Breastfeeding knowledge, attitudes and perceptions of breastfeeding education among undergraduate nursing students in mainland China: A cross-sectional study

Abstract

Abstract Background China has the largest population in the world. While breastfeeding statistics have improved in the most recent decade, the exclusive breastfeeding rates remain low. Nurses with baccalaureate degrees are becoming the mainstay of China's nursing workforce and are an important force in supporting breastfeeding. To date, there is little evidence regarding breastfeeding education for undergraduate nursing students in mainland China. This study aims to explore the breastfeeding knowledge level and attitudes of undergraduate nursing students in mainland China, as well as their perceptions on breastfeeding education. Methods This was a descriptive cross-sectional study. An online questionnaire survey was conducted from October to December 2023 among 428 undergraduate nursing students from 22 medical universities/colleges in different regions of mainland China. Results Most student participants (96.96%) expressed supportive attitudes toward breastfeeding. The average correct response rate of the breastfeeding knowledge questionnaire was 54.80%. Students who reported having received breastfeeding education/training at school, or having obstetric or pediatric internship experience had significantly higher mean knowledge scores compared to others (p < 0.05). Overall, 92.99% (398/428) of students surveyed stated they would like more education on breastfeeding within the undergraduate nursing school curriculum. Case-based learning (CBL) and simulation were the most desired teaching methods for theoretical classes and practical classes, respectively. Conclusions The breastfeeding knowledge of undergraduate nursing students needs to be improved. Breastfeeding education included in the nursing curriculum should be strengthened, to adequately prepare students to support breastfeeding.