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Published in: International Breastfeeding Journal 1/2020

Open Access 01-12-2020 | Care | Commentary

Development and evaluation of a high-fidelity lactation simulation model for health professional breastfeeding education

Authors: Anna Sadovnikova, Samantha A. Chuisano, Kaoer Ma, Aria Grabowski, Kate P. Stanley, Katrina B. Mitchell, Anne Eglash, Jeffrey S. Plott, Ruth E. Zielinski, Olivia S. Anderson

Published in: International Breastfeeding Journal | Issue 1/2020

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Abstract

Background

A key reason for premature cessation of breastfeeding is inadequate support from healthcare providers. Most physicians and nurses do not feel confident in their ability to support families with breastfeeding initiation or maintenance. Increasing health professional confidence in clinical lactation skills is key to improving maternal and child health outcomes. High-fidelity (realistic) simulators encourage learner engagement, resulting in increased clinical skills competency, confidence, and transfer to patient care. Lactation educators teach with low-fidelity cloth and single breast models. There are no high-fidelity breast simulators for health professional education in clinical lactation.

Development and evaluation of a high-fidelity lactation simulation model

In this commentary we describe the development of a high-fidelity Lactation Simulation Model (LSM) and how physician residents, nurse-midwifery students, and clinical lactation experts provided feedback on LSM prototypes.

Limitations

The user-testing described in this commentary does not represent comprehensive validation of the LSM due to small sample sizes and the significant conflict of interest.

Conclusion

For breastfeeding rates to improve, mothers need support from their nurses, midwives, pediatricians, obstetricians and gynecologists, and all healthcare staff who interact with pregnant and lactating women. Clinical education with high-fidelity breastfeeding simulators could be the ideal learning modality for trainees and hospital staff to build confidence in clinical lactation skills. The ability of a high-fidelity breastfeeding simulator to increase a learner’s lactation knowledge and psychomotor skills acquisition, retention, and transfer to patient care still needs to be tested.
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Literature
1.
go back to reference McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017;2:CD001141.PubMed McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2017;2:CD001141.PubMed
2.
go back to reference Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;11:CD001688.PubMed Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;11:CD001688.PubMed
3.
go back to reference Brockway M, Benzies K, Hayden KA. Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. J Hum Lact. 2017;33(3):486–99.CrossRef Brockway M, Benzies K, Hayden KA. Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. J Hum Lact. 2017;33(3):486–99.CrossRef
4.
go back to reference Watkins AL, Dodgson JE. Breastfeeding educational interventions for health professionals: a synthesis of intervention studies. J Spec Pediatr Nurs. 2010;15(3):223–32.CrossRef Watkins AL, Dodgson JE. Breastfeeding educational interventions for health professionals: a synthesis of intervention studies. J Spec Pediatr Nurs. 2010;15(3):223–32.CrossRef
6.
go back to reference Boyd AE, Spatz DL. Breastfeeding and human lactation: education and curricular issues for pediatric nurse practitioners. J Pediatr Health Care. 2013;27(2):83–90.CrossRef Boyd AE, Spatz DL. Breastfeeding and human lactation: education and curricular issues for pediatric nurse practitioners. J Pediatr Health Care. 2013;27(2):83–90.CrossRef
7.
go back to reference Ogburn T, Espey E, Leeman L, Alvarez K. A breastfeeding curriculum for residents and medical students: a multidisciplinary approach. J Hum Lact. 2005;21(4):458–64.CrossRef Ogburn T, Espey E, Leeman L, Alvarez K. A breastfeeding curriculum for residents and medical students: a multidisciplinary approach. J Hum Lact. 2005;21(4):458–64.CrossRef
8.
go back to reference Hellings P, Howe C. Assessment of breastfeeding knowledge of nurse practitioners and nurse-midwives. J Midwifery Womens Health. 2000;45(3):264–70.CrossRef Hellings P, Howe C. Assessment of breastfeeding knowledge of nurse practitioners and nurse-midwives. J Midwifery Womens Health. 2000;45(3):264–70.CrossRef
9.
go back to reference Balogun OO, Dagvadorj A, Yourkavitch J, da Silva LK, Suto M, Takemoto Y, et al. Health facility staff training for improving breastfeeding outcome: a systematic review for step 2 of the Baby-Friendly hospital initiative. Breastfeed Med. 2017;12(9):537–46.CrossRef Balogun OO, Dagvadorj A, Yourkavitch J, da Silva LK, Suto M, Takemoto Y, et al. Health facility staff training for improving breastfeeding outcome: a systematic review for step 2 of the Baby-Friendly hospital initiative. Breastfeed Med. 2017;12(9):537–46.CrossRef
10.
go back to reference Gary AJ, Birmingham EE, Jones LB. Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement. Educ Health (Abingdon). 2017;30(2):163–8.CrossRef Gary AJ, Birmingham EE, Jones LB. Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement. Educ Health (Abingdon). 2017;30(2):163–8.CrossRef
11.
go back to reference Webber E, Serowoky M. Breastfeeding curricular content of family nurse practitioner programs. J Pediatr Health Care. 2017;31(2):189–95.CrossRef Webber E, Serowoky M. Breastfeeding curricular content of family nurse practitioner programs. J Pediatr Health Care. 2017;31(2):189–95.CrossRef
13.
go back to reference Jeffries PR, Bambini D, Hensel D, Moorman M, Washburn J. Constructing maternal-child learning experiences using clinical simulations. J Obstet Gynecol Neonatal Nurs. 2009;38(5):613–23.CrossRef Jeffries PR, Bambini D, Hensel D, Moorman M, Washburn J. Constructing maternal-child learning experiences using clinical simulations. J Obstet Gynecol Neonatal Nurs. 2009;38(5):613–23.CrossRef
15.
go back to reference MacKinnon K, Marcellus L, Rivers J, Gordon C, Ryan M, Butcher D. Student and educator experiences of maternal-child simulation-based learning: a systematic review of qualitative evidence. JBI Database Syst Rev Implement Rep. 2017;15(11):2666–706.CrossRef MacKinnon K, Marcellus L, Rivers J, Gordon C, Ryan M, Butcher D. Student and educator experiences of maternal-child simulation-based learning: a systematic review of qualitative evidence. JBI Database Syst Rev Implement Rep. 2017;15(11):2666–706.CrossRef
16.
go back to reference Hautz WE, Schröder T, Dannenberg KA, März M, Hölzer H, Ahlers O, et al. Shame in medical education: a randomized study of the acquisition of intimate examination skills and its effect on subsequent performance. Teach Learn Med. 2017;29(2):196–206.CrossRef Hautz WE, Schröder T, Dannenberg KA, März M, Hölzer H, Ahlers O, et al. Shame in medical education: a randomized study of the acquisition of intimate examination skills and its effect on subsequent performance. Teach Learn Med. 2017;29(2):196–206.CrossRef
18.
go back to reference Dilaveri CA, Szostek JH, Wang AT, Cook DA. Simulation training for breast and pelvic physical examination: a systematic review and meta-analysis. BJOG. 2013;120(10):1171–82.CrossRef Dilaveri CA, Szostek JH, Wang AT, Cook DA. Simulation training for breast and pelvic physical examination: a systematic review and meta-analysis. BJOG. 2013;120(10):1171–82.CrossRef
19.
go back to reference Holmes AV, McLeod AY, Bunik M. ABM Clinical Protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term revision, June 2008. Breastfeed Med. 2008;3(2):129–32. Holmes AV, McLeod AY, Bunik M. ABM Clinical Protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term revision, June 2008. Breastfeed Med. 2008;3(2):129–32.
20.
go back to reference Nguyen AJ, Hoyer E, Rajhans P, Strathearn L, Kim S. A tumultuous transition to motherhood: altered brain and hormonal responses in mothers with postpartum depression. J Neuroendocrinol. 2019;31(9):e12794.CrossRef Nguyen AJ, Hoyer E, Rajhans P, Strathearn L, Kim S. A tumultuous transition to motherhood: altered brain and hormonal responses in mothers with postpartum depression. J Neuroendocrinol. 2019;31(9):e12794.CrossRef
21.
go back to reference Bearman M, Palermo C, Allen LM, Williams B. Learning empathy through simulation: a systematic literature review. Simul Healthc J Soc Simul Healthc. 2015;10(5):308–19.CrossRef Bearman M, Palermo C, Allen LM, Williams B. Learning empathy through simulation: a systematic literature review. Simul Healthc J Soc Simul Healthc. 2015;10(5):308–19.CrossRef
22.
go back to reference Durham CF, Alden KR. Enhancing patient safety in nursing education through patient simulation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Advances in Patient Safety. Rockville: Agency for Healthcare Research and Quality (US); 2008. http://www.ncbi.nlm.nih.gov/books/NBK2628/. Accessed 5 Nov 2019. Durham CF, Alden KR. Enhancing patient safety in nursing education through patient simulation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Advances in Patient Safety. Rockville: Agency for Healthcare Research and Quality (US); 2008. http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK2628/​. Accessed 5 Nov 2019.
23.
go back to reference Whiteside GA. Role and goal of industry in education and patient safety. In: Crawford S, Baily L, Monks S, editors. Comprehensive healthcare simulation: operations, technology, and innovative practice. Cham: Springer; 2019. Whiteside GA. Role and goal of industry in education and patient safety. In: Crawford S, Baily L, Monks S, editors. Comprehensive healthcare simulation: operations, technology, and innovative practice. Cham: Springer; 2019.
24.
go back to reference Stunt J, Wulms P, Kerkhoffs G, Dankelman J, van Dijk C, Tuijthof G. How valid are commercially available medical simulators? Adv Med Educ Pract. 2014;5:385–95.CrossRef Stunt J, Wulms P, Kerkhoffs G, Dankelman J, van Dijk C, Tuijthof G. How valid are commercially available medical simulators? Adv Med Educ Pract. 2014;5:385–95.CrossRef
25.
go back to reference Leff DR, Petrou G, Mavroveli S, Bersihand M, Cocker D, Al-Mufti R, et al. Validation of an oncoplastic breast simulator for assessment of technical skills in wide local excision. Br J Surg. 2016;103(3):207–17.CrossRef Leff DR, Petrou G, Mavroveli S, Bersihand M, Cocker D, Al-Mufti R, et al. Validation of an oncoplastic breast simulator for assessment of technical skills in wide local excision. Br J Surg. 2016;103(3):207–17.CrossRef
26.
go back to reference Zucca-Matthes G, Lebovic G, Lyra M. Mastotrainer new version: realistic simulator for training in breast surgery. Breast Edinb Scotl. 2017;31:82–4.CrossRef Zucca-Matthes G, Lebovic G, Lyra M. Mastotrainer new version: realistic simulator for training in breast surgery. Breast Edinb Scotl. 2017;31:82–4.CrossRef
Metadata
Title
Development and evaluation of a high-fidelity lactation simulation model for health professional breastfeeding education
Authors
Anna Sadovnikova
Samantha A. Chuisano
Kaoer Ma
Aria Grabowski
Kate P. Stanley
Katrina B. Mitchell
Anne Eglash
Jeffrey S. Plott
Ruth E. Zielinski
Olivia S. Anderson
Publication date
01-12-2020
Publisher
BioMed Central
Keywords
Care
Lactation
Published in
International Breastfeeding Journal / Issue 1/2020
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-020-0254-5

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