Breastfeeding Experiences of Taiwan Nurses on Rotational Shifts

本研究目的為探討輪值三班的護士回到職場後，如何在哺餵母乳、工作與休息之間做安排的經驗。研究採滾雪球的方式以半結構式的深入訪談十位產後回到職場的護士，她們哺乳至少六個月以上，每位訪談l-2次，每次訪談約1.5-2小時，訪談過程中加以錄音。結果採用內容分析法做整理歸類，發現三個主題及九個次主題。主題一為處理擠乳，其次主題有：在白班找尋合宜的時間擠乳，在小夜班學習擠乳的時刻，及在大夜設法擠出所有的乳汁。主題二為因應工作與擠乳之間的衝突，其有三個次主題：解決照護病人與擠乳之間的兩難，在擠乳之後準時回到工作現場，及尋求「良好」的場所擠乳。主題三為視哺乳為生活中的一部份，其次主題有：與孩子在家多於外出的情形，將汽車做為行動的哺／擠乳室，及視哺乳為自己的一項成就。研究的結果可以協助護士與其他健康照護專業人員對要持續哺乳的婦女作為預期指引，也可以提供輪班的工作人員要持續哺乳的參考。

關鍵字

哺餵母乳；職業婦女；輪值三班；護士

並列摘要

The aim of this study was to describe the experiences often three-shift nurses, with particular focus on how they make arrangements regarding breastfeeding in relation to their workplaces and work breaks. Using a qualitative approach, data were obtained through semi-structured interviews with ten three-shift nurses who had breastfed for more than six months and who returned to work after childbirth. Snowball sampling was used to recruit participants, each of whom was interviewed for 1.5-2 hours. Content analysis was used to synthesize interview transcripts. The following three predominant themes and nine sub-themes were identified: (1) managing to express milk - finding appropriate times to express milk during day shifts, learning the timing to express milk during night shifts, and expressing all milk from the breasts during early morning 'graveyard' shifts; (2) dealing with the conflict between work and expressing milk - learning to both take care of patients and express milk, coming back to work on time after expressing milk, and finding ”good” places to express milk; and (3) viewing breastfeeding as part of life - being with the baby at home more than being out, turning cars into mobile breastfeeding and milk-expressing ”rooms”, and breastfeeding as an accomplishment. These findings can help nurses and other healthcare professionals provide anticipatory guidance to women who plan to continue to breastfeed after returning to work. Study results can provide a reference for shift workers who continue to breastfeed after they return to work.

並列關鍵字

breastfeeding ； working women ； rotation shifts ； nurses

參考文獻

Baxter, L. A.,B. M. Montgomery,S. Duck (Eds.)(1991).Studying interpersonal interactions.New York:The Guilford Press.

Google Scholar

Brown, C. A.,Poag, S.,Kasprzycki, C.(2001).Exploring large employers` and small employers` knowledge, attitudes, and practices on breastfeeding support in the workplace.Journal of Human Lactation.17(1),39-46.