The development andvalidation of the Breastfeeding Support Skills Tool (BeSST)

Morán, Victoria Hall; Dinwoodie, Kate; Bramwell, Ros; Dykes, Fiona; Foley, Pam

doi:10.1016/s1361-9004(99)80055-7

Cited by 9 publications

(13 citation statements)

References 19 publications

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“…These BFHI-based courses have been shown to positively influence knowledge (Hall Moran et al . 1999Rea et al .…”

Section: Influences Of Breastfeeding Education Provided For Qualifiedmentioning

confidence: 99%

The education of health practitioners supporting breastfeeding women: time for critical reflection

Dykes

2006

Maternal & Child Nutrition

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The protection, promotion and support of breastfeeding has now become a major international priority as emphasized in the Global Strategy for Infant and Young Child Feeding. Health practitioners, such as midwives, nurses and doctors, have a key role to play in providing support to breastfeeding women. This paper provides a critical discussion of educational requirements of health practitioners to equip them for their supportive role. The effective integration of embodied, vicarious, practice-based and theoretical knowledge requires opportunities for deep critical reflection. This approach should facilitate personal reflection and critical engagement with broader socio-political issues, thus allowing for collective understandings and change. Practitioners also need to understand breastfeeding as a biopsychosocial process that is dynamic, relational and changes over time. Recommendations are outlined with regards to multidisciplinary undergraduate education; mentorship schemes with knowledgeable role models supporting student practitioners; involvement of voluntary and peer supporters; post-registration education; setting of national standards for breastfeeding education; tailored education for specific groups; designated funding; and involvement of breastfeeding specialists.

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“…These BFHI-based courses have been shown to positively influence knowledge (Hall Moran et al . 1999Rea et al .…”

Section: Influences Of Breastfeeding Education Provided For Qualifiedmentioning

confidence: 99%

The education of health practitioners supporting breastfeeding women: time for critical reflection

Dykes

2006

Maternal & Child Nutrition

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“…Within the context of intra-rater and inter-rater reliability, the variety of statistics used produced consistent results which demonstrated that CRAS was stable over time and produced equivalent results when different raters used the scale. The three combinations of raters used to establish the equivalence of CRAS went beyond the one sample approach commonly used (Detsky et al, 1987;Reilly et al, 1995;Moran et al, 1999). The reason for replicating analysis for equivalence was that in practice CRAS would be repeatedly performed on individuals, with different nurses possibly repeating the assessment each time.…”

Section: Discussionmentioning

confidence: 99%

“…Researchers frequently cite levels of .70 or above as being acceptable alpha values for a scale (Funk et al, 1991;Streiner and Norman, 1995a;Polit, 1996;Broussard, 1998;Fitzpatrick, 1998;Tollen and Ahlstrom, 1998;Frank et al, 1999;Moran et al, 1999;Norwood, 1999). Consequently the a priori level of acceptability for an alpha coefficient within this study was established as .70.…”

Section: Reliability Analysis: Internal Consistencymentioning

confidence: 99%

“…Construct validity is consistently considered the most powerful indicator of an instrument's accuracy (Deane, 1991;Fitzpatrick, 1998;Polit and Hungler, 1999). Assessing construct validity typically involves the use of two different populations, also referred to as the 'contrasted-groups approach' (Waltz et al, 1991;Cohen et al, 1996;Moran et al, 1999). Within this investigation CRAS was administered to two groups of subjects who were anticipated to diverge in CRAS scores to observe for a significant difference in scores (LoBiondo-Wood and Haber, 1998).…”

Section: Validity Analysis: Construct Validitymentioning

confidence: 99%

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Establishing reliability and validity of a constipation risk assessment scale

Richmond

Wright²

2008

Journal of Orthopaedic Nursing

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“…The video clips illustrate the following key aspects of breastfeeding: positioning, attachment, suckling and breast pathology. Each clip lasts between 25 and 90 s. The full details of the validation process of the BeSST are reported in Hall Moran et al . (1999).…”

Section: Methods Data Collection Toolmentioning

confidence: 99%

An evaluation of the breastfeeding support skills of midwives and voluntary breastfeeding supporters using the Breastfeeding Support Skills Tool (BeSST)

Morán

Dykes

Edwards

et al. 2005

Maternal & Child Nutrition

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The promotion of breastfeeding has been established as a global public health issue. Despite this global agenda, breastfeeding initiation and duration rates remain low in many countries. The lack of provision of adequate support to the breastfeeding mother is an important contributory factor to shorter duration of breastfeeding. Health professionals and voluntary breastfeeding supporters are in a prime position to work collaboratively to provide comprehensive support to the breastfeeding mother. However, a comparative evaluation of the breastfeeding support skills of voluntary breastfeeding supporters and health professionals has never been conducted. This study aimed to assess the breastfeeding support skills of midwives and Breastfeeding Network (BfN) supporters. Breastfeeding support skills were assessed using a between-subjects design conducted with 15 midwives and 15 BfN supporters in the north-west of England. Support skills were measured using the prevalidated Breastfeeding Support Skills Tool (BeSST), a questionnaire and video tool. Total scores on the BeSST were significantly higher in the BfN group (mean = 42.5 +/- 6.4 SD) than in the midwife group (mean = 30.7 +/- 8.2 SD) [t (26.5) = 4.4, P < 0.0001]. The BfN group has the breastfeeding support skills necessary to provide adequate assistance for breastfeeding mothers. An interagency and interdisciplinary collaborative model is crucial to developing a coherent and cohesive approach to the support infrastructure for breastfeeding women.

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The development andvalidation of the Breastfeeding Support Skills Tool (BeSST)

Cited by 9 publications

References 19 publications

The education of health practitioners supporting breastfeeding women: time for critical reflection

The education of health practitioners supporting breastfeeding women: time for critical reflection

Establishing reliability and validity of a constipation risk assessment scale

An evaluation of the breastfeeding support skills of midwives and voluntary breastfeeding supporters using the Breastfeeding Support Skills Tool (BeSST)

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