BREASTFEEDING SUPPORT AND POSTPARTUM OUTCOMES 1
Evidence-Based Practice and Applied Nursing Research
MYM3 Task 2: Evidence Appraisal and Practice Change Recommendation
[Your Full Name]
Western Governors University
Scholarship in Nursing Practice — D219
06/05/2026
, BREASTFEEDING SUPPORT AND POSTPARTUM OUTCOMES 1
Evaluation of the Research-Based Article
Purpose of the Research-Based Article
The aim of Tseng et al. (2020) study was to determine the efficacy of integrated
breastfeeding education for postpartum breastfeeding mothers in terms of breastfeeding self-
efficacy and exclusive breastfeeding. The researchers wanted to determine whether or not a
structured nurse-led postpartum educational intervention would result in significant changes in a
mother's confidence to breastfeed and to exclusively breastfeed her baby at postpartum follow-up
visits after hospital discharge. Awareness of the importance of breastfeeding self-efficacy as a
predictor of breastfeeding initiation and continuation, and the possibility that interventions during
the immediate postpartum period might be important, were factors that led to the study.
Research Methodology
This study employed a single-blind experiment with Quantitative design with Randomized
Control Trial (RCT). The participants were randomly divided into two groups: one experimental
group with the integrated breastfeeding education program and the other control group with routine
care in the postpartum period. The single blind design was employed to reduce outcome assessors'
measurement bias by ensuring that they were not aware of which group the child was assigned to.
A quantitative experimental design was used because it was important to find the causal
relationship between the educational intervention and results, and to isolate the influence of the
educational intervention from the influence of confounding variables by applying a random
selection process. Using an RCT design is an added strength to the internal validity of the findings,
and more confident conclusions can be drawn about the differences in breastfeeding outcomes of
the intervention.
Level of Evidence
Evidence-Based Practice and Applied Nursing Research
MYM3 Task 2: Evidence Appraisal and Practice Change Recommendation
[Your Full Name]
Western Governors University
Scholarship in Nursing Practice — D219
06/05/2026
, BREASTFEEDING SUPPORT AND POSTPARTUM OUTCOMES 1
Evaluation of the Research-Based Article
Purpose of the Research-Based Article
The aim of Tseng et al. (2020) study was to determine the efficacy of integrated
breastfeeding education for postpartum breastfeeding mothers in terms of breastfeeding self-
efficacy and exclusive breastfeeding. The researchers wanted to determine whether or not a
structured nurse-led postpartum educational intervention would result in significant changes in a
mother's confidence to breastfeed and to exclusively breastfeed her baby at postpartum follow-up
visits after hospital discharge. Awareness of the importance of breastfeeding self-efficacy as a
predictor of breastfeeding initiation and continuation, and the possibility that interventions during
the immediate postpartum period might be important, were factors that led to the study.
Research Methodology
This study employed a single-blind experiment with Quantitative design with Randomized
Control Trial (RCT). The participants were randomly divided into two groups: one experimental
group with the integrated breastfeeding education program and the other control group with routine
care in the postpartum period. The single blind design was employed to reduce outcome assessors'
measurement bias by ensuring that they were not aware of which group the child was assigned to.
A quantitative experimental design was used because it was important to find the causal
relationship between the educational intervention and results, and to isolate the influence of the
educational intervention from the influence of confounding variables by applying a random
selection process. Using an RCT design is an added strength to the internal validity of the findings,
and more confident conclusions can be drawn about the differences in breastfeeding outcomes of
the intervention.
Level of Evidence
