{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:20:19Z","timestamp":1774542019582,"version":"3.50.1"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"\n Background<\/jats:title>\n Breastfeeding promotion is a cornerstone of neonatal nursing, as it plays a pivotal role in safeguarding the health and fostering the development of newborns. This study aimed to assess neonatal nurses\u2019 Knowledge, Attitudes, and Practices (KAP) regarding breastfeeding for hospitalized neonates and identify factors influencing these domains.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional survey was conducted among neonatal nurses between July 1 and August 30, 2025. Eligible nurses were recruited via a rigorous screening process, and data were collected using a validated KAP scale. Benjamini-Hochberg false discovery rate (FDR) adjustment addressed multiple comparison biases, and comprehensive regression assumption checks (multicollinearity, residual normality, homoscedasticity) were performed to ensure result validity.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 122 neonatal nurses were included. Based on predefined scoring benchmarks (Low: \u226490; Moderate: 91\u2013140; High: \u2265141), participants demonstrated a moderate level of overall breastfeeding-related KAP (mean\u2009\u00b1\u2009SD: 134.28\u2009\u00b1\u200914.02). Hierarchical regression analysis revealed: (1) Knowledge was significantly predicted by age (\n \u03b2<\/jats:italic>\n \u2009=\u20090.304,\n p<\/jats:italic>\n \u2009=\u20090.017), years of clinical experience (\n \u03b2<\/jats:italic>\n \u2009=\u20090.433,\n p<\/jats:italic>\n \u2009=\u20090.040), educational level (\n \u03b2<\/jats:italic>\n \u2009=\u20090.385,\n p<\/jats:italic>\n \u2009=\u20090.015), and specialized breastfeeding training (\n \u03b2<\/jats:italic>\n \u2009=\u20090.402,\n p<\/jats:italic>\n \u2009=\u20090.007); (2) Attitudes were significantly influenced by number of children (\n \u03b2<\/jats:italic>\n \u2009=\u20090.224,\n p<\/jats:italic>\n \u2009=\u20090.018), professional title (\n \u03b2<\/jats:italic>\n \u2009=\u20090.196,\n p<\/jats:italic>\n \u2009=\u20090.002), and specialized training (\n \u03b2<\/jats:italic>\n \u2009=\u20090.264,\n p<\/jats:italic>\n \u2009=\u20090.001); (3) Practices were significantly associated with years of clinical experience (\n \u03b2<\/jats:italic>\n \u2009=\u20090.380,\n p<\/jats:italic>\n \u2009=\u20090.028), professional title (\n \u03b2<\/jats:italic>\n \u2009=\u20090.504,\n p<\/jats:italic>\n \u2009=\u20090.011), educational level (\n \u03b2<\/jats:italic>\n \u2009=\u20090.436,\n p<\/jats:italic>\n \u2009=\u20090.020), and specialized training (\n \u03b2<\/jats:italic>\n \u2009=\u20090.329,\n p<\/jats:italic>\n \u2009=\u20090.001). Specialized breastfeeding training emerged as a consistent positive predictor across all KAP dimensions (medium effect sizes), explaining 56.0%\u201363.6% of the variance in the models (adjusted\n R<\/jats:italic>\n 2<\/jats:sup>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Neonatal nurses exhibited positive attitudes but moderate knowledge and practice levels regarding breastfeeding, with targeted gaps in evidence-based care and parental education. These findings highlight the need for tailored training programs\u2014prioritizing younger nurses, those with less experience, lower educational\/professional titles, and untrained individuals\u2014to enhance breastfeeding-related competence.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fped.2025.1746897","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:55:16Z","timestamp":1769064916000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Nurses\u2019 knowledge, attitudes, and practices toward breastfeeding in neonatal care: a survey"],"prefix":"10.3389","volume":"13","author":[{"given":"Chunjie","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liangli","family":"Cai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Longyan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1177\/08903344231216094","article-title":"Sustainable breastfeeding: a state-of-the art review","volume":"40","author":"Bai","year":"2024","journal-title":"J Hum Lact"},{"key":"B2","doi-asserted-by":"publisher","first-page":"104337","DOI":"10.1016\/j.midw.2025.104337","article-title":"Nurse and midwife interventions to protect, promote and support breastfeeding: an umbrella review","volume":"144","author":"Couto","year":"2025","journal-title":"Midwifery"},{"key":"B3","doi-asserted-by":"publisher","first-page":"4805","DOI":"10.1111\/jan.16221","article-title":"Internet-based breastfeeding peer support for breastfeeding parents: an integrative review","volume":"80","author":"Hiito","year":"2024","journal-title":"J Adv Nurs"},{"key":"B4","first-page":"24","article-title":"Strengthen administrative management to promote breastfeeding","volume":"32","author":"Liu","year":"2024","journal-title":"Chin Matern Child Health Care"},{"key":"B5","first-page":"19","article-title":"Effect of \u201cinternet +\u201d cognitive behavioral intervention on exclusive breastfeeding rate of primipara 6 months after delivery","volume":"40","author":"Guan","year":"2022","journal-title":"Chin Med Herald"},{"key":"B6","first-page":"979","article-title":"Effect of FICare model on breastfeeding rate and breastfeeding adaptability in premature infants","volume":"47","author":"Li","year":"2023","journal-title":"Guizhou Med"},{"key":"B7","first-page":"1","article-title":"A systematic review of the benefits of breastfeeding against postpartum depression in low-middle-income countries","volume":"28","author":"Lubis","year":"2024","journal-title":"J Ment Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e13608","DOI":"10.1111\/mcn.13608","article-title":"What makes a city \u2018breastfeeding-friendly\u2019? 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