_Environmentally_Friendly_and_Ideal_Method_of_Infant_Feeding/links/5ecb7c33a6fdcc90d696fae9/Breastfeeding-The-Environmentally-Friendly-and-Ideal-Method-of-Infant-Feeding.pdf. 10 Nisan 2024’de erişildi.
• Davidove ME, Dorsey JW. Breastfeeding: a cornerstone of healthy sustainable diets. Sustainability. 2019; 11: 4958. doi: https://doi.org/10.3390/su11184958.
• Mulcahy H, Philpott LF, O'Driscoll M, Bradley R, Leahy-Warren P. Breastfeeding skills training for health care professionals: A systematic review. Heliyon. 2022; 8(11):e11747. doi: https://doi.org/10.1016/j.heliyon.2022.e11747.
• Kehinde J, O'Donnell C, Grealish A. The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery. 2023; 118: 103579. doi: https://doi.org/10.1016/j.midw.2022.103579.
• Bai YK, Alsaidi M. Sustainable breastfeeding: a state-of-the art review. Journal of Human Lactation. 2024; 40(1):57-68. doi: https://doi.org/10.1177/08903344231216094
• Bernaix LW, Beaman ML, Schmidt CA, Harris JK, Miller LM. Success of an educational ıntervention on maternal/newborn nurses' breastfeeding knowledge and attitudes. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2010; 39(6): 658-666. doi: https://doi.org/10.1111/j.1552-6909.2010.01184.x.
• Febrone RR, Oliveira MIC, Rito RVVF, Moraes JR. Sustainability of the breastfeeding-friendly primary care ınitiative: a crosssectional study. Rev Bras Enferm. 2021;74(3):e20200869. doi: https://doi.org/10.1590/0034-7167-2020-0869.
• World Health Organization. Telemedicine: Opportunities and developments in member states: Global observatory for ehealth. https://apps.who.int/iris/handle/10665/44497(2010). 2010’da basıldı. 11 Nisan 2024’de erişildi.
• Uscher-Pines L, Lawrence R, Waymouth M. Telehealth for Breastfeeding Support and Lessons for Digital Equity. JAMA Health Forum. 2023; 4(3):e225464. doi: https://doi.org/10.1001/jamahealthforum.2022.5464
• Chua CMS, Mathews J, Ong MSB, Liew KK, Shorey S. Use of telelactation interventions to improve breastfeeding outcomes among mothers: A mixed-studies systematic review. Women and Birth. 2023; 36(3): 247-256. doi: https://doi.org/10.1016/j.wombi.2022.06.011
• Engelhart A, Mason S, Nwaozuru U, Obiezu-Umeh C, Carter V, Shato T, Iwelunmor J. Sustainability of breastfeeding interventions to reduce child mortality rates in low, middle-income countries: a systematic review of randomized controlled trials. Frontiers in Health Services. 2022; 2: 889390. doi: https://doi.org/10.3389/frhs.2022.889390
• Rojjanasrirat W, Nelson EL, Wambach KA. A pilot study of home-based videoconferencing for breastfeeding support. Journal of Human Lactation. 2012; 28(4): 464-467. doi: https://doi.org/10.1177/0890334412449071.
• Griffin LB, López J D, Ranney ML, Macones GA, Cahill AG, Lewkowitz AK. Effect of novel breastfeeding smartphone applications on breastfeeding rates. Breastfeeding Medicine. 2021; 16(8): 614-623. doi: https://doi.org/10.1089/bfm.2021.0012.
• Haryanti P, Pandugaran SL, Aljaberi M, Nisha M, Poddar R. Telehealth ımproves pregnancy health care: literature review. Malaysian Journal of Medicine & Health Sciences. 2023; 19(SUPP9): 280-288. doi: https://doi.org/10.47836/mjmhs.19.s9.38.
• Hawkins SS. Telehealth in the prenatal and postpartum periods. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2023; 52(4): 264-275. doi: https://doi.org/10.1016/j.jogn.2023.05.113
• Osman NE, Hassan SI, Wady DW, El-hamed A, Ahmed M. Effectiveness of telelactation ıntervention on knowledge, breastfeeding and relationship between primiparas and their newborns. Menoufia Nursing Journal. 2023; 8(2): 259-267. doi: https://doi.org/10.21608/menj.2023.312885
• Oriá MOB, Dodou HD, Chaves AFL, Santos LMDA, Ximenes LB, Vasconcelos CTM. Effectiveness of educational interventions conducted by telephone to promote breastfeeding: a systematic review of the literature. Rev Esc Enferm USP. 2018; 52: e03333. doi: http://dx.doi.org/10.1590/S1980-220X2017024303333.
• Kapinos K, Kotzias V, Bogen D, Ray K, Demirci J, Rigas MA, Uscher-Pines L. The use of and experiences with telelactation among rural breastfeeding mothers: secondary analysis of a randomized controlled trial. Journal of Medical Internet Research. 2019; 21(9): e13967. doi: http://dx.doi.org/10.2196/13967.
• Hubschman-Shahar LE. Lactation telehealth in primary care: a systematic review. Breastfeeding Medicine. 2022; 17(1): 6-21. doi: https://doi.org/10.1089/bfm.2021.0105.
• Colaceci S. et al. E-learning to ımprove healthcare professionals' attitudes and practices on breastfeeding. Breastfeeding Medicine. 2017; 12(10). doi: https://doi.org/10.1089/bfm.2017.0060.
• Tanis SL, Quinn P, Bischoff M. Breastfeeding simulation with the standardized patient. Nursing for Women's Health. 2019; 23(2): 141-147. doi: https://doi.org/10.1016/j.nwh.2019.01.005
• Chamberlain K, Westmoreland Miller C. Virtual lactation education in a pandemic. Journal of Human Lactation. 2022; 38(4): 603-608. doi: https://doi.org/10.1177/08903344221082029.
• Mohamad Pilus F, Ahmad N, Mohd Zulkefli NA, Mohd Shukri NH. Effect of face-to-face and whatsapp communication of a theory-based health education ıntervention on breastfeeding self-efficacy (sebf ıntervention): cluster randomized controlled field trial. JMIR Mhealth Uhealth. 2022; 10(9): e31996. doi: https://doi.org/10.2196/31996.
• Khorshidifard M, Amini M, Dehghani MR, Zaree N, Pishva N, Zarifsanaiey N. Assessment of breastfeeding education by face to face and small-group education methods in mothers’ self-efficacy in Kazeroun health centers in 2015. Women’s Health Bulletin. 2017; 4(3): 1-6. doi: https://doi.org/10.5812/whb.41919.
• Wong MS, Mou H, Chien WT. Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: a systematic review and meta-analysis. International Journal of Nursing Studies. 2021; 117: 103874. doi: https://doi.org/10.1016/j.ijnurstu.2021.103874.
• Ghavami L, Rakhshani T, Motlagh Z, Jafarnejad A, Dehghan A. Comparison of the effect of face-to-face and distance learning on knowledge, attitude and practice of females about breastfeeding in Shiraz, Iran: a randomized controlled trial. Journal of Health Sciences & Surveillance System. 2023; 11(1): 91-96. doi: https://doi.org/10.30476/jhsss.2021.92673.1378