การพัฒนาองค์กรพยาบาลรอบรู้ด้านสุขภาพเพื่อส่งเสริมการเลี้ยงลูกด้วยนมแม่ ในสถาบันสุขภาพเด็กแห่งชาติมหาราชินี

Rachaneeboon  Ngoenwilai; Siriluck  Thavonvattana; Benjamas Thussanasupap; Nopparat  Lakornket

Authors

Rachaneeboon Ngoenwilai Queen Sirikit National Institute of Child Health
Siriluck Thavonvattana Queen Sirikit National Institute of Child Health
Benjamas Thussanasupap Queen Sirikit National Institute of Child Health
Nopparat Lakornket Queen Sirikit National Institute of Child Health

Keywords:

breastfeeding, health literacy, health literate organization

Abstract

Introduction: Breastfeeding rate in Thailand has significantly decreased. The utilization of health literacy concept in breastfeeding promotion is possible to be a new strategy.

Research objective: To develop a model of breastfeeding health literacy promotion and to examine the effectiveness of a model at Queen Sirikit National Institute of Child Health.

Research methodology: The research and development study consisted of 3 phases: 1) situation analysis, 2) model preparation and development, and 3) model implementation and evaluation. In this study, a purposive sampling technique was used to recruit 250 nurses and 37 stakeholders. Quantitative data were analyzed using descriptive statistics and paired t-test. Qualitative data were analyzed using content analysis.

Results: Results revealed that the developed model consisted of 4 elements: 1) policy establishment, 2) capacity building, 3) communication and management of the environment conducive to becoming a health literate organization, and 4) participation of all personnel in all levels. Following model implementation, the results showed as follows: 1) nurses highly perceived support provided by nursing organizations that promote breastfeeding health literacy, 2) mean score of breastfeeding health literacy is high, 3) mean scores of breastfeeding knowledge and health literacy are high, and 4) mean score of promotion of self-efficacy in breastfeeding significantly increased (p<.001).

Conclusion: This model shows effectiveness to achieve positive perceptions regarding support provided by nursing organizations, promotion of breastfeeding health literacy, and enhancement of nurses’ self-efficacy.

Implications: This model can be used as a guideline applying a high-efficiency digital platform. It can be utilized as an important new policy to promote breastfeeding in Thailand.

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