Use of technologies by nurses to promote breastfeeding: a scoping review

Moura, Maria Sauanna Sany de; Carvalho, Simone Barroso de; Braz, Zeila Ribeiro; Leal, Loisláyne Barros; Santos, Ana Maria Ribeiro dos; Gouveia, Marcia Teles de Oliveira; Avelino, Fernanda Valéria Silva Dantas; Silva, Ana Roberta Vilarouca da

doi:10.1590/1980-220X-REEUSP-2022-0466en

Maria Sauanna Sany de Moura

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0001-5176-7330

Simone Barroso de Carvalho

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0001-7428-8420

Zeila Ribeiro Braz

Universidade Federal do Piauí, Departamento de Graduação em Enfermagem, Picos, PI, Brazil.

http://orcid.org/0000-0003-3317-5221

Loisláyne Barros Leal

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0002-1294-686X

Ana Maria Ribeiro dos Santos

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0002-5825-5335

Marcia Teles de Oliveira Gouveia

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0002-2401-4947

Fernanda Valéria Silva Dantas Avelino

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0002-9835-6034

Ana Roberta Vilarouca da Silva

Universidade Federal do Piauí, Departamento de Pós-Graduação em Enfermagem, Teresina, PI, Brazil.

http://orcid.org/0000-0001-5087-4310

Corresponding author: Maria Sauanna Sany de Moura, Rua Amariles, 314, Bairro Ipueiras, 64604-725 – Picos, PI, Brazil, sany-sany@hotmail.com

ASSOCIATE EDITOR

Rebeca Nunes Guedes de Oliveira

Base	Strategy	Records recovered
PubMed	(((“Nurses”[Mesh] OR (Nurse) OR (Personnel, Nursing) OR (Nursing Personnel) OR (Registered Nurses) OR (Nurse, Registered) OR (Nurses, Registered) OR (Registered Nurse)) AND (“Technology”[Mesh] OR (Industrial Arts) OR (Arts, Industrial))) AND (“Breast Feeding”[Mesh] OR (Breastfed) OR (Breastfeeding) OR (Breast Fed) OR (Milk Sharing) OR (Sharing, Milk) OR (Breast Feeding, Exclusive) OR (Exclusive Breast Feeding) OR (Breastfeeding, Exclusive) OR (Exclusive Breastfeeding) OR (Wet Nursing))) AND (“Health Services”[Mesh] OR (Health Service) OR (Services, Health))	98
LILACS	((Nurses) OR (Nurse) OR (Personnel, Nursing) OR (Nursing Personnel) OR (Registered Nurses) OR (Nurse, Registered) OR (Nurses, Registered) OR (Registered Nurse)) AND ((Technology) OR (Industrial Arts) OR (Arts, Industrial)) AND ((Breast Feeding) OR (Breastfed) OR (Breastfeeding) OR (Breast Fed) OR (Milk Sharing) OR (Sharing, Milk) OR (Breast Feeding, Exclusive) OR (Exclusive Breast Feeding) OR (Breastfeeding, Exclusive) OR (Exclusive Breastfeeding) OR (Wet Nursing)) AND ((Health Services) OR (Health Service) OR (Services, Health))	02
CINAHL	(MH “Nurses” OR “Nurse” OR “Personnel, Nursing” OR “Nursing Personnel” OR MH “Registered Nurses” OR “Nurse, Registered” OR “Nurses, Registered” OR “Registered Nurse”) AND (MH “Technology” OR “Industrial Arts” OR “Arts, Industrial” AND MH “Breast Feeding” OR “Breastfed” OR “Breastfeeding” OR “Breast Fed” OR “Milk Sharing” OR “Sharing, Milk” OR “Breast Feeding, Exclusive” OR “Exclusive Breast Feeding” OR “Breastfeeding, Exclusive” OR “Exclusive Breastfeeding” OR “Wet Nursing”) AND (MH “Health Services”OR “Health Service” OR “Services, Health”)	23
EMBASE	(‘nurses’/exp OR ‘nurses’ OR ‘nurse’/exp OR ‘nurse’ OR ‘personnel, nursing’ OR ‘nursing personnel’/exp OR ‘nursing personnel’ OR ‘registered nurses’ OR ‘nurse, registered’ OR ‘nurses, registered’ OR ‘registered nurse’/exp OR ‘registered nurse’) AND (‘technology’/exp OR ‘industrial arts’ OR ‘arts, industrial’) AND (‘breast feeding’/exp OR ‘breastfeeding’/exp OR ‘breastfed’ OR ‘breast fed’ OR ‘milk sharing’ OR ‘sharing, milk’ OR ‘breast feeding, exclusive’ OR ‘exclusive breast feeding’ OR ‘breastfeeding, exclusive’ OR ‘exclusive breastfeeding’ OR ‘wet nursing’) AND (‘health services’ OR ‘health service’/exp OR ‘services, health’)	05
Scopus	(TITLE-ABS-KEY (“Nurses” OR “Personnel, Nursing” OR “Nursing Personnel” OR “Registered Nurses” OR “Nurse, Registered” OR “Nurses, Registered” OR “Registered Nurse”) AND TITLE-ABS-KEY (“Technology” OR “Technology” OR “IndustrialArts” OR “Arts, Industrial”) AND TITLE-ABS-KEY (“Breast Feeding” “Breast Feeding” OR “Breastfed” OR “Breastfeeding” OR “Breast Fed” OR “Milk Sharing” OR “Sharing, Milk” OR “Breast Feeding, Exclusive” OR “Exclusive Breast Feeding” OR “Breastfeeding, Exclusive” OR “Exclusive Breastfeeding” OR “Wet Nursing”) AND TITLE-ABS-KEY (“Health Services” OR “Health Service” OR “Services, Health”))	10
BDENF	((Nurses) OR (Nurse) OR (Personnel, Nursing) OR (Nursing Personnel) OR (Registered Nurses) OR (Nurse, Registered) OR (Nurses, Registered) OR (Registered Nurse)) AND ((Technology) OR (Industrial Arts) OR (Arts, Industrial)) AND ((Breast Feeding) OR (Breastfed) OR (Breastfeeding) OR (Breast Fed) OR (Milk Sharing) OR (Sharing, Milk) OR (Breast Feeding, Exclusive) OR (Exclusive Breast Feeding) OR (Breastfeeding, Exclusive) OR (Exclusive Breastfeeding) OR (Wet Nursing)) AND ((Health Services) OR (Health Service) OR (Services, Health))	01
Virtual Health Library SciELO	((Nurses) OR (Nurse) OR (Personnel, Nursing) OR (Nursing Personnel) OR (Registered Nurses) OR (Nurse, Registered) OR (Nurses, Registered) OR (Registered Nurse)) AND ((Technology) OR (Industrial Arts) OR (Arts, Industrial)) AND ((Breast Feeding) OR (Breastfed) OR (Breastfeeding) OR (Breast Fed) OR (Milk Sharing) OR (Sharing, Milk) OR (Breast Feeding, Exclusive) OR (Exclusive Breast Feeding) OR (Breastfeeding, Exclusive) OR (Exclusive Breastfeeding) OR (Wet Nursing)) AND ((Health Services) OR (Health Service) OR (Services, Health))	00

Article title	Year	Promotion strategy	Technology used/	Technology category
The baby friendly breast-feeding management course(¹²12. Dinwoodie K, Bramwell R, Dykes F, Lang S, Runcieman A. The baby friendly breast-feeding management course. Br J Midwifery. 2000;8(6):362–6. doi: http://dx.doi.org/10.12968/bjom.2000.8.6.8115. https://doi.org/10.12968/bjom.2000.8.6.8... ).	2000	Course for healthcare professionals aimed at increasing knowledge, skills, and positive attitudes towards breastfeeding, as well as confidence to actively support breastfeeding mothers and their babies.	18-hour lactation course/Bonding	– Soft-hard/soft – Educational – Managerial
Evaluation of breastfeeding websites for patient education(¹³13. Dornan BA, Oermann MH. Evaluation of breastfeeding Web sites for patient education. MCN Am J Matern Child Nurs. 2006;31(1):18–23. doi: http://dx.doi.org/10.1097/00005721-200601000-00006. PubMed PMID: 16371821. https://doi.org/10.1097/00005721-2006010... ).	2006	Breastfeeding websites for patient education, evaluated based on Health Information Technology Institute (HITI) criteria, readability, and eight content criteria from the American Academy of Pediatrics (AAP) policy statement on breastfeeding	Websites	– Hard – Educational
Prenatal breastfeeding education and breastfeeding outcomes(¹⁴14. Rosen IM, Krueger MV, Carney LM, Graham JA. Prenatal breastfeeding education and breastfeeding outcomes. The American Journal of Maternal Child Nursing. 2008;33(5):315–9. doi: http://dx.doi.org/10.1097/01.NMC.0000334900.22215.ec. PubMed PMID: 18758336. https://doi.org/10.1097/01.NMC.000033490... ).	2008	Prenatal education about breastfeeding. There was a class using video demonstration and group teaching by a lactation consultant, a support group for new mothers with one-on-one teaching, prenatal and weekly postpartum meetings, led by a lactation consultant and a pediatrician. Prenatal breastfeeding education can influence the amount of time women breastfeed.	Video/Bond	– Hard/soft – Educational – Managerial
Related factors in using a free breastfeeding hotline service in Taiwan(¹⁵15. Wang SF, Chen CH, Chen CH. Related factors in using a free breastfeeding hotline service in Taiwan. J Clin Nurs. 2008;17(7):949–56. doi: http://dx.doi.org/10.1111/j.1365-2702.2007.02111.x. PubMed PMID: 18321292. https://doi.org/10.1111/j.1365-2702.2007... ).	2008	The use of a free hotline service for breastfeeding mothers in Taiwan. This strategy includes categories of common breastfeeding problems at different stages after birth.	Telephone/Bond	– Soft – Educational – Managerial
Breastfeeding promotion for infants in neonatal units: a systematic review and economic analysis(¹⁶16. Renfrew MJ, Craig D, Dyson L, McCormick F, Rice S, King SE, et al. Breastfeeding promotion for infants in neonatal units: a systematic review and economic analysis. Health Technol Assess. 2009;13(40):1–146. doi: http://dx.doi.org/10.3310/hta13400. PubMed PMID: 19728934. https://doi.org/10.3310/hta13400... ).	2009	Evaluate the efficacy and cost-effectiveness of interventions that promote or inhibit breastfeeding or breast milk feeding for babies admitted to neonatal units.	Bond	– Soft – Managerial
[Creation of an assistive technology for validation among blind people: focus on breastfeeding](¹⁷17. Oliveira PM, Rebouças CB, Pagliuca LM. Creation of an assistive technology for validation among blind people: focus on breastfeeding. Rev Bras Enferm. 2009;62(6):837–43. doi: http://dx.doi.org/10.1590/S0034-71672009000600006. PubMed PMID: 20098874. https://doi.org/10.1590/S0034-7167200900... ).	2009	Assistive health technology to encourage breastfeeding, aiming to contribute to a more autonomous life for people with disabilities and, at the same time, promote the inclusion of these people. This constructed technology is a cordel to be hummed by repentistas to later be appreciated by people with visual impairment.	Humming cordel/Bond	– Soft-hard/soft – Educational – Managerial
[Nursing technologies to promote breast feeding: integrative literature review](¹⁸18. Joventino ES, Dodt RC, Araujo TL, Cardoso MV, Silva VM, Ximenes LB. Nursing technologies to promote breast feeding: integrative literature review. Rev Gaúcha Enferm. 2011;32(1):176–84. PubMed PMID: 21888219.).	2011	Video/filming was the technology most used by nurses to promote breastfeeding and most were classified as hard technology.	Video/filming	– Hard – Educational
Developing and testing an online breastfeeding training among undergraduate nursing students(¹⁹19. Cianelli R, Villegas N, Azaiza K, Henderson S, Hooshmand M, Peragallo N. Developing and testing an online breastfeeding training among undergraduate nursing students. Clin Nurs Stud. 2015;3(1):82–8. PubMed PMID: 27766266.).	2015	Online training for undergraduate nursing students. The development of this training included consultation with content and technology experts. The online component consisted of five modules with a combined duration of approximately 16 hours. After training, students increased their levels of knowledge related to breastfeeding.	Online platform	– Hard – Educational
Incorporating breastfeeding education into prenatal care(²⁰20. Pitts A, Faucher MA, Spencer R. Incorporating breastfeeding education into prenatal care. Breastfeed Med. 2015;10(2):118–23. doi: http://dx.doi.org/10.1089/bfm.2014.0034. PubMed PMID: 25565242. https://doi.org/10.1089/bfm.2014.0034... ).	2015	Prenatal education about breastfeeding. Three breastfeeding modules were created and offered to women at prenatal consultations at 32, 34 and 36 weeks using tablets. Implemented in an obstetric clinic, women successfully learned breastfeeding content through the tablet methodology.	Tablets/Bond	– Hard/soft – Educational – Managerial
A randomized controlled trial of the effectiveness of a breastfeeding training DVD on improving breastfeeding knowledge and confidence among healthcare professionals in China(²¹21. Ma YY, Wallace LL, Qiu LQ, Kosmala-Anderson J, Bartle N. A randomised controlled trial of the effectiveness of a breastfeeding training DVD on improving breastfeeding knowledge and confidence among healthcare professionals in China. BMC Pregnancy Childbirth. 2018;18(1):80. doi: http://dx.doi.org/10.1186/s12884-018-1709-1. PubMed PMID: 29587673. https://doi.org/10.1186/s12884-018-1709-... ).	2018	Recruitment of healthcare professionals carried out in three hospitals in Zhejiang Province, China, in 2014 for breastfeeding DVD training to improve their knowledge and confidence in breastfeeding support skills.	DVD	– Hard – Educational
popular and inexpensively printed booklets or pamphlets containing folk novels, poems and songs(²²22. Oriá MOB, Dodou HD, Chaves AFL, Santos LMDAD, Ximenes LB, Vasconcelos CTM. Effectiveness of educational interventions conducted by telephone to promote breastfeeding: a systematic review of the literature. Rev Esc Enferm USP. 2018;52:e03333. PubMed PMID: 30043928.)	2018	Educational interventions delivered by telephone to pregnant or breastfeeding women on the duration and exclusivity of breastfeeding.	Telephone/Bond	– Hard/soft – Educational – Managerial
Can a Call Make a Difference? Measured Change in Women’s Breastfeeding Self-efficacy Across Call Interactions on a Telephone Helpline(²³23. Thorpe K, Jansen E, Cromack C, Gallegos D. Can a call make a difference? Measured change in women’s breastfeeding self-efficacy across call interactions on a telephone helpline. Matern Child Health J. 2018;22(12):1761–70. doi: http://dx.doi.org/10.1007/s10995-018-2573-3. PubMed PMID: 30022400. https://doi.org/10.1007/s10995-018-2573-... ).	2018	Helplines that provide 24-hour contact with specialists and nurses for women facing challenges with breastfeeding. This strategy serves for interaction about breastfeeding, building self-efficacy.	Telephone/Bond	– Hard/soft – Educational – Managerial
Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants(²⁴24. Demirci J, Kotzias V, Bogen DL, Ray KN, Uscher-Pines L. Telelactation via mobile app: perspectives of rural mothers, their care providers, and lactation consultants. Telemed J E Health. 2019;25(9):853. doi: http://dx.doi.org/10.1089/tmj.2018.0113. PubMed PMID: 30212280. https://doi.org/10.1089/tmj.2018.0113... ).	2019	(CoTelelactation via cell phone app in rural Pennsylvania. Direct-to-consumer (DTC) telelactation using two-way video via personal devices has the potential to increase access to Internationally Certified Lactation Consultants (IBCLCs) in rural areas that do not have them. It is an acceptable model for rural women with limited access to in-person breastfeeding support.	Application/video/Bond	– Hard/Hard/ – Soft – Educational – Managerial
Supporting, failing to support and undermining breastfeeding self-efficacy: Analysis of helpline calls(²⁵25. Thorpe K, Danby S, Cromack C, Gallegos D. Supporting, failing to support and undermining breastfeeding self-efficacy: analysis of helpline calls. Matern Child Nutr. 2020;16(2):e12919. doi: http://dx.doi.org/10.1111/mcn.12919. PubMed PMID: 32026573. https://doi.org/10.1111/mcn.12919... ).	2020	24-hour telephone support line for parents with Queensland nursing staff as reactive support. This reactive bonding strategy was effective in providing immediate responses at a time that may pose a risk of interruption in breastfeeding.	Telephone/Bond	– Hard/soft – Educational – Managerial
Smartphone-based counseling and support platform and the effect on postpartum lactation: a randomized controlled trial(²⁶26. Miremberg H, Yirmiya K, Rona S, Gonen N, Marom O, Pohol A, et al. Smartphone-based counseling and support platform and the effect on postpartum lactation: a randomized controlled trial. Am J Obstet Gynecol MFM. 2022;4(2):100543. doi: http://dx.doi.org/10.1016/j.ajogmf.2021.100543. PubMed PMID: 34871782. https://doi.org/10.1016/j.ajogmf.2021.10... ).	2022	Daily smartphone-based feedback and a counseling platform between postpartum women and a multidisciplinary team. Counseling was provided via an app specifically developed by a multidisciplinary team (obstetricians, nurses, lactation counselors, and psychologist) in an attempt to assist and advise on maintaining lactation.	Application/Bond	– Hard/soft – Educational – Managerial

Authors	Classification of technologies	Technologies used to promote breastfeeding	References of articles with the technology used according to Chart 2
Merhy(²⁸28. Merhy EE. Em busca de ferramentas analisadoras das Tecnologias em Saúde: a informação e o dia a dia de um serviço, interrogando e gerindo trabalho em saúde. In: Merhy EE, Onoko R, editores. Agir em saúde: um desafio para o público [Internet]. 2ª ed. São Paulo: Hucitec; 2002. p. 113–50 [cited 2024 Jan 5]. Available from: https://digitalrepository.unm.edu/lasm_pt/326 https://digitalrepository.unm.edu/lasm_p... )	– Soft	Bond	(12,14,15,16,17,20,22,23,24,25,26)
	Soft/hard	Course Humming cordel	(12,17)
	Hard	Site Video Telephone no. Online platform Tablets DVD Application	(13,14-18-24,15-22-23-25,19,20,21,24-26)
Nietsche et al.(¹⁰10. Nietsche EA, Backes VMS, Colomé CLM, Ceratti RM, Ferraz F. Tecnologias educacionais, assistenciais e gerenciais: uma reflexão a partir da concepção dos docentes de enfermagem. Rev Lat Am Enfermagem. 2005;13(3):344–52. doi: http://dx.doi.org/10.1590/S0104-11692005000300009. https://doi.org/10.1590/S0104-1169200500... )	Educational	Course Humming cordel Site Video Telephone no. Online platform Tablets DVD Application	(12,17,13,14-18-24,15-22-23-25,19,20,21,24-26)
	Managerial	Bond	(12,14,15,16,17,20,22,23,24,25,26)
	Assistance	–	–

[1] Corresponding author: Maria Sauanna Sany de Moura, Rua Amariles, 314, Bairro Ipueiras, 64604-725 – Picos, PI, Brazil, sany-sany@hotmail.com

Brasil

Brasil

Use of technologies by nurses to promote breastfeeding: a scoping review

Uso de tecnologías por parte de enfermeros para promover la lactancia materna: revisión del alcance

ABSTRACT

Objective:

Method:

Results:

Conclusion: