Free journal articles

The authors have collated a list of free journal articles to deepen your understanding of the key topics outlined in each chapter. Some articles are supported by helpful abstracts and critical thinking questions.

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Article 1: Bouras, G., Mexi-Bourna, P., Bournas, N., Christodoulou, C., Daskalaki, A., Tasiopoulou, I. and Poulios, A. (2013) ‘Mothers’ expectations and other factors affecting breastfeeding at six months in Greece’, Journal of Child Health Care, 17: 387. 

This article looks at a breastfeeding study which uses interviews within a positivist paradigm. The research was conducted in Greece.

Bouras et al. (2013) comment that although the World Health Organisation recommends that babies should be exclusively breast fed until the age of six months. In Greece, as with many other countries in the minority world, it is a small minority of babies that are exclusively breast fed for this long. The article describes research designed to reveal some of the factors that influence mothers’ decisions about how to feed their babies.

  • Read through the abstract and the conclusion. This will give you a good idea of the research and help you put things in context when you read the whole article.
  • Read through the introduction. What are the advantages of breastfeeding? Despite the WHO recommendations, many mothers do not exclusively breastfeed until the age of six months. What factors that influence mothers’ decisions about feeding have been suggested?
  • What is the aim of the study?
  • Read through the ‘Materials and methods’ section.
  • Read through the statistical section. Don’t worry if you don’t understand statistics, you will be able to find out the results when they are discussed. The important point here is that the data from the structured interviews have been reduced to numerical data and subjected to statistical analysis. This is a quantitative analysis and suggests that the researchers are operating within a positivist paradigm.
    • Read through the discussion section and list the main findings.
    • The conclusion looks at the implications of the findings and makes suggestions to improve the numbers of mothers who exclusively breast feed until six months. What recommendations have been made?

 

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Article 2: Condon, C., Rhodes, C., Warren, S., Withall, J. and Tapp, A. (2012) ‘“But is it a normal thing?” Teenage mothers’ experiences of breastfeeding promotion and support’, Health Education Journal, 72: 156. 

This article looks at breastfeeding study using interviews within an interpretivist paradigm. The Bouras et al. (2013) study looked at the factors that influence mothers’ decisions related to breastfeeding from within a positivist paradigm. Structured interviews were used and the data reduced to numbers and subjected to statistical analysis. For comparison, we have included a UK study by Condan et al. (2012) looking at the same topic, this time using structured interviews and focus groups. The big difference in the two research studies is the way the data were analysed. In the Condon et al. study, the interviews were subjected to a qualitative analysis which aimed to uncover themes (recurrent ideas that were expressed by several participants).

  • Read through the introduction. What percentage of mothers in the UK exclusively breastfeed babies until they are six months of age? What is the percentage for teenage mothers? How do these statistics compare with the percentage of mothers exclusively breastfeeding at six months in Greece? What factors are mentioned that may influence teenage mothers’ decisions related to feeding their babies?
  • What is the aim of the study? This is formally stated in the abstract and informally stated at the end of the introduction.
  • Read through the methods section:
    • How were the participants recruited onto the study? What is ‘snowball sampling’? (This is discussed in Chapter 1 of the book.)
    • Semi-structured interviews and focus groups were used. What was the process of choosing the topics to be included in the interviews? You may note that participants in this qualitative study had more of an input into the planning of the research than in the Bouras et al. (2013) study, for example, which was more quantitative in nature?
    • How were the interviews recorded and analysed? You may find Chapter 18 in the book helpful.
  • Look at the results section. What are the main findings? You will see that there are considerable differences in the way that the results of qualitative studies are reported compared to that of quantitative studies (as in the Bouras et al. study). In qualitative studies, the ‘voices’ of the participants are prioritised, with each theme illustrated by an appropriate quote from an interviewee.
  • Look at the discussion section. Why do the authors consider that the findings may not be representative of wider populations? This is generally a feature of qualitative research. Do you consider that this detracts from the value of this study? The discussion looks at the implications of the findings. What change in policy/practice is suggested?
  • After reading both breastfeeding studies, make a list of the advantages and disadvantages of qualitative and quantitative research. Chapters 4 and 5 of the book will be helpful here.