Critical defining characteristics for nursing diagnosis about ineffective breastfeeding

Rev Bras Enferm. 2018 Mar-Apr;71(2):314-321. doi: 10.1590/0034-7167-2016-0549.
[Article in English, Portuguese]


Objective: To investigate the Nursing diagnostic accuracy measures and to propose a model to use defining characteristics in order to judge the nursing diagnosis of ineffective breastfeeding.

Method: Cross-sectional study with a sample of 73 binomials mom-child hospitalized in a maternity ward of an University Hospital, from July to August of 2014.

Results: The diagnostic predominance rate was 58.9%. The characteristics that best meet the needs of logistic regression model were: discontinuance of breast sucking; infant's inability of seizing the areola-nipple region correctly; infant's crying one hour after breastfeeding and inappropriate milk supply perceived.

Conclusion: Breastfeeding process is dynamic; diagnostic judgement may suffer some changes according to the time data are collected; the defining characteristics are the best predictors if associated with models and rules of use.

MeSH terms

  • Adult
  • Breast Feeding / adverse effects
  • Breast Feeding / psychology*
  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant, Newborn
  • Logistic Models
  • Mother-Child Relations*
  • Nursing Diagnosis / standards*