Content validation of the elements of the nursing diagnosis “ineffective breastfeeding”           /              Validação de conteúdo dos elementos do diagnóstico de enfermagem “amamentação ineficaz”

Beatriz Pera de Almeida Hamasaki; Leticia Fiorini Carbol; Suellen Cristina Dias Emidio; Simoní Saraiva Bordignon; Elenice Valentim Carmona

doi:10.9789/2175-5361.rpcfo.v16.12951

Authors

Beatriz Pera de Almeida Hamasaki University of Campinas https://orcid.org/0000-0002-3766-8165
Leticia Fiorini Carbol University of Campinas https://orcid.org/0009-0008-9641-0181
Suellen Cristina Dias Emidio Federal University of Juiz de Fora https://orcid.org/0000-0003-2790-0271
Simoní Saraiva Bordignon Federal University of Rio Grande https://orcid.org/0000-0003-2039-1961
Elenice Valentim Carmona University of Campinas https://orcid.org/0000-0001-9976-3603

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v16.12951

Keywords:

breastfeeding, nursing diagnosis, nursing process

Abstract

Objective: to review and validate the elements of the Nursing Diagnosis "Ineffective Breastfeeding" (00104) based on the literature and expert consensus, and to construct operational definitions for its defining characteristics. Method: this is a methodological study carried out in two phases: a scoping review, based on that proposed by the Joanna Briggs Institute, and content validation. Items with a Content Validity Index ≥ 0.80 in terms of relevance, clarity and precision were considered validated. Results: elements of the Nursing Diagnoses were kept as they are in the current edition of the NANDA International Classification of Nursing Diagnoses (NANDA-I), while others were modified. In addition, the inclusion of related factors, risk populations and associated conditions was proposed. Conclusion: this study enabled a review and validation of the content of the Nursing Diagnosis "Ineffective breastfeeding", present in the NANDA-I Classification of Nursing Diagnoses.

Downloads

Download data is not yet available.

Author Biographies

Beatriz Pera de Almeida Hamasaki, University of Campinas

Nurse, graduated from the State University of Campinas, Master in Health Sciences, PhD student at the Faculty of Nursing at the State University of Campinas, Campinas-SP-Brazil

Leticia Fiorini Carbol, University of Campinas

Nurse, graduated from the State University of Campinas, Campinas-SP-Brazil

Suellen Cristina Dias Emidio, Federal University of Juiz de Fora

Nurse, graduated from the Federal University of Vale do São Francisco, Post-doctoral student of the Marjory Gordon Program at Boston College - Boston-USA, Professor of the Undergraduate Nursing Course at the Faculty of Nursing of the Federal University of Juiz de Fora, Juiz de Fora- MG-Brazil

Simoní Saraiva Bordignon, Federal University of Rio Grande

Nurse, graduated from the Federal University of Rio Grande, PhD in Nursing, Professor of the Undergraduate Nursing Course at the Federal University of Rio Grande. Rio Grande-RS-Brazil

Elenice Valentim Carmona, University of Campinas

Nurse with Post-doctorate in Neonatal Nursing from the University of Texas, Associate Professor of the Undergraduate Nursing course at the Faculty of Nursing of the State University of Campinas, Campinas-SP-Brazil

References

Fonseca MAF, Antunes VP, Taveira LM. A atuação do enfermeiro na orientação de primíparas sobre o aleitamento materno exclusivo. Nursing (São Paulo). [Internet]. 2022 [acesso em 29 de outubro 2023];25(290). Disponível em: https://doi.org/10.36489/nursing.2022v25i290p8079-8090.

Brasil. Ministério da Saúde; Secretaria de Atenção Primária à Saúde, Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. 1ª ed. Brasília; 2019.

UFRJ. Universidade Federal do Rio de Janeiro. Estudo Nacional de Alimentação e Nutrição Infantil ENANI-2019: Resultados preliminares - Indicadores de aleitamento materno no Brasil. UFRJ: Rio de Janeiro, 2020.

Furtado LCR, Assis TR. Diferentes fatores que influenciam na decisão e na duração do aleitamento materno: Uma revisão da literatura. Movimenta. [Internet]. 2018 [acesso em 29 de outubro 2023];5(4). Disponível em: https://www.revista.ueg.br/index.php/movimenta/article/view/7073.

Alfaro-Lefevre R. Aplicação do Processo de Enfermagem: uma ferramenta para o pensamento crítico. 7. ed. Porto Alegre: Artmed; 2010

Herdman TH, Kamitsuru S, Lopes CT. Diagnósticos de enfermagem da NANDA-I: definições e classificação 2021- 2023. 12.ed. Porto Alegre: Artmed; 2021.

Emidio SCD, Dias FSB, Moorhead S, Deberg J, Oliveira-Kumakura ARS, Carmona EV. Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment. Rev. latinoam. enferm. (Online). [Internet]. 2020 [cited 2023 oct 29];28:e3259. Available from: https://doi.org/10.1590/1518-8345.3007.3259.

Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z, editors. Joanna Briggs Institute reviewer's manual. University of Adelaide: Joanna Briggs Institute; 2020.

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann. intern. med. [Internet]. 2018 [cited 2023 oct 29];169(7). Available from: https://doi.org/10.7326/M18-0850.

Manzoli JPB, Correia MDL, Duran ECM. Conceptual and operational definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern. Rev. latinoam. enferm. (Online). [Internet]. 2018 [cited 2023 oct 29];26:e3105. Available from: https://doi.org/10.1590/1518-8345.2582.3105.

Correia MDL, Duran ECM. Conceptual and operational definitions of the components of the nursing diagnosis Acute Pain (00132). Rev. latinoam. enferm. (Online). [Internet]. 2017 [cited 2023 oct 29];25:e2973. Available from: https://doi.org/10.1590/1518-8345.2330.2973.

Pasquali L. Psicometria: teoria dos testes na psicologia e na educação. 2. ed. Petropólis: Editora Vozes; 2003.

Grant JS, Kinney MR. Using the Delphi technique to examine the content validity of nursing diagnoses. Nurs diagn. [Internet]. 1992 [cited 2023 oct 29];3(1). Available from: https://doi.org/10.1111/j.1744-618x.1992.tb00193.x.

Backes DSC, Erdmann JS, Lunardi RH, Lerch V. Grupo focal como técnica de coleta e análise de dados em pesquisas qualitativas. Mundo Saúde (Online). [Internet]. 2011 [acesso em 29 de outubro 2023];35(4). Disponível em: https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/538

Cortés-Rúa L, Díaz-Grávalos GJ. Early interruption of breastfeeding. A qualitative study. Enferm. clín. (Internet, Engl. ed.). [Internet]. 2019 [cited 2023 oct 29];29(4). Available from: https://doi.org/10.1016/j.enfcli.2018.11.003.

Talbert A, Jones C, Mataza C, Berkley JA, Mwangome M. Exclusive breastfeeding in first-time mothers in rural Kenya: a longitudinal observational study of feeding patterns in the first six months of life. Int. breastfeed. j. (Online). [Internet]. 2020 [cited 2023 oct 29];5;15(1). Available from: https://doi.org/10.1186/s13006-020-00260-5.

Sandhi A, Lee GT, Chipojola R, Huda MH, Kuo SY. The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study. Int. breastfeed. j. (Online). [Internet]. 2020 [cited 2023 oct 29];15(1). Available from: https://doi.org/10.1186/s13006-020-00310-y.

Buccini GDS, Pérez-Escamilla R, Paulino LM, Araújo CL, Venancio SI. Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta-analysis. Matern. child nutr. [Internet]. 2017 [cited 2023 oct 29];13(3):e12384. Available from: https://doi.org/10.1111/mcn.12384.

Colombo L, Crippa BL, Consonni D, Bettinelli ME, Agosti V, Mangino G, et al. Breastfeeding Determinants in Healthy Term Newborns. Nutrients. [Internet]. 2018 [cited 2023 oct 29];10(1). Available from: https://doi.org/10.3390/nu10010048.

Peacock-Chambers E, Dicks K, Sarathy L, Brown AA, Boynton-Jarrett R. Perceived Maternal Behavioral Control, Infant Behavior, and Milk Supply: A Qualitative Study. J. dev. behav. pediatr. [Internet]. 2017 [cited 2023 oct 29];38(6). Available from: https://doi.org/10.1097/DBP.0000000000000455.

Cabedo R, Manresa JM, Cambredó MV, Montero L, Reyes A, Gol R et al. Types of breastfeeding and reasons that influence to stop it before 6 months. lactem study. Matronas prof. [Internet]. 2019 [cited 2023 oct 29];20. Available from: https://portalrecerca.uab.cat/en/publications/types-of-breastfeeding-and-reasons-that-influence-to-stop-it-befo.

Feldman-Winter L, Kellams A, Peter-Wohl S, Taylor JS, Lee KG, Terrell MJ, et al. Evidence-Based Updates on the First Week of Exclusive Breastfeeding Among Infants ≥35 Weeks. Pediatrics. [Internet]. 2020 [cited 2023 oct 29];145(4):e20183696. Available from: https://doi.org/10.1542/peds.2018-3696.

Kent JC, Ashton E, Hardwick CM, Rea A, Murray K, Geddes DT. Causes of perception of insufficient milk supply in Western Australian mothers. Matern. child nutr. [Internet]. 2021 [cited 2023 oct 29];17(1):e13080. Available from: https://doi.org/10.1111/mcn.13080.

Riddle SW, Nommsen-Rivers LA. Low milk supply and the pediatrician. Curr. opin. pediatr. [Internet]. 2017 [cited 2023 oct 29];29(2). Available from: https://doi.org/10.1097/MOP.0000000000000468.

Karaçam Z, Sağlık M. Breastfeeding problems and interventions performed on problems: systematic review based on studies made in Turkey. Turk pediatri arch. 2018 [cited 2023 oct 29];53(3). Available from: https://doi.org/10.5152/TurkPediatriArs.2018.6350.

Gianni ML, Bettinelli ME, Manfra P, Sorrentino G, Bezze E, Plevani L, et al. Breastfeeding Difficulties and Risk for Early Breastfeeding Cessation. Nutrients. [Internet]. 2019 [cited 2023 oct 29];11(10). Available from: https://doi.org/10.3390/nu11102266.

Manipon C. Ankyloglossia and the Breastfeeding Infant: Assessment and Intervention. Adv. neonatal care. [Internet]. 2016 [cited 2023 oct 29];16(2). Available from: https://doi.org/10.1097/ANC.0000000000000252.

Feenstra MM, Jørgine Kirkeby M, Thygesen M, Danbjørg DB, Kronborg H. Early breastfeeding problems: A mixed method study of mothers' experiences. Sexual & reproductive healthcare (Online). [Internet]. 2018 [cited 2023 oct 29];16. Available from: https://doi.org/10.1016/j.srhc.2018.04.003.

Kair LR, Colaizy TT. Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission? Hosp. pediatr. (Online). [Internet]. 2016 [cited 2023 oct 29];6(5). Available from: https://doi.org/10.1542/hpeds.2015-0172.

Zhang F, Xia H, Shen M, Li X, Qin L, Gu H, Xu X. Are Prolactin Levels Linked to Suction Pressure? Breastfeed. med. [Internet]. 2016 cited 2023 oct 29];11. Available from: https://doi.org/10.1089/bfm.2015.0083.

Kair LR, Colaizy TT. When Breast Milk Alone Is Not Enough: Barriers to Breastfeeding Continuation among Overweight and Obese Mothers. J. hum. lact. [Internet]. 2016 [cited 2023 oct 29];32(2). Available from: https://doi.org/10.1177/0890334415605303.

Ayton JE, Tesch L, Hansen E. Women's experiences of ceasing to breastfeed: Australian qualitative study. BMJ Open. [Internet]. 2019 [cited 2023 oct 29];9(5):e026234. Available from: https://doi.org/10.1136/bmjopen-2018-026234.

Xiao X, Loke AY, Zhu SN, Gong L, Shi HM, Ngai FW. "The sweet and the bitter": mothers' experiences of breastfeeding in the early postpartum period: a qualitative exploratory study in China. Int. breastfeed. j. (Online). [Internet]. 2020 [cited 2023 oct 29];15(1). Available from: https://doi.org/10.1186/s13006-020-00256-1.

Gianni ML, Bezze EN, Sannino P, Baro M, Roggero P, Muscolo S, Plevani L, Mosca F. Maternal views on facilitators of and barriers to breastfeeding preterm infants. BMC pediatr. (Online). [Internet]. 2018 [cited 2023 oct 29];18(1). Available from: https://doi.org/10.1186/s12887-018-1260-2.

Rodrigo R, Rodrigo A, Liyanage N, Hatahagoda W, Hewavitharana U. Maternal Perception of Adequacy of Mother's Milk Among Mothers Giving Birth at a Teaching Hospital in Sri Lanka. J. hum. lact. [Internet]. 2019 [cited 2023 oct 29];35(1). Available from: https://doi.org/10.1177/0890334418773304.

Nuampa S, Tilokskulchai F, Patil CL, Sinsuksai N, Phahuwatanakorn W. Factors related to exclusive breastfeeding in Thai adolescent mothers: Concept mapping approach. Matern. child nutr. [Internet]. 2019 [cited 2023 oct 29];15(2):e12714. Available from: https://doi.org/10.1111/mcn.12714.

Hasselberg M, Huus K, Golsäter M. Breastfeeding Preterm Infants at a Neonatal Care Unit in Rural Tanzania. J. obstet. gynecol. neonatal nurs. [Internet]. 2016 [cited 2023 oct 29];45(6). Available from: https://doi.org/10.1016/j.jogn.2016.07.010.

Barbosa GEF, Silva VB da, Pereira JM, Soares MS, Medeiros R dos A, Pereira LB, et al. Dificuldades iniciais com a técnica da amamentação e fatores associados a problemas com a mama em puérperas. Rev. Paul. Pediatr. (Ed. Port., Online). [Internet]. 2017 [acesso em 29 de outubro 2023];35(3). Available from: https://doi.org/10.1590/1984-0462/;2017;35;3;00004.

Giannì ML, Lanzani M, Consales A, Bestetti G, Colombo L, Bettinelli ME, et al. Exploring the Emotional Breastfeeding Experience of First-Time Mothers: Implications for Healthcare Support. Front pediatr. [Internet]. 2020 [cited 2023 oct 29];8. Available from: https://doi.org/10.3389/fped.2020.00199.

Cohen SS, Alexander DD, Krebs NF, Young BE, Cabana MD, Erdmann P, et al. Factors Associated with Breastfeeding Initiation and Continuation: A Meta-Analysis. J pediatr. [Internet]. 2018 [cited 2023 oct 29];203:e21. Available from: https://doi.org/10.1016/j.jpeds.2018.08.008.

Zimmerman E, Rodgers RF, O'Flynn J, Bourdeau A. Weight-Related Concerns as Barriers to Exclusive Breastfeeding at 6 Months. J. hum. lact. [Internet]. 2019 [cited 2023 oct 29];35(2). Available from: https://doi.org/10.1177/0890334418797312.

Zielinska MA, Hamulka J. Reasons for non-exclusive breast-feeding in the first 6 months. Pediatr. int. [Internet]. 2018 [cited 2023 oct 29];60(3). Available from: https://doi.org/10.1111/ped.13480.

Krüger EE, Kritzinger AA, Pottas LL. Breastfeeding skills of full-term newborns and associated factors in a low-and-middle-income setting. Afr. health sci. (Online). [Internet]. 2019 [cited 2023 oct 29];19(3). Available from: https://doi.org/10.4314/ahs.v19i3.43.

Cavalcante VO, Sousa ML, Pereira CS, Silva NO, Albuquerque TR, Cruz RSBLC. Consecuencias del uso de pezones artificiales para la lactancia exclusiva: una revisión integradora. Aquichan. [Internet]. 2021 [Cited 2023 oct 29];21(3):e2132. Available from: https://doi.org/10.5294/aqui.2021.21.3.2.

Azulay Chertok IR, Wolf JH, Beigelman S, Warner E. Infant feeding among women with a history of breast cancer. Journal of cancer survivorship (Online). [Internet]. 2020 [cited 2023 oct 29];14(3). Available from: https://doi.org/10.1007/s11764-019-00852-z.

Prieto-Gómez R, Saavedra-Sepúlveda A, Alvear-Aguirre G, Lazo-Millar L, Soto-Acuña A. [Unsuccessful breastfeeding from the perspective of healthcare practitioners: case study, region ix, chile]. Rev. colomb. obstet. ginecol. [Internet]. 2019 [cited 2023 oct 29];70(4). Available from: https://doi.org/10.18597/rcog.3225.

Crippa BL, Colombo L, Morniroli D, Consonni D, Bettinelli ME, Spreafico I, et al. Do a few weeks matter? late preterm infants and breastfeeding issues. Nutrients. [Internet]. 2019 [cited 2023 oct 29];11(2). Available from: https://doi.org/10.3390/nu11020312.

Munn AC, Newman SD, Phillips SM, Mueller M, Taylor SN. Factors Influencing Southeastern U.S. Mothers' Participation in Baby-Friendly Practices: A Mixed-Methods Study. J. hum. lact. [Internet]. 2018 [cited 2023 oct 29];34(4). Available from: https://doi.org/10.1177/0890334417750143.

Sayres S, Visentin L. Breastfeeding: uncovering barriers and offering solutions. Curr. opin. pediatr. [Internet]. 2018 [cited 2023 oct 29];30(4). Available from: https://doi.org/10.1097/MOP.0000000000000647.

Aguirre AN, Vítolo MR, Puccini RF, de Morais MB. Constipação em lactentes: influência do tipo de aleitamento e da ingestão de fibra alimentar. J pediatr (Rio J). [Internet]. 2002 [acesso em 29 de outubro 2023];78(3). Disponível em: https://doi.org/10.1590/s0021-75572002000300007.

Rolim LMO, Martins AL. Aleitamento materno. Revista de Pediatria SOPERJ. [Internet]. 2002 [acesso em 29 de outubro 2023];3(1). Disponível em: http://revistadepediatriasoperj.org.br/detalhe_artigo.asp?id=1.

Desai A, Mbuya MN, Chigumira A, Chasekwa B, Humphrey JH, Moulton LH, et al. Traditional oral remedies and perceived breast milk insufficiency are major barriers to exclusive breastfeeding in rural Zimbabwe. J nutr. [Internet]. 2014 {cited 2023 oct 29];144(7). Available from: https://doi.org/10.3945/jn.113.188714.

World Health Organization. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-forlength, weight-for-height and body mass index-for-age. Methods and development. WHO (nonserial publication). Geneva: Switzerland: WHO, 2006.

Aldalili AYA, El Mahalli AA. Research Title: Factors Associated with Cessation of Exclusive Breastfeeding. J multidiscip healthc. [Internet]. 2021 [cited 2023 oct 29];14. Available from: https://doi.org/10.2147/JMDH.S277819.