Conference Proceedings - School of Nursing & Midwifery - Trinity ...

School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference
Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007
Conference Proceedings
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The Affective Domain of Learning is an Effective Domain of
Learning.
Anne Fallon RNT, M.Sc. (Midwifery Education), BND, Dip NS, Dip
in Psychology Counselling, Cert. Neonatal Intensive Care, RM, RN.
School of Nursing and Midwifery, National University of Ireland,
Galway.
Anne.fallon@nuigalway.ie 091 495601
Background
Learning encompasses many domains. Usually, but not exclusively
the domains of learning referred to are, the cognitive, psychomotor
and affective domains. However, the affective domain does not
appear to get the recognition it deserves. The affective domain
deals with a combination of attitudes, feelings, values and beliefs,
however there is general agreement that attitudes belong to this
domain.
Aim
In an attempt to consider learning from the affective domain
regarding breastfeeding support, this study assessed student
midwives’ attitudes to breastfeeding support in Ireland.
Methodology
A descriptive survey design where the theory of reasoned action
and values of feminism were used. A random national sample (n =
130) of student midwives was obtained from An Bord Altranais. The
Support for Breastfeeding Questionnaire (Bernaix 2000) was used.
It was tested using the content validity index, reliability tests and a
process of cognitive interviewing. Data analysis involved descriptive
and inferential statistics using SPSS.
Results
Student midwives have moderately positive attitudes (mean 54.25,
range 36-69) towards breastfeeding support. They consider it to be
important and necessary, but find it tiring and difficult. Perceived
outcomes for the mother were moderately high. Perceived outcomes
for the baby were very high. Personal outcomes for the student
midwife were low by comparison. Student midwives perceive
moderate social pressure to provide support with least pressure
perceived from medical colleagues. They also have strong intentions
to provide support. Finally, the theory of reasoned action was partly
supported, it demonstrated that student midwives’ attitudes
significantly influence their intention to provide breastfeeding
support.
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