Abstract
Background. Motivation and goal setting can play a significant role in breastfeeding behaviour. Effective antenatal education has been recognised as a key component within breastfeeding decision-making. The inclusion of specific and relevant goals can increase self-efficacy and improve performance. Aim. To observe motivational influences communicated by midwives in breastfeeding instruction in a Thai cultural setting. Methods. A total of 75 hours of observation were completed in eight instructional environments. Field notes and a semi-structured observation schedule were implemented to identify cultural and motivational content of routine breastfeeding education. Goals were identified through a motivational framework. Findings. Key breastfeeding themes identified in the instruction included ‘Breast: the best option; Best for mum; Best for baby; and Best for Thais’. Further themes were ‘Start off well; Building confidence; Managing tough times; and The Thai way’. There were a significant number of goals and indicators within the instruction to allow women to achieve and measure success. Conclusion. Breastfeeding instruction offered within a supportive environment with clear goal structures and culturally relevant information appears to offer a motivationally positive environment for women to begin their breastfeeding journey.
| Original language | English |
|---|---|
| Pages (from-to) | 40-45 |
| Number of pages | 6 |
| Journal | Evidence Based Midwifery |
| Volume | 15 |
| Issue number | 2 |
| Publication status | Published (in print/issue) - 1 Jun 2017 |
Bibliographical note
This study was funded by the Vice Chancellor International Scholarship, Ulster University.Publisher Copyright:
© 2017 The Royal College of Midwives.
Funding
1. Health visitor and research associate, Institute of Nursing and Health Research, University of Ulster, Newtownabbey BT37 0QB Northern Ireland. Email: [email protected] 2. Professor of midwifery research, Institute of Nursing and Health Research, University of Ulster, Newtownabbey BT37 0QB Northern Ireland. Email: [email protected] 3. Professor of health research, Institute of Nursing and Health Research, University of Ulster, Newtownabbey BT37 0QB Northern Ireland. Email: [email protected] 4. Lactation nurse, Faculty of Nursing, Chiang Mai University, Chiang Mai 50200 Thailand. Email: [email protected] 5. Head nurse, Faculty of Nursing, Chiang Mai University, Chiang Mai 50200 Thailand. Email: [email protected] The authors would like to thank Dr Janine Stockdale PhD, PG dip, CHSE, BSc, RM, RN for her expertise and advice in the motivational analysis; Dr Jane Brown PhD, MSc, BSc for verification of the motivational and thematic analysis; Sandra Joll for verification of the observations: Dr Watcharee Tantiprapa MD for overseeing the Thai research team and Dr Varangthip Khuwuthyakorn and Dr Fuanglada Tongprasert for facilitating the observations and information gathering within the maternity unit of Chiang Mai University Hospital. This study was funded by the Vice Chancellor International Scholarship, Ulster University.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being -
SDG 10 Reduced Inequalities
Keywords
- Adaptation
- Breastfeeding
- Context
- Culture
- Evidence-based midwifery
- Instruction
- Motivation
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