BackgroundDespite almost all babies being breastfed initially, the exclusive breastfeeding rate at six months is less than 30% in China. Improving professionals’ knowledge and practical skill is a key government strategy to increase breastfeeding rates. This study aimed to test the effectiveness of a breastfeeding DVD training method for clinicians on improving their knowledge and confidence in the breastfeeding support skills of teaching mothers Positioning and Attachment (P & A) and Hand Expression (HE).MethodsA randomised controlled trial was conducted in three hospitals in Zhejiang province, China in 2014. Participants were recruited before their routine breastfeeding training course and randomly allocated to intervention group (IG) and control group (CG). The 15 min “Breastfeeding: Essential Support Skills DVD” was the intervention for IG and a vaginal delivery DVD was used for CG. All participants completed questionnaires of job information, knowledge and confidence in the two skills before (baseline) and immediately after viewing the DVD (post DVD).ResultsOut of 210 participants, 191 completed knowledge assessments before and after watching the DVD (IG n = 96, CG n = 95), with the response rate of 91.0%. At baseline, there are no significant differences in job variables, total knowledge scores and confident scores. The total knowledge score significantly increased post-DVD for IG (pre-DVD: M = 5.39, SD = 2.03; post-DVD: M = 7.74, SD = 1.71; t (95) = − 10.95, p < 0.01), but no significant change in total knowledge score for CG between pre- and post-DVD (pre-DVD: M = 5.67, SD = 1.70; post-DVD: M = 5.56, SD = 1.63; t (94) = 0.85). The total confidence scores were significantly higher post-DVD than pre-DVD in IG (pre-DVD: M = 66.49, SD = 11.27; post- DVD: M = 71.81, SD = 9.33; t (68) = − 4.92, p < 0.01), but no significant difference was seen in CG between pre- and post-DVD total confidence scores (pre-DVD: M = 68.33, SD = 11.08; post-DVD: M = 68.35, SD = 11.40; t (65) = − 0.25). Personal and job variables did not mediate these effects.ConclusionsThe breastfeeding training DVD improved professionals’ knowledge and confidence of the two breastfeeding support skills. However, the effect on professionals’ practice and on breastfeeding outcomes needs to be examined in the future.
The concept of successful psychopathy has been debated for years, however, there is yet no unified approach to its definition and conceptualisation. Such individuals are said to encompass the core traits associated with psychopathy, whilst continuing to function in society, potentially having superior levels of functioning. This review assimilates the existing literature related to successful psychopathy in the general population. An extensive systematic review was performed using four databases, and two key concepts; namely success and psychopathy. After removing duplicates and articles deemed irrelevant, 180 papers were appraised against the review’s inclusion and exclusion criteria. The remaining 19 papers underwent quality control by two raters. A narrative synthesis was performed. The key factors associated with the successful psychopathy construct were fearlessness, stress immunity, social potency, normal or superior cognitive performance, professional achievement, stable socioeconomic status, leadership, pride, and aversion to punishment during conflict. Inconsistent findings were considered a result of the variations in psychopathy measurements used, and a lack of an agreed definition of success. Recommendations are provided for the establishment of a unified framework, and the need for a moderated measure of successful psychopathy to allow more systematic research into the notion of successful psychopathy in the general populations.
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