Effect of an integrative nursing intervention on breastfeeding self-efficacy and exclusive breastfeeding practice: A quasi-experimental study
Sumirah Budi Pertami, Esti Yunitasari, Ilya Krisnana, Budiono Budiono, Difran Nobel Bistara, Alva Cherry MustamuBackground:
Exclusive breastfeeding remains below national targets in Indonesia despite its well-established benefits for maternal and child health. Integrative nursing interventions that address behavioral, psychosocial, and informational determinants may enhance breastfeeding outcomes.
Objective:
The objective of this study is to evaluate the effect of an integrative nursing intervention on breastfeeding self-efficacy and exclusive breastfeeding practice.
Materials and Methods:
A quasi-experimental pretest–posttest control group study was conducted among 150 mothers attending primary healthcare facilities in Indonesia. Participants were allocated to an intervention group (
Results:
Breastfeeding self-efficacy improved significantly in both groups but increased more substantially in the intervention group (mean difference: 16.2 vs. 4.4;
Conclusion:
The integrative nursing intervention improved breastfeeding self-efficacy and exclusive breastfeeding practice. This multidimensional approach may provide a scalable strategy for strengthening maternal and child health services in resource-constrained settings.