Relationship Between Knowledge, Attitude, and Acceptability Regarding the Use of Donor Breastmilk Among Healthcare Providers for Sick Newborns

Main Article Content

Inham Dumidae
Pissamai Wattanasit

Abstract

Objective: To examine the relationship between knowledge, attitude, and acceptability regarding the use of donor breastmilk among healthcare providers for sick newborns. Methods: Purposive sampling was used to select a sample of 138 nurses and physicians who provided care for sick newborns in secondary and tertiary hospitals, Songkhla province. Four questionnaires were used to collect data including: 1) Demographic Data Questionnaires 2) Knowledge Regarding Donor Breastmilk Questionnaire 3) Attitude Regarding the Use of Donor Breastmilk Questionnaire and 4) Acceptability Regarding the Use of Donor Breastmilk Questionnaire. The 2nd to 4th questionnaires yielded content validity indices for scales (S-CVI) of 1, .95, and .93, respectively. Kuder-Richardson 20 (KR-20) was used to examine reliability of the Knowledge
Regarding Donor Breastmilk Questionnaire, yielding a value of .77. Cronbach’s alpha coefficient was used to examine reliability of the Attitude Regarding the Use of Donor Breastmilk Questionnaire and the Acceptability Regarding the Use of Donor Breastmilk Questionnaire, yielding values of .89 and .95, respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient. Results: Knowledge regarding donor breastmilk and attitudes regarding the use of donor breastmilk was moderate positively associated with the acceptability regarding the use of donor breastmilk among healthcare providers for sick newborns (r = .36, p < .001 and r = .59, p < .001, respectively). Conclusion: The results of this
study can be used as a guide to increase the acceptance of donor breastmilk among healthcare providers for sick newborns by improving knowledge and positive attitudes toward the use of donor breastmilk.

Article Details

How to Cite
Dumidae, I., & Wattanasit, P. (2022). Relationship Between Knowledge, Attitude, and Acceptability Regarding the Use of Donor Breastmilk Among Healthcare Providers for Sick Newborns. Journal of Research in Nursing-Midwifery and Health Sciences, 42(3), 40–52. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/257404
Section
Research Articles

References

Brown JV, Walsh V, McGuire W. Formula versus maternal breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. 2019; 8(8): 1-18. doi: 10.1002/14651858.CD002972.pub3.

Cortez J, Makker K, Kraemer DF, et al. Maternal milk feedings reduce sepsis, necrotizing enterocolitis and improve outcomes of premature infants. J Perinatol. 2018; 38(1): 71-4. doi: 10.1038/jp.2017.149.

Fleig L, Hagan J, Lee ML, et al. Growth outcomes of small for gestational age preterm infants before and after implementation of an exclusive human milk-based diet. J Perinatol. 2021; 41(8): 1859-64. doi: 10.1038/s41372-021-01082-x.

Altobelli E, Angeletti PM, Verrotti A, et al. The impact of human milk on necrotizing enterocolitis: A systematic review and meta-analysis. Nutrients. 2020; 12(5): 1-13. doi: 10.3390/nu12051322.

Bushati C, Chan B, Owen AH, et al. Challenges in implementing exclusive human milk diet to extremely lowbirth-weight infants in a level III neonatal intensive care unit. Nutr Clin Pract. 2021; 36(6): 1198-206. doi: 10.1002/ncp.10625.

Chowning R, Radmacher P, Lewis S, et al. A retrospective analysis of the effect of human milk on prevention of necrotizing enterocolitis and postnatal growth. J Perinatol. 2016; 36(3): 221-4. doi: 10.1038/jp.2015.179.

Hat Yai Hospital. Neonatal Intensive Care Unit. Breastfeeding rate in the Neonatal Intensive Care Unit between July 2019 and February 2020 [Data file]. 2020. Thai.

World Health Organization. Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services [Internet]. Geneva: WHO; 2017 [cited 2021 Nov 20]. Available from: https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf

Mahidol University. Siriraj Human Milk Bank [Internet]. [cited 2020 Sep 20]. Available from: https://www.si.mahidol.ac.th/th/division/sirirajmilkbank/

Songklanagarind Human Milk Bank. Initial screening of milk donors [Internet]. [cited 2020 Aug 10]. Available from: https://www.facebook.com/577319362756493/photos/a.584219992066430/743490379472723/?type=3&theater

Rama Chanel. Ramathibodi Human Milk Bank [Internet]. 2018 [cited 2019 Aug 10]. Available from: https://www.youtube.com/watch?v=fC1Ny9GIKpE

World Health Organization. Donor human milk for lowbirth-weight infants [Internet]. 2019 [cited 2019 Aug 10]. Available from: https://www.who.int/elena/titles/donormilk_infants/en/

Haiden N, Ziegler EE. Human milk banking. Ann Nutr Metab. 2016; 69(2 suppl): 8-15. doi: 10.1159/000452821.

Queen Sirikit National Institute of Child Health. Donor milk bank [Internet]. [cited 2022 Jul 7]. Available from: https://www.childrenhospital.go.th/11906

Alemu M, Gashu D, Abera A. Knowledge and attitude of lactating mothers and health professionals towards pasteurized donor human milk banking: A preliminary study on the feasibility of establishing donor human milk banking in neonatal intensive care unit of selected hospitals in Addis Ababa. Food Sci & Nutri Tech. 2021; 6(2): 1-22. doi: 10.23880/fsnt-16000266.

Hahn WH, Song JH, Park S, et al. A survey on the awareness of human milk bank in Korean female health care providers. Perinatol. 2017; 28(1): 11-9. doi: 10.14734/PN.2017.28.1.11.

Power BD, O’Dea MI, O’Grady MJ. Donor human milk use in neonatal units: Practice and opinions in the Republic of Ireland. Ir J Med Sci. 2019; 188(2): 601-5. doi: 10.1007/s11845-018-1873-3.

Asai H, Mizuno K, Yamashita K, et al. Survey of neonatal ICU nurses’ knowledge of neonatal nutrition in Japan. J Neonatal Nurs. 2020; 26(1): 57-8. doi: 10.1016/j.jnn.2019.08.001.

Klotz D, Jansen S, Glanzmann R, et al. Donor human milk programs in German, Austrian, and Swiss neonatal unitsfindings from an international survey. BMC Pediatr. 2020; 20(1): 1-7. doi: 10.1186/s12887-020-02137-2.

Chagwena DT, Mugariri F, Sithole B, et al. Acceptability of donor breastmilk banking among health workers: A crosssectional survey in Zimbabwean urban settings. Int Breastfeed J. 2020; 15(1): 1-11. doi: 10.1186/s13006-020-00283-y.

Adawiah R, Utomo MT, Handayani KD, et al. Correlation between knowledge and attitude to the behavior of health workers regarding acceptance of human milk bank in general hospital Dr. Soetomo Surabaya. IJSCIA. 2022; 3(1): 138-41. doi: 10.51542/ijscia.v3i1.20.

Seesathitnarakun B. The methodology in nursing research. 5 th ed. Bangkok: U & I Inter media; 2010. Thai.

Nantharitt N. Emergency nurses’ competencies in patient safety as perceived by head nurses and co-working at emergency department in community hospitals, southern Thailand [master’s minor thesis]. Songkhla: Prince of Songkla University; 2013. 119 p.

Shoghi M, Nazarshodeh S, Borimnejad L. Knowledge and attitude of nurses working in a neonatal intensive care unit on the use of human donor milk. JCCNC. 2020; 6(1): 55-64. doi: 10.32598/JCCNC.6.1.260.2.

Bhat AV. Knowledge and attitude about breast milk banking among final year B.Sc. nursing students. Int J Nurs Midwif Res. 2017; 4(1): 34-9. doi: 10.24321/2455.9318.201706.

Weaver G, Bertino E, Gebauer C, et al. Recommendations for the establishment and operation of human milk banks in Europe: A consensus statement from the European Milk Bank Association (EMBA). Front Pediatr. 2019; 7(53): 1-8. doi: 10.3389/fped.2019.00053.

McDonald ME. Systematic assessment of learning outcomes: Developing multiple-choice exams. Sudbury, M A: Jones and Barlett; 2002.

Thato R. Nursing research: Concepts to application. 4 th ed. Bangkok: Chulalongkorn University; 2018. Thai.

Ray P, Thakali S. Knowledge of nurses about human milk and milk banking. ASMS. 2021; 5(10): 25-30.

Thai Health Promotion Foundation. The 7th national breastfeeding conference [Internet]. [cited 2022 Jul 9]. Available from: https://library.thaibf.com/handle/023548404.11/527

Renuka. An explorative study to assess the knowledge and attitude regarding the storage of breast milk for the infant among staff nurse at selected hospital of Gwalior city with a view to develop an information booklet. Int J Adv Res. 2018; 6: 666-72. doi: 10.21474/IJAR01/7410.

Schade J, Schlag B. Acceptability of urban transport pricing strategies. Transp Res Part F Traffic Psychol Behav. 2003; 6(1): 45-61. doi: 10.1016/S1369-8478(02)00046-3.

Steg L, Dreijerink L, Abrahamse W. Factors influencing the acceptability of energy policies: A test of VBN theory. Journal of Environmental Psychology. 2005; 25(4): 415-25. doi: 10.1016/j.jenvp.2005.08.003.

Iloh KK, Osuorah CD, Ndu IK, et al. Perception of donor breast milk and determinants of its acceptability among mothers in a developing community: A cross-sectional multi-center study in south-east Nigeria. Int Breastfeed J. 2018; 13(1): 1-12. doi: 10.1186/s13006-018-0189-2.

Yotthong B, Wattanasit P. Relationship between attitude, subjective norm, perceived behavioral control, and mothers’ intention to use donor human milk. pnujr. 2022; 14(2): 95-112. Thai.