Znanje, stavovi i praksa o dojenju zagrebačkih patronažnih sestara

diplomski rad

• Naslov (engleski): Knowledge, attitudes and practice regarding breastfeeding among community health nurses in Zagreb
• Autor: Željka Skukan Šoštarić
• Mentor: Venija Cerovečki Nekić (mentor)
• Član povjerenstva: Hrvoje Tiljak (predsjednik povjerenstva)
• Član povjerenstva: Zlata Ožvačić Adžić (član povjerenstva)
• Član povjerenstva: Venija Cerovečki Nekić (član povjerenstva)
• Ustanova koja je dodijelila akademski / stručni stupanj: Sveučilište u Zagrebu; Medicinski fakultet; (KATEDRA ZA OBITELJSKU MEDICINU); Zagreb
• Datum i država obrane: 2018-09-18, Hrvatska
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Javno zdravstvo i zdravstvena zaštita; Obiteljska medicina

Sažetak

Dodatna edukacija o dojenju trebala bi biti obavezna pri početku rada u patronaži, kao i periodično obavezna za sve patronažne sestre. Cilj istraživanja je bio ispitati postoje li razlike u znanju, stavovima i praksi o dojenju u zagrebačkih patronažnih sestara obzirom na to jesu li i u kojem obliku imale nastavu iz područja medicine dojenja, dodatnu edukaciju o dojenju, kao i obzirom na njihov staž u patronaži, majčinstvo i vlastito iskustvo dojenja. Provedeno je presječno istraživanje u tri zagrebačka doma zdravlja u koje je bila uključena 91 patronažna sestra. Upitnik je sadržavao sljedeće dijelove: sociodemografski dio, znanje o dojenju, praksu o dojenju i upitnika o stavovima (IFFAS). Rezultati su analizirani u statističkom paketu Statistica, vers. 12.0, a interpretirani na razini statističke značajnosti p<0,05. Rezultati: Uočene su razlike u znanju obzirom na vlastitu dužinu dojenja; najniže imaju ispitanice koje su dojile kraće od 3 mjeseca (p=0,026). Ne postoji statistički značajna povezanost prakse o dojenju i sociodemografskih varijabli. Nijedna ispitanica nije negativnog stava prema dojenju, ali ih je čak 34,2% neutralno u stavu prema dojenju. Postoji statistički značajna povezanost samo formalnog obrazovanja i niskih rezultata u IFFAS-u za 3 tvrdnje..Postoji statistički značajna povezanost boljeg rezultata na upitniku stavova o dojenju i staža u patronaži preko 20 godina (P=0,006) i majčinstva (p=0,032). Veliki je udio patronažnih sestara bez nastave o dojenju tijekom formalnog obrazovanja (67,1%). Velik je udio i patronažnih sestara sa dodatnom edukacijom o dojenju (76,9%) te jako malen udio onih sa IBCLC certifikatom. Zaključak: Potrebno je povećati količinu nastave posvećene dojenju tijekom formalanog obrazovanja i nastaviti sa dodatnom edukacijom o dojenju tijekom radnog staža što uključuje i stjecanje IBCLC certifikata.

Sažetak (engleski)

Additional education about breastfeeding should be mandatory at the start of internship in community nursing, as well as mandatory periodicallary for all community nurses. The goal of the research was to examine if there are differences in knowledge, attitudes and practice towards breastfeeding of community nurses of Zagreb, in regard to having education from the medical field of breastfeeding, and in what shape was that education done, additional education about breastfeeding, as well as in regard to their internship in community nursing, motherhood and their own experience of breastfeeding. A cross-sectional study has taken place in three medical health centres of Zagreb in which 91 community nurses were involved in the research. Parts of the questionnaire included: sociodemographical part, knowledge of breastfeeding, practice of breastfeeding and a questionnaire about the attitudes (IFFAS). The results were analysed in a statistical package Statistica, vers. 12.0, whereas the results were interpreted on the level of statistical importance of p<0,05. Results: Differences in the knowledge in regard to the personal length of breastfeeding have been noticed, the lowest of which have examinees who breastfed for less than 3 months (p=0,026). Statistically significant value between practice in breastfeeding and sociodemographical variables doesn’ t seem to exist. None of the examinees has negative attitude towards breastfeeding, but even 34,2 % of them are neutral in their attitudes towards breastfeeding. There does exist a statistically significant value between having only formal education and low results in IFFAS for 3 statements. There is a statistically significant value between better results on the attitudes questionnaire and having internship over 20 years (P=0,006) and motherhood (p=0,032) exists A large portion of community nurses did not have education about breastfeeding during formal education (67.1%). There is a large portion of community nurses with extracurricural education about breastfeeding outside of formal education (76,9%) and a very small portion of examinees have an IBCLC certificate. Conclusion: It is mandatory to increase the amount of education geared towards breastfeeding during formal education and to continue with additional education about breastfeeding during internship. Additional education about breastfeeding should be mandatory at the start of internship in community nursing, as well as continued additional education during internship for all community nurses which includes acquiring of the IBCLC certificate also.

• Ključne riječi: dojenje; patronažna sestra; obrazovanje; znanje; praksa; stavovi
• Ključne riječi (engleski): breastfeeding; community nurse; education; knowledge; practice; attitudes
• Jezik: hrvatski
• URN:NBN: urn:nbn:hr:105:719481
• Studijski program: Naziv: Sestrinstvo; Vrsta studija: sveučilišni; Stupanj studija: diplomski; Akademski / stručni naziv: magistar/magistra sestrinstva (mag. med. techn.)
• Vrsta resursa: Tekst
• Način izrade datoteke: Izvorno digitalna
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2019-03-04 09:33:55