Strategies for success: a toolbox of coming strategies used by breastfeeding women

Article

Hegney, Desley, O'Brien, Maxine L., Buikstra, Elizabeth and Fallon, Tony. 2009. "Strategies for success: a toolbox of coming strategies used by breastfeeding women." Journal of Clinical Nursing. 18 (11), pp. 1574-1582. https://doi.org/10.1111/j.1365-2702.2008.02667.x
Article Title

Strategies for success: a toolbox of coming strategies used by breastfeeding women

ERA Journal ID14104
Article CategoryArticle
AuthorsHegney, Desley (Author), O'Brien, Maxine L. (Author), Buikstra, Elizabeth (Author) and Fallon, Tony (Author)
Journal TitleJournal of Clinical Nursing
Journal Citation18 (11), pp. 1574-1582
Number of Pages9
Year2009
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0962-1067
1365-2702
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1365-2702.2008.02667.x
Web Address (URL)http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2008.02667.x/pdf
Abstract

Aims. The purpose of this paper is to present the findings of two qualitative studies which identified strategies used by breastfeeding women to assist them to continue breastfeeding.
Background. While breastfeeding initiation rates are high in Australia, the majority of women wean before the recommended time. The identification of interventions which may increase breastfeeding duration is therefore a research priority.
Design. The Against All Odds study used a case-controlled design to investigate the characteristics of women who continued to breastfeed in the face of extraordinary difficulties. Phase One of the I Think I Can study employed the Nominal Group Technique to investigate the views of subject matter experts regarding which psychological factors may influence the duration of breastfeeding.
Method. Against All Odds study participants (n = 40) undertook a one- to two-hour interview and the transcribed data were analysed using thematic analysis. Stratified purposeful sampling was employed in the I Think I Can study (n = 21), with participants assigned group membership according to their most recent breastfeeding experience. A fourth group was composed of experienced breastfeeding clinicians. The nominal group technique was used to generate group data and segments of the discussion were audiotaped and transcribed for thematic analysis.
Results. Participants in both the studies raised strategies used to assist them in their efforts to cope with the challenges of breastfeeding and early motherhood. These strategies included increasing breastfeeding knowledge, staying relaxed and ‘looking after yourself’, the use of positive self-talk, challenging unhelpful beliefs, problem solving, goal setting and the practice of mindfulness.
Conclusions. Employment of these simple behavioural and cognitive strategies may assist women to cope with the pressures inherent in the experience of early mothering, thereby increasing the duration of breastfeeding.
Relevance to clinical practice. These results may represent a ‘tool box’ of coping strategies which can be provided to women for use in the postnatal period.

Keywordsbreastfeeding; cognitive therapy; midwifery; nursing; psychological well-being; stress
ANZSRC Field of Research 2020420303. Family care
420499. Midwifery not elsewhere classified
520399. Clinical and health psychology not elsewhere classified
Byline AffiliationsUniversity of Queensland
Office of Research
Centre for Rural and Remote Area Health
Institution of OriginUniversity of Southern Queensland
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Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
Nurses worth listening to
Hegney, Desley, Plank, Ashley, Buikstra, Elizabeth, Parker, Victoria and Eley, Robert. 2005. Nurses worth listening to. Tooowoomba, Australia. University of Southern Queensland.
Nurses and information technology
Hegney, Desley, Buikstra, Elizabeth, Eley, Robert, Fallon, Anthony Bruce, Gilmore, Victoria and Soar, Jeffrey. 2007. Nurses and information technology. Canberra, Australia. Commonwealth of Australia.
Barriers to use of information and computer technology by Australia's nurses: a national survey
Eley, Robert, Fallon, Anthony Bruce, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2009. "Barriers to use of information and computer technology by Australia's nurses: a national survey." Journal of Clinical Nursing. 18 (8), pp. 1151-1158. https://doi.org/10.1111/j.1365-2702.2008.02336.x
The status of training and education in information and computer technology of Australia's nurses: a national survey
Eley, Robert, Fallon, Tony, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2008. "The status of training and education in information and computer technology of Australia's nurses: a national survey." Journal of Clinical Nursing. 17 (20), pp. 2758-2767. https://doi.org/10.1111/j.1365-2702.2008.02285.x
I think I can: exploring the influence of psychological factors on breastfeeding duration
O'Brien, Maxine. 2007. I think I can: exploring the influence of psychological factors on breastfeeding duration. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
Job satisfaction and nurses in rural Australia
Hegney, Desley and McCarthy, Alexandra. 2000. "Job satisfaction and nurses in rural Australia." Journal of Nursing Administration. 30 (7-8), pp. 347 - 350.
Gender roles and geographic locations as predictors of emotional distress in Australian women
Bramston, Paul, Rogers-Clark, Cathy, Hegney, Desley and Bishop, Janet. 2000. "Gender roles and geographic locations as predictors of emotional distress in Australian women." Australian Journal of Rural Health. 8 (3), pp. 154-160. https://doi.org/10.1046/j.1440-1584.2000.00272.x
The perceptions of rural nurses towards role change within the context of organisational change
McCarthy, Alexandra, Hegney, Desley and Pearson, Alan. 2000. "The perceptions of rural nurses towards role change within the context of organisational change." Australian Journal of Advanced Nursing. 17 (4), pp. 21-28.
Effects of size of health service on scope of rural nursing practice
Hegney, Desley, McCarthy, Alexandra and Pearson, Alan. 1999. "Effects of size of health service on scope of rural nursing practice." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 6 (4), pp. 21-26, 42. https://doi.org/10.1016/S1322-7696(08)60605-8
Evidence-based practice and rural nursing: a literature review
McCarthy, A. and Hegney, D.. 1998. "Evidence-based practice and rural nursing: a literature review." Australian Journal of Rural Health. 6 (2), pp. 96-99. https://doi.org/10.1111/j.1440-1584.1998.tb00291.x
Extended, expanded, multi-skilled or advanced practice? - rural nurses in Australia 1991-1994
Hegney, Desley. 1997. "Extended, expanded, multi-skilled or advanced practice? - rural nurses in Australia 1991-1994." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 4 (4), pp. 22-27. https://doi.org/10.1016/S1322-7696(08)60252-8
An overview of a study into the role and function of the rural nurse in Australia
Hegney, Desley, Pearson, Alan and McCarthy, Alexandra. 1997. An overview of a study into the role and function of the rural nurse in Australia. Adelaide, Australia. University of Adelaide.
The role and function of the rural nurse in Australia
Hegney, Desley, Pearson, Alan and McCarthy, Alexandra. 1997. The role and function of the rural nurse in Australia. Melbourne, Australia. Royal College of Nursing, Australia.
Remote and rural palliative care
McCarthy, Alexandra and Hegney, Desley. 1999. "Remote and rural palliative care." Aranda, Sanchia and O'Connor, Margaret (ed.) Palliative care nursing: a guide to practice. Melbourne, Australia. AUSMED Publications. pp. 83-101
Informing rural and remote students about careers in health: factors influencing career decisions
Buikstra, Elizabeth, Eley, Robert M. and Hindmarsh, Natalie. 2007. "Informing rural and remote students about careers in health: factors influencing career decisions." Australian Journal of Rural Health. 15 (5), pp. 289-295. https://doi.org/10.1111/j.1440-1584.2007.00899.x
Experiences of regional and rural people with cancer being treated with radiotherapy in a metropolitan centre
Martin-McDonald, Kristine, Rogers-Clark, Cath, Hegney, Desley, McCarthy, Alexandra and Pearce, Susanne. 2003. "Experiences of regional and rural people with cancer being treated with radiotherapy in a metropolitan centre." International Journal of Nursing Practice. 9 (3), pp. 176-182. https://doi.org/10.1046/j.1440-172X.2003.00421.x
Why nurses are attracted to rural and remote practice
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are attracted to rural and remote practice." Australian Journal of Rural Health. 10 (3), pp. 178-186.
Why nurses are resigning from rural and remote Queensland health facilities
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are resigning from rural and remote Queensland health facilities." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 9 (2), pp. 33-39.
Retaining rural and remote area nurses: the Queensland Australia experience
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Retaining rural and remote area nurses: the Queensland Australia experience." Journal of Nursing Administration. 32 (3), pp. 128-135.
Mental health nursing standards and practice indicators for Australia: a review of current literature
Neville, Christine, Eley, Diann, Quinn, John, Weir, Jim, Hegney, Desley, Hangan, Catherine and Grasby, David. 2006. Mental health nursing standards and practice indicators for Australia: a review of current literature. Toowoomba, Australia. University of Southern Queensland.
Analysis of breast feeding data using data mining methods
He, Hongxing, Jin, Huidong, Chen, Jie, McAullay, Damien, Li, Jiuyong and Fallon, Tony. 2006. "Analysis of breast feeding data using data mining methods." Christen, Peter, Kennedy, Paul J., Li, Jiuyong, Simoff, Simeon J. and Williams, Graham J. (ed.) 5th Australasian Conference on Data Mining and Analystics (AusDM 2006). Sydney, Australia 29 - 30 Nov 2006 Sydney, Australia.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002
Hegney, Desley, Eley, Robert and Buikstra, Elizabeth. 2005. Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002. Toowoomba, Australia. University of Southern Queensland.
An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas
Eley, Diann, Hegney, Desley and Boyes, Joanne. 2006. An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas. Toowoomba, Australia. University of Southern Queensland.
The Toowoomba adult trauma triage tool
Hegney, Desley, Wollaston, Anthony, Fahey, Paul, McKay, Michelle, Miller, Peter and Wollaston, James. 2003. The Toowoomba adult trauma triage tool. Toowoomba, Australia. University of Southern Queensland.
Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties
Hegney, Desley, Fallon, Tony, Crepinsek, Maree, O'Brien, Maxine and Doolan, Jackie. 2005. Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties. Toowoomba, Australia. University of Southern Queensland.
The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland.
Hegney, Desley, McKeon, Christine, Plank, Ashley, Raith, Lisa and Watson, Jennifer. 2003. The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland. Toowoomba, Australia. University of Southern Queensland.
Psychological services in five South-West Queensland communities: supply and demand
Buikstra, E., Fallon, A. B. and Eley, R.. 2007. "Psychological services in five South-West Queensland communities: supply and demand." Rural and Remote Health. 7 (1), pp. 1-11.
The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region
Fallon, Anthony Bruce, O'Brien, Maxine, Plank, Ashley, Doolan, Jackie, Brodribb, Wendy, Hennessy, Jane, Laurent, Kathy and Baker, Sandra F.. 2003. The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region. Toowoomba, Australia. University of Southern Queensland.
Aged care nursing in Queensland - the nurses' view
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Fallon, Anthony Bruce, Plank, Ashley and Parker, Victoria. 2007. "Aged care nursing in Queensland - the nurses' view ." Journal of Clinical Nursing. 16 (5), pp. 860-872. https://doi.org/10.1111/j.1365-2702.2006.01696.x
Key issues in rural health: perspectives of health service providers in Queensland
Eley, Robert, Fallon, Anthony Bruce, Gorman, Don, Fahey, Paul P., Rogers-Clark, Cath and Hegney, Desley. 2006. Key issues in rural health: perspectives of health service providers in Queensland. Toowoomba, Australia. University of Southern Queensland.
Workplace violence in Queensland, Australia: the results of a comparative study
Hegney, Desley, Eley, Robert, Plank, Ashley, Buikstra, Elizabeth and Parker, Victoria. 2006. "Workplace violence in Queensland, Australia: the results of a comparative study." International Journal of Nursing Practice. 12 (4), pp. 220-231. https://doi.org/10.1111/j.1440-172X.2006.00571.x
Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Plank, Ashley and Parker, Victoria. 2007. "Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004 ." Journal of Nursing Management. 15 (3), pp. 285-293.
Informing rural and remote high school students about careers in health: the effect of Health Careers Workshops on course selection
Eley, Robert, Hindmarsh, Natalie and Buikstra, Elizabeth. 2007. "Informing rural and remote high school students about careers in health: the effect of Health Careers Workshops on course selection ." Australian Journal of Rural Health. 15 (1), pp. 59-64.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.
Dealing with distance: rural and remote area nursing
Hegney, Desley. 2006. "Dealing with distance: rural and remote area nursing." Daly, John, Speedy, Sandra and Jackson, Debra (ed.) Contexts of nursing: an introduction. Marrickville, NSW. Elsevier. pp. 213-228
SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned
Buikstra, Elizabeth, Pearce, Susanne, Hegney, Desley and Fallon, Tony. 2006. "SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned ." Rural and Remote Health. 6 (1), pp. 1-10.
Planning research in rural and remote areas
Baker, P. G., Hegney, D., Rogers-Clark, C., Fahey, P., Gorman, D. and Mitchell, G.. 2004. "Planning research in rural and remote areas." Rural and Remote Health. 4 (266), pp. 1-11.
The interface of acute and aged care: the role of the nurse in a provincial area
Hegney, Desley, McCarthy, Alexandra, De La Rue, Mary Beth, Gorman, Don, Martin-McDonald, Kris, Fahey, Paul and Pretty, Grace. 2003. "The interface of acute and aged care: the role of the nurse in a provincial area." Australasian Journal on Ageing. 22 (2), pp. 85-90. https://doi.org/10.1111/j.1741-6612.2003.tb00472.x
General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study
Hegney, Desley, Fahey, Paul P. and Nanka, Annette. 2004. "General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study." Rural and Remote Health. 4 (287).
Lexicality and phonological similarity: a challenge for the retrieval-based account of serial recall?
Fallon, Anthony B., Mak, Eva, Tehan, Gerald and Daly, Charmaine. 2005. "Lexicality and phonological similarity: a challenge for the retrieval-based account of serial recall?" Memory. 13 (3/4), pp. 349-356. https://doi.org/10.1080/09658210344000215
Primary health care and general practice nurses: what is the nexus?
Patterson, Elizabeth, Price, Kay and Hegney, Desley. 2005. "Primary health care and general practice nurses: what is the nexus?" Australian Journal of Primary Health. 11 (1), pp. 47-54. https://doi.org/10.1071/PY05007
Risk reduction in general practice and the role of the receptionist
Patterson, Elizabeth, Forrester, Kim, Price, Kay and Hegney, Desley. 2005. "Risk reduction in general practice and the role of the receptionist." Journal of Law and Medicine. 12 (3), pp. 340-347.
The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context
Fallon, Anthony Bruce, Crepinsek, Maree, Hegney, Desley and O'Brien, Maxine. 2005. "The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context." Birth Issues. 14 (3), pp. 90-95.
Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses
Hegney, Desley, Plank, Ashley, Watson, Jennifer, Raith, Lisa and McKeon, Christine. 2005. "Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses." Journal of Clinical Nursing. 14 (7), pp. 855-862. https://doi.org/10.1111/j.1365-2702.2005.01203.x
Separation of conjoined twins: experiences of perioperative nurses and their recommendations
Martin-McDonald, K., McIntyre, P. and Hegney, D.. 2005. "Separation of conjoined twins: experiences of perioperative nurses and their recommendations." International Nursing Review. 52 (1), pp. 52-59. https://doi.org/10.1111/j.1466-7657.2004.00239.x
Attitudes of Australian nurses to information technology in the workplace: A national survey
Eley, Robert, Soar, Jeffrey, Buikstra, Elizabeth, Fallon, Tony and Hegney, Desley. 2009. "Attitudes of Australian nurses to information technology in the workplace: A national survey." CIN: Computers, Informatics, Nursing. 27 (2), pp. 114-121. https://doi.org/10.1097/NCN.0b013e318197557e