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Quantitative Nursing Article Critique

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Susan Odden

on 17 December 2013

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Transcript of Quantitative Nursing Article Critique

Risk of Breastfeeding Cessation Among Low-Income Women, Infants, and Children
Study Questions
Study Variables
Significant Variables

Maternal Age
Mexican Ethnicity
Previous Breastfeeding Experience
Breastfeeding Support
Purpose and Problem
Literature Review
Articles cited were relevant and described previously studied background and maternal intrapersonal variables which had an effect on breastfreeding.
A majority of the references supporting the study were current:
46 references in total
29 were published in the last 10 years.
13 were published within the last 5 years.
Previous studies described current knowledge:
Predictors of early breastfeeding cessation among low-income women have been identified in previous studies.
Studies focusing solely on WIC participants were limited.
No studies were statistical methods used that enabled identification of the timing of breastfeeding cessation in relation to specific maternal background and intrapersonal variables.


Quantitative Nursing Research Critique
Shaunna Akers, Susan Odden, and Sue Weinhold
NUR/598
December 16, 2013
Dr. Vernon Thacker
Framework
Attributes and Demographics
Research Design
Nutrition and health survey

Nutrition and health survey data - pre/postnatal
Clinic and administrative data reviewed 2003-1999
Web-based data entry form at clinic
Statistical Analysis
Research Interpretation
Future Research
&
Nursing Implications
Limitations
Historical factors
Lack of race identification
Lack of acculturation data
Generalizability is limited- convenience sample
Age limitation
Strengths
DTSA
Longitudinal data/Retrospective
No self-selection to enroll in WIC
Future research
Adolescent WIC participants
Mothers of infants with health issues
Cultural factors contributing to longer breastfeeding duration in Mexican women
How sources of breastfeeding support can work together to increase breastfeeding duration in mothers who are receiving WIC
Measurement Instrument
Data Collection
Nursing Implications
Develop strategies to decrease breastfeeding disparities among racial and ethnic groups
Replication
Difficult due to narrow/specific population
Does a persons background and intrapersonal variables affect breastfeeding cessation rates during the first 12 months postpartum?
Breastfeeding cessation rates fall drastically short of the Healthy People 2020 objectives.
Interaction Model of Client Health Behavior (IMCHB)
Client-focused conceptual framework
IMCHB describes how each woman has background and intrapersonal variables which have an affect on health outcomes, i.e. breastfeeding cessation.
IMCHB helps guide the formation of nursing interventions to improve the duration of breastfeeding in low-income WIC women.
Two questions were to be answered by the study:

The risk of breastfeeding cessation over time

How the risk of breastfeeding cessation varied in relation to maternal background and intrapersonal variables.
Dependent/Research
Risk of breastfeeding cessation

How breastfeeding cessation varied according to independent variables

Maternal background and intrapersonal variables
Race
nationality or acculturation
Presence of role models
Overweight women
Return to work
Discrete-time survival analysis
Setting and Sample
include women seen at a Federally Qualified Health Center participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Characteristics
women who initiated breastfeeding
infants were: 37+weeks gestation, weighed 2500+g, no health complications, not placed for adoption
Reference
Tenfeld, S. M., Finnegan, L., Miller, A. M., & Hill, P. D. (2012). Risk of breastfeeding cessation
among low-income women, infants, and children. Nursing Research, 61(2), 86-94.
Tenfeld, S. M., Finnegan, L., Miller, A. M., & Hill, P. D. (2012). Risk of breastfeeding cessation
among low-income women, infants, and children. Nursing Research, 61(2), 86-94.
Full transcript