A qualitative descriptive study of new graduate nurses’ experiences supporting breastfeeding women in neonatal settings

Journal article

Prokop, Nicole, Sim, Jenny and Meedya, Shahla. (2021). A qualitative descriptive study of new graduate nurses’ experiences supporting breastfeeding women in neonatal settings. Nurse Education in Practice. 55, p. Article 103172. https://doi.org/10.1016/j.nepr.2021.103172

Publication dates
Authors	Prokop, Nicole, Sim, Jenny and Meedya, Shahla
Abstract	Aim The aim was to explore the experiences of new graduate nurses who provide support to breastfeeding women in neonatal care settings. The objective of this study was to explore the enablers and barriers that influenced new graduate nurses’ self-efficacy. Background Nurses have important roles in promoting and educating breastfeeding women in neonatal care settings. Although there are many studies that focused on nursing students and registered nurses’ experiences in supporting breastfeeding women, there is limited research about the experiences of new graduate nurses during their transition from universities to neonatal care settings as a registered nurse where they learn how to educate and support breastfeeding women. Design A qualitative descriptive study. Methods Nine new graduate nurses who support breastfeeding women in neonatal care settings within Australia were recruited. Data was collected through semi-structured interviews via videoconference or telephone. Braun & Clarke’s thematic analysis was used to analyse the data. Results This study found four themes: Preparedness, Emotions, Ongoing Learning, and Confidence. Barriers and enablers included support, time, consistency of information, and impact of stereotyping. The new graduate nurses did not initially feel prepared to support breastfeeding women due to their lack of knowledge. Participants’ self-efficacy enhancing strategies to help build knowledge and confidence supporting breastfeeding women included: a) frequent practice, b) having role models and seeking support, c) receiving encouragement and positive feedback, and d) interpreting their emotional feelings as a normal reaction to the learning process. Conclusion Additional education should be provided during pre-registration education and on commencement of employment in neonatal settings to improve new graduate nurses’knowledge supporting breastfeeding women. Self-efficacy enhancing strategies can be used in partnerships between educational institutions and hospitals to support new graduate nurses to feel more confident providing breastfeeding support in neonatal care settings.
Keywords	new graduate nurse; preparedness; self-efficacy; breastfeeding
Year	2021
Journal	Nurse Education in Practice
Journal citation	55, p. Article 103172
Publisher	Elsevier Ltd
ISSN	1471-5953
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.nepr.2021.103172
PubMed ID	34461461
Scopus EID	2-s2.0-85113427575
Page range	1-8
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	27 Aug 2021
Publication process dates
Accepted	04 Aug 2021
Deposited	15 Apr 2025
Additional information	© 2021 Elsevier Ltd. All rights reserved.

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Rodgers, Kyrie, Sim, Jenny and Clifton, Ross. (2021). Systematic review of pressure injury prevalence in Australian and New Zealand hospitals. Collegian. 28(3), pp. 310-323. https://doi.org/10.1016/j.colegn.2020.08.012

Integrative review of the experiences of registered nurses who support breastfeeding women

Prokop, Nicole, Meedya, Shahla and Sim, Jenny. (2021). Integrative review of the experiences of registered nurses who support breastfeeding women. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 50(3), pp. 266-274. https://doi.org/10.1016/j.jogn.2021.02.003

Understanding how personhood impacts consumers’ feelings of safety in acute mental health units : A qualitative study

Cutler, Natalie Ann, Sim, Jenny, Halcomb, Elizabeth, Stephens, Moira and Moxham, Lorna. (2021). Understanding how personhood impacts consumers’ feelings of safety in acute mental health units : A qualitative study. International Journal of Mental Health Nursing. 30(2), pp. 479-486. https://doi.org/10.1111/inm.12809

Nonpharmacological approaches to improve women’s childbirth experiences : A systematic review and meta-analysis

Ghanbari-Homayi, Solmaz, Hasani, Sonia, Meedya, Shahla, Asghari Jafarabadi, Mohammad and Mirghafourvand, Mojgan. (2021). Nonpharmacological approaches to improve women’s childbirth experiences : A systematic review and meta-analysis. The Journal of Maternal-Fetal and Neonatal Medicine. 34(3), pp. 479-491. https://doi.org/10.1080/14767058.2019.1608434

Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women : A prospective study

Hadian, Tahereh, Moosavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2021). Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women : A prospective study. Archives of Psychiatric Nursing. 35(5), pp. 465-471. https://doi.org/10.1016/j.apnu.2021.06.011

Recommendations for improving primiparous women’s childbirth experience : Results from a multiphase study in Iran

Ghanbari-Homayi, Solmaz, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2021). Recommendations for improving primiparous women’s childbirth experience : Results from a multiphase study in Iran. Reproductive Health. 18(1), p. Article 146. https://doi.org/10.1186/s12978-021-01196-7

What are women's experiences of immediate skin-to-skin contact at caesarean section birth? An integrative literature review

Deys, Linda, Wilson, Professor Valerie and Meedya, Shahla. (2021). What are women's experiences of immediate skin-to-skin contact at caesarean section birth? An integrative literature review. Midwifery. 101, pp. 1-10. https://doi.org/10.1016/j.midw.2021.103063

The impact of first childbirth experience on women’s attitude towards having another child and subsequent vaginal birth

Ghanbari-Homayi, Solmaz, Mohammad-Alizadeh-Charandabi, Sakineh, Meedya, Shahla, Jafarabadi, Mohammad Asghari, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2021). The impact of first childbirth experience on women’s attitude towards having another child and subsequent vaginal birth. Current Women's Health Reviews. 17(3), pp. 244-250. https://doi.org/10.2174/1573404816999200930161803

Primiparous women's knowledge and satisfaction based on their attendance at childbirth preparation classes

Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2021). Primiparous women's knowledge and satisfaction based on their attendance at childbirth preparation classes. Nursing Open. 8(5), pp. 2558-2566. https://doi.org/10.1002/nop2.787

A systematic review : Sexual well-being and perceived barriers to seeking professional help among Chinese adults living with cancer

Chan, Alex, Chang, Hui-Chen Rita, Alananzeh, Ibrahim, Meedya, Shahla, Green, Heidi, Yan, Zhoumei and Fernandez, Ritin. (2021). A systematic review : Sexual well-being and perceived barriers to seeking professional help among Chinese adults living with cancer. European Journal of Cancer Care. 30(6), pp. 1-15. https://doi.org/10.1111/ecc.13519

Perceptions of primiparous women about the effect of childbirth preparation classes on their childbirth experience : A qualitative study

Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh and Mirghafourvand, Mojgan. (2021). Perceptions of primiparous women about the effect of childbirth preparation classes on their childbirth experience : A qualitative study. Midwifery. 103, pp. 1-7. https://doi.org/10.1016/j.midw.2021.103154

Incidence and risk factors for new-onset atrial fibrillation following coronary artery bypass grafting : A systematic review and meta-analysis

Higgs, Megan, Sim, Jenny and Traynor, Victoria. (2020). Incidence and risk factors for new-onset atrial fibrillation following coronary artery bypass grafting : A systematic review and meta-analysis. Intensive and Critical Care Nursing. 60, p. Article 102897. https://doi.org/10.1016/j.iccn.2020.102897

Nursing care left undone, practice environment and perceived quality of care in small rural hospitals

Smith, Sarah, Lapkin, Sam, Sim, Jenny and Halcomb, Elizabeth. (2020). Nursing care left undone, practice environment and perceived quality of care in small rural hospitals. Journal of Nursing Management. 28(8), pp. 2166-2173. https://doi.org/10.1111/jonm.12975

Nurses' influence on consumers' experience of safety in acute mental health units : A qualitative study

Cutler, Natalie Ann, Sim, Jenny, Halcomb, Elizabeth, Moxham, Lorna and Stephens, Moira. (2020). Nurses' influence on consumers' experience of safety in acute mental health units : A qualitative study. Journal of Clinical Nursing. 29(21-22), pp. 4379-4386. https://doi.org/10.1111/jocn.15480

Prevalence and predictors of perceived disrespectful maternity care in postpartum Iranian women : A cross-sectional study

Hajizadeh, Khadije, Vaezi, Maryam, Meedya, Shahla, Mohammad Alizadeh Charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). Prevalence and predictors of perceived disrespectful maternity care in postpartum Iranian women : A cross-sectional study. BMC Pregnancy and Childbirth. 20(1), p. Article 463. https://doi.org/10.1186/s12884-020-03124-2

Effectiveness of internet-based electronic technology interventions on breastfeeding outcomes : Systematic review

Almohanna, Alaa Ali, Win, Khin Than and Meedya, Shahla. (2020). Effectiveness of internet-based electronic technology interventions on breastfeeding outcomes : Systematic review. Journal of Medical Internet Research. 22(5), p. Article e17361. https://doi.org/10.2196/17361

Respectful maternity care and its relationship with childbirth experience in Iranian women : A prospective cohort study

Hajizadeh, Khadije, Vaezi, Maryam, Meedya, Shahla, Mohammad Alizadeh Charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). Respectful maternity care and its relationship with childbirth experience in Iranian women : A prospective cohort study. BMC Pregnancy and Childbirth. 20(1), p. Article 468. https://doi.org/10.1186/s12884-020-03118-0

Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers : A cross sectional study

Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Mohammad-Alizadeh-Charandabi, Sakineh, Meedya, Shahla, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2020). Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers : A cross sectional study. Journal of Neonatal Nursing. 26(2), pp. 115-119. https://doi.org/10.1016/j.jnn.2019.08.003

Pressure injury prevalence in Australian & New Zealand hospitals : Systematic review protocol

Rodgers, Kyrie, Sim, Jenny and Clifton, Ross. (2020). Pressure injury prevalence in Australian & New Zealand hospitals : Systematic review protocol. Collegian : The Australian Journal of Nursing Practice, Scholarship and Research. 27(4), pp. 471-475. https://doi.org/10.1016/j.colegn.2019.11.003

Impressions of using the Cohen-Mansfield Agitation Inventory as an outcome measure : Lessons learnt for future clinical researchers (innovative practice)

Brett, Lindsey, Traynor, Victoria, Meedya, Shahla and Stapley, Paul. (2020). Impressions of using the Cohen-Mansfield Agitation Inventory as an outcome measure : Lessons learnt for future clinical researchers (innovative practice). Dementia: the international journal of social research and practice. 19(2), pp. 464-471. https://doi.org/10.1177/1471301217695910

Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

Hassanzadeh, Robab, Abbas-Alizadeh, Fateme, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes. BMC Women's Health. 20(1), p. Article 180. https://doi.org/10.1186/s12905-020-01048-9

Developing of a new guideline for improving birth experiences among Iranian women : A mixed method study protocol

Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Mohammad-Alizadeh-Charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohamadi, Eesa, Meedya, Shahla and Mirghafourvand, Mojgan. (2020). Developing of a new guideline for improving birth experiences among Iranian women : A mixed method study protocol. Reproductive Health. 17(1), p. Article 17. https://doi.org/10.1186/s12978-020-0868-5

Perinatal mental health during the COVID-19 pandemic [Editorial]

Matvienko-Sikar, Karen, Meedya, Shahla and Ravaldi, Claudia. (2020). Perinatal mental health during the COVID-19 pandemic [Editorial]. Women and Birth. 33(4), pp. 309-310. https://doi.org/10.1016/j.wombi.2020.04.006

Respectful maternity care and its related factors in maternal units of public and private hospitals in Tabriz : A sequential explanatory mixed method study protocol

Hajizadeh, Khadije, Vaezi, Maryam, Meedya, Shahla, Charandabi, Sakineh Mohammad Alizadeh and Mirghafourvand, Mojgan. (2020). Respectful maternity care and its related factors in maternal units of public and private hospitals in Tabriz : A sequential explanatory mixed method study protocol. Reproductive Health. 17(1), pp. 1-7. https://doi.org/10.1186/s12978-020-0863-x

Psychometric properties of satisfaction with the childbirth education class questionnaire for Iranian population

Hassanzadeh, Robab, Asghari Jafarabadi, Mohammad, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). Psychometric properties of satisfaction with the childbirth education class questionnaire for Iranian population. BMC Pregnancy and Childbirth. 20(1), pp. 1-9. https://doi.org/10.1186/s12884-020-03349-1

The psychometric properties of the respectful maternity care (RMC) for an Iranian population

Hajizadeh, Khadije, Asghari Jafarabadi, Mohammad, Vaezi, Maryam, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). The psychometric properties of the respectful maternity care (RMC) for an Iranian population. BMC Health Services Research. 20(1), pp. 1-7. https://doi.org/10.1186/s12913-020-05729-x

Health-related quality of life among adults living with diabetic foot ulcers : A meta-analysis

Khunkaew, Saneh, Fernandez, Ritin and Sim, Jenny. (2019). Health-related quality of life among adults living with diabetic foot ulcers : A meta-analysis. Quality of Life Research. 28(6), pp. 1413-1427. https://doi.org/10.1007/s11136-018-2082-2

A psychometric analysis of the Caring Assessment Tool version V

Sim, Jenny, Lapkin, Samuel, Joyce, Joanne, Gordon, Rob, Kobel, Conrad and Fernandez, Ritin. (2019). A psychometric analysis of the Caring Assessment Tool version V. Nursing Open. 6(3), pp. 1038-1046. https://doi.org/10.1002/nop2.286

Development of a data registry to evaluate the quality and safety of nursing practice

Sim, Jenny, Joyce-McCoach, Joanne, Gordon, Rob and Kobel, Conrad. (2019). Development of a data registry to evaluate the quality and safety of nursing practice. Journal of Advanced Nursing. 75(9), pp. 1877-1888. https://doi.org/10.1111/jan.13967

Demographic and clinical predictors of health-related quality of life among people with type 2 diabetes mellitus living in northern Thailand : A cross-sectional study

Khunkaew, Saneh, Fernandez, Ritin and Sim, Jenny. (2019). Demographic and clinical predictors of health-related quality of life among people with type 2 diabetes mellitus living in northern Thailand : A cross-sectional study. Health and Quality of Life Outcomes. 17(1), p. Article 177. https://doi.org/10.1186/s12955-019-1246-2

Health-related quality of life and self-care management among people with diabetic foot ulcers in Northern Thailand

Khunkaew, Saneh, Fernandez, Ritin and Sim, Jenny. (2019). Health-related quality of life and self-care management among people with diabetic foot ulcers in Northern Thailand. SAGE Open Nursing. 5, pp. 1-10. https://doi.org/10.1177/2377960819825751

Validation of the Iranian version of the childbirth experience questionnaire 2.0

Ghanbari-Homayi, Solmaz, Dencker, Anna, Fardiazar, Zahra, Asghari Jafarabadi, Mohammad, Mohammad-Alizadeh-Charandabi, Sakineh, Meedya, Shahla, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Validation of the Iranian version of the childbirth experience questionnaire 2.0. BMC Pregnancy and Childbirth. 19(1), p. Article 465. https://doi.org/10.1186/s12884-019-2606-y

Digital explanations and nursing students’ perception of learning science

Meedya, Shahla, Moroney, Tracey, Nielsen, Wendy and Najafi Bokat, Ida. (2019). Digital explanations and nursing students’ perception of learning science. Nurse Education in Practice. 41, p. Article 102636. https://doi.org/10.1016/j.nepr.2019.102636

The drivers of antibiotic use and misuse : The development and investigation of a theory driven community measure

Byrne, Mitchell K., Miellet, Sebastien, McGlinn, Anica, Fish, Janaye, Meedya, Shahla, Reynolds, Nina and van Oijen, Antoine M.. (2019). The drivers of antibiotic use and misuse : The development and investigation of a theory driven community measure. BMC Public Health. 19(1), p. Article 1425. https://doi.org/10.1186/s12889-019-7796-8

Assessment of childbirth preparation classes : A parallel convergent mixed study

Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2019). Assessment of childbirth preparation classes : A parallel convergent mixed study. Reproductive Health. 16(1), p. Article 160. https://doi.org/10.1186/s12978-019-0826-2

Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol

Hadian, Tahereh, Mousavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol. Reproductive Health. 16(1), p. Article 45. https://doi.org/10.1186/s12978-019-0719-4

The role of editors and reviewers [Editorial]

Stulz, Virginia, Meedya, Shahla and Sweet, Linda. (2019). The role of editors and reviewers [Editorial] Elsevier Ltd. https://doi.org/10.1016/j.wombi.2019.04.009

Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study

Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study. BMC Pregnancy and Childbirth. 19(1), pp. 1-9. https://doi.org/10.1186/s12884-019-2333-4

The experiences of people in Northern Thailand living with diabetic foot ulcers : A descriptive qualitative study

Khunkaew, Saneh, Tungpunkom, Patraporn, Sim, Jenny and Fernandez, Ritin. (2018). The experiences of people in Northern Thailand living with diabetic foot ulcers : A descriptive qualitative study. Pacific Rim International Journal of Nursing Research. 22(4), pp. 304-318.

Linguistic and psychometric validation of the Thai version of Simplified Diabetes Knowledge Scale : A measure of knowledge of diabetes in a Thai population

Khunkaew, Saneh, Fernandez, Ritin and Sim, Jenny. (2018). Linguistic and psychometric validation of the Thai version of Simplified Diabetes Knowledge Scale : A measure of knowledge of diabetes in a Thai population. SAGE Open Nursing. 4, pp. 1-8. https://doi.org/10.1177/2377960818791849

Exercise and dementia in nursing homes : Views of staff and family carers

Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2018). Exercise and dementia in nursing homes : Views of staff and family carers. Journal of Aging and Physical Activity. 26(1), pp. 89-96. https://doi.org/10.1123/japa.2016-0368

Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary]

Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800

Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period

Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286

Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis

Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955

Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol

Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132

Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol

Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138

The health and health preparation of long-term Australian travellers

Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138

Australian general practice nurse's knowledge, attitudes and practices regarding influenza vaccination : A cross-sectional survey

Smith, Sarah, Sim, Jenny and Halcomb, Elizabeth. (2016). Australian general practice nurse's knowledge, attitudes and practices regarding influenza vaccination : A cross-sectional survey. Journal of Clinical Nursing. 25(17-18), pp. 2502-2510. https://doi.org/10.1111/jocn.13287

The Milky Way educational and support programme : Structure, content and strategies

Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006