{"title":"职场女性母乳喂养经验的元民族志研究。","authors":"Confidence Chekwubechukwu Francis-Edoziuno, Ashwag Alhabodal, Anita Frimpomaa Oppong, Ruth F Lucas, Cheryl Tatano Beck","doi":"10.1016/j.jogn.2025.09.003","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.</p><p><strong>Data sources: </strong>PubMed, CINAHL, and PsycINFO.</p><p><strong>Study selection: </strong>We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.</p><p><strong>Data extraction: </strong>We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.</p><p><strong>Data synthesis: </strong>Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: Juggling Milk and a Paycheck (subthemes: Torn Between Desk and Cradle, The Balancing Act, and Milk on the Clock), The Emotional Dance of Motherhood (subthemes: Hearts Full, Minds at Ease; Shadows of Exhaustion; and Against the Odds), The Village in Question (subthemes: Whispers and Judgments, Absent Anchors, and Hands That Hold), and The Policy Pendulum (subthemes: Written But Not Real, Clocking Out From Care, and When Care and Career Collide: Influence on Work). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women's emotional stress, and women's resilience.</p><p><strong>Conclusion: </strong>Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Meta-ethnography of the Breastfeeding Experiences of Women in the Workforce.\",\"authors\":\"Confidence Chekwubechukwu Francis-Edoziuno, Ashwag Alhabodal, Anita Frimpomaa Oppong, Ruth F Lucas, Cheryl Tatano Beck\",\"doi\":\"10.1016/j.jogn.2025.09.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.</p><p><strong>Data sources: </strong>PubMed, CINAHL, and PsycINFO.</p><p><strong>Study selection: </strong>We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.</p><p><strong>Data extraction: </strong>We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.</p><p><strong>Data synthesis: </strong>Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: Juggling Milk and a Paycheck (subthemes: Torn Between Desk and Cradle, The Balancing Act, and Milk on the Clock), The Emotional Dance of Motherhood (subthemes: Hearts Full, Minds at Ease; Shadows of Exhaustion; and Against the Odds), The Village in Question (subthemes: Whispers and Judgments, Absent Anchors, and Hands That Hold), and The Policy Pendulum (subthemes: Written But Not Real, Clocking Out From Care, and When Care and Career Collide: Influence on Work). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women's emotional stress, and women's resilience.</p><p><strong>Conclusion: </strong>Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.</p>\",\"PeriodicalId\":54903,\"journal\":{\"name\":\"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-10-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jogn.2025.09.003\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jogn.2025.09.003","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Meta-ethnography of the Breastfeeding Experiences of Women in the Workforce.
Objective: To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.
Data sources: PubMed, CINAHL, and PsycINFO.
Study selection: We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.
Data extraction: We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.
Data synthesis: Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: Juggling Milk and a Paycheck (subthemes: Torn Between Desk and Cradle, The Balancing Act, and Milk on the Clock), The Emotional Dance of Motherhood (subthemes: Hearts Full, Minds at Ease; Shadows of Exhaustion; and Against the Odds), The Village in Question (subthemes: Whispers and Judgments, Absent Anchors, and Hands That Hold), and The Policy Pendulum (subthemes: Written But Not Real, Clocking Out From Care, and When Care and Career Collide: Influence on Work). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women's emotional stress, and women's resilience.
Conclusion: Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.
期刊介绍：
JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns.
This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.
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