Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake
{"title":"Nurse Work Environments and Exclusive Breast Milk Feeding during the Birth Hospitalization.","authors":"Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake","doi":"10.1097/NMC.0000000000001106","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether hospital variation in the nurse work environment during labor and birth is associated with variation in the rate of exclusive breast milk feeding during the birth hospitalization.</p><p><strong>Study design and methods: </strong>Cross-sectional analysis of nurse survey, hospital, and exclusive breast milk feeding outcome data in a sample of 258 hospitals in five states. Sequential multivariate linear regression models were used to model the relationship between the outcome of exclusive breast milk feeding and the nurse work environment.</p><p><strong>Results: </strong>A good or mixed nurse work environment is significantly associated with higher hospital-level exclusive breast milk feeding rates in unadjusted and adjusted regression models. A hospital's Baby-Friendly status was not significantly associated with exclusive breast milk feeding rates.</p><p><strong>Clinical implications: </strong>Improvements to nurses' work environments can potentially increase hospital-level exclusive breast milk feeding rates.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mcn-The American Journal of Maternal-Child Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NMC.0000000000001106","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To examine whether hospital variation in the nurse work environment during labor and birth is associated with variation in the rate of exclusive breast milk feeding during the birth hospitalization.
Study design and methods: Cross-sectional analysis of nurse survey, hospital, and exclusive breast milk feeding outcome data in a sample of 258 hospitals in five states. Sequential multivariate linear regression models were used to model the relationship between the outcome of exclusive breast milk feeding and the nurse work environment.
Results: A good or mixed nurse work environment is significantly associated with higher hospital-level exclusive breast milk feeding rates in unadjusted and adjusted regression models. A hospital's Baby-Friendly status was not significantly associated with exclusive breast milk feeding rates.
Clinical implications: Improvements to nurses' work environments can potentially increase hospital-level exclusive breast milk feeding rates.
期刊介绍:
MCN''s mission is to provide the most timely, relevant information to nurses practicing in perinatal, neonatal, midwifery, and pediatric specialties. MCN is a peer-reviewed journal that meets its mission by publishing clinically relevant practice and research manuscripts aimed at assisting nurses toward evidence-based practice. MCN focuses on today''s major issues and high priority problems in maternal/child nursing, women''s health, and family nursing with extensive coverage of advanced practice healthcare issues relating to infants and young children.
Each issue features peer-reviewed, clinically relevant articles. Coverage includes updates on disease and related care; ideas on health promotion; insights into patient and family behavior; discoveries in physiology and pathophysiology; clinical investigations; and research manuscripts that assist nurses toward evidence-based practices.