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Background <p>Deficiencies still exist in maternal breastfeeding knowledge training and breastfeeding consulting core competency among Chinese obstetric nurses.</p> Aim <p>To investigate the level of breastfeeding consulting core competency among Chinese obstetric nurses and explore its influencing factors.</p> Method <p>This work was designed as a multicentre, cross-sectional study and conducted in two Chinese maternal hospitals from 1 November 2024 to 28 February 2025. Multiple linear regression analysis and restricted cubic spline analysis were conducted to analyze the data.</p> Results <p>A total of 352 obstetric nurses participated in this study. The total score of breastfeeding consulting core competency was (360.25 ± 59.93). Regression results showed that obstetric nurses with the titles of primary nurse or nurse-in-charge, those in work positions of associate deputy head nurse or above, and those with higher psychological capital were more likely to have higher breastfeeding consulting core competency (<i>p</i> &lt; 0.05). In contrast, obstetric nurses with a master’s degree or above as their highest education level and those experiencing higher stress overload had lower breastfeeding consulting core competency (<i>p</i> &lt; 0.05). The results of the restricted cubic spline analysis indicated that psychological capital was positively associated with the breastfeeding consulting core competency (<i>p</i> &lt; 0.05), whereas stress overload was negatively associated with it (<i>p</i> &lt; 0.05).</p> Conclusion <p>Overall, the findings suggest that the breastfeeding consulting core competency among Chinese obstetric nurses still requires further improvement. Nursing managers in maternal hospitals should prioritize breastfeeding knowledge training for obstetric nurses and implement targeted interventions to enhance nurses’ psychological capital, alleviate their stress overload, and thereby promote their breastfeeding consulting core competency, ultimately improving exclusive breastfeeding rates, maternal satisfaction, and postpartum recovery.</p>

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Breastfeeding consulting core competency among Chinese obstetric nurses and its influencing factors: a cross-sectional study

  • 期刊论文

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  • 发表日期：

    2026年6月22日

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  • Qingxiang Zheng,
  • Qiujin Qiu,
  • Xiuping Li,
  • Shuxia Chen,
  • Hong Yan,
  • Dan Lin

摘要

Background

Deficiencies still exist in maternal breastfeeding knowledge training and breastfeeding consulting core competency among Chinese obstetric nurses.

Aim

To investigate the level of breastfeeding consulting core competency among Chinese obstetric nurses and explore its influencing factors.

Method

This work was designed as a multicentre, cross-sectional study and conducted in two Chinese maternal hospitals from 1 November 2024 to 28 February 2025. Multiple linear regression analysis and restricted cubic spline analysis were conducted to analyze the data.

Results

A total of 352 obstetric nurses participated in this study. The total score of breastfeeding consulting core competency was (360.25 ± 59.93). Regression results showed that obstetric nurses with the titles of primary nurse or nurse-in-charge, those in work positions of associate deputy head nurse or above, and those with higher psychological capital were more likely to have higher breastfeeding consulting core competency (p < 0.05). In contrast, obstetric nurses with a master’s degree or above as their highest education level and those experiencing higher stress overload had lower breastfeeding consulting core competency (p < 0.05). The results of the restricted cubic spline analysis indicated that psychological capital was positively associated with the breastfeeding consulting core competency (p < 0.05), whereas stress overload was negatively associated with it (p < 0.05).

Conclusion

Overall, the findings suggest that the breastfeeding consulting core competency among Chinese obstetric nurses still requires further improvement. Nursing managers in maternal hospitals should prioritize breastfeeding knowledge training for obstetric nurses and implement targeted interventions to enhance nurses’ psychological capital, alleviate their stress overload, and thereby promote their breastfeeding consulting core competency, ultimately improving exclusive breastfeeding rates, maternal satisfaction, and postpartum recovery.