Publication Date

Spring 2023

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Robin L. Whitney

Second Advisor

Lisa Walker-Vischer

Third Advisor

Liliana Bruzzese-Pisegna


Exclusive Breastfeeding, Breastfeeding, Cluster feeding


Background: Breastfeeding is beneficial for newborn babies, but there are many challenges that new mothers face that prevent them from exclusively breastfeeding.
Objective: To evaluate if re-educational training in RN’s and LVN’s is an effective way to increase the exclusive breastfeeding rates in the hospital setting.
Methods: We utilized a pretest/post-test quasi-experimental design and had the goal sample size was about 50 nurses. The nurses were given an educational PowerPoint at a monthly staff meeting. Pretests were given to the staff immediately before and posttests two weeks later. Additionally, exclusive breastfeeding rates were monitored for the three months before the intervention and three months after.
Results: The true sample size was 57 nurse’s pre-test and 32 posttests, with 20 of them paired. The percent correct for individual questions on the breastfeeding knowledge quiz ranged from 56.62% to 100%. The mean score on the pretest is 4.9 and on the posttest 6.3. The overall percent correct was 96.7%. The mean difference was an average increase of 1.4 by the end. Overall, there was an increase in scores on the knowledge test that did reach statistical significance. The exclusive breastfeeding rates were looked at three months prior and three months post education and had a 5% overall increase but were not statistically significant.
Conclusion: This study’s results provided important information for that this knowledge reinforces the point that re-educating staff nurses is beneficial especially when the greatest number of nurses have at least 14-20+ years of being a nurse and 7-13 years of experience on a MBU unit on exclusive breastfeeding.


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