Nurses' role in empowering parents to complementary feeding: scoping review

Authors

DOI:

https://doi.org/10.29352/mill0218e.40835

Keywords:

nurse; complementary feeding; empowerment; parents

Abstract

Introduction: The introduction of complementary feeding marks a pivotal milestone in child development. This process requires sound guidance and the transmission of accurate, evidence-based information that addresses the specific needs of each family, ensuring that children acquire healthy eating habits to support their growth.

Objective To map and summarize the existing literature on the role of nurses in introduction of complementary feeding and empowering parents in this context. 

Methods: A scoping review was conducted across seven databases using pre-defined inclusion and exclusion criteria. Primary and secondary articles addressing nursing interventions were included.

Results: Following the analysis of the articles, a sample of 20 was obtained and categorized as follows: nurses’ knowledge, empowering parents, and delivering care that is culturally sensitive.

Conclusion: Nurses are key in empowering parents, encompassing nutritional education, cultural and local approaches, and the assessment of parental knowledge, but also in updating the knowledge of nurses.

 

Downloads

Download data is not yet available.

References

Arias-Ramos, N., Andina-Díaz, E., Grando-Soto, M., Rodrígues, R. A., & Liébana-Presa, C. (2022). Baby-led weaning: Health professionals’ knowledge and attitudes and parents’ experiences from Spain. A mixed methods approach. Health & Social Care in the Community, 30(4), e1352–e1363. https://doi.org/10.1111/hsc.13543

Ariko, D., Edet, E. S., Chibuzor, M. T., Odey, F., & Caldwell, D. M. (2018). Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011701.pub2

Bramhagen, A., Axelsson, I., & Hallström, I. (2006). Mothers’ experiences of feeding situations. Journal of Clinical Nursing, 15(1), 29–34. https://doi.org/10.1111/j.1365-2702.2005.01242.x

Caroli, M., Mele, R. M., Tomaselli, M. A., Cammisa, M., Longo, F., & Attolini, E. (2012). Complementary feeding patterns in Europe with a special focus on Italy. Nutrition, Metabolism and Cardiovascular Diseases, 22, 813–818. http://dx.doi.org/10.1016/j.numecd.2012.07.007

Correia, C. (2015). Seletividade Alimentar e Sensibilidade Sensorial em Crianças com Perturbação do Espetro do Autismo (Projeto de Mestrado). Escola Superior de Saúde do Alcoitão, Lisboa.

Daudt, H. M. L., van Mossel, C., & Scott, S. J. (2013). Enhancing the scoping study methodology: A large, inter-professional team’s experience with Arksey and O'Malley’s framework. BMC Medical Research Methodology, 13, 48. https://doi.org/10.1186/1471-2288-13-48

Davis, J., Brown, H., & Ramsay, S. (2017). Gaps in international nutrition and child feeding guidelines: A look at the nutrition and young child feeding education of Ghanaian nurses. Public Health Nutrition, 20(12), 2215–2224. https://doi.org/10.1017/S1368980017000908

Direção-Geral da Saúde. (2019). Alimentação saudável dos 0 aos 6 anos: Linhas de orientação para profissionais e educadores. http://www.spgp.pt/media/1316/n-e-a-alimenta%C3%A7%C3%A3o-saud%C3%A1vel-dos-0-aos-6-anos-dgs-2019.pdf

Fernández-Medina, I. M., Márquez-Díaz, R. E., Arcas-Rueda, M., Ruíz-Fernández, M. D., Ortíz-Amo, R., & Ventura-Miranda, M. I. (2022). Experiences and opinions of Baby-Led Weaning by healthcare professionals: A qualitative study. Pediatric Research.https://assets.researchsquare.com/files/rs-2201747/v1/ecc0585e-09b9-48e6-95b1-e9eae8a1b53f.pdf?c=1671480869

Fewtrell, M., Bronsky, J., Campoy, C., Domellöf, M., Embleton, N., Mis, N. F., Hojsak, I., Hulst, J. M., Indrio, F., Lapillonne, A., & Molgaard, C. (2017). Complementary feeding: A position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition, 64(1), 119–123. http://spgp.pt/media/1061/pdf29.pdf

Fisberg, M., Tosatti, A., & Abreu, C. (2014). A criança que não come – abordagem pediátrico-comportamental. Blucher Medical Proceedings, 4(1). https://www.proceedings.blucher.com.br/article-details/a-criana-que-no-come-abordagem-peditrico-comportamental-11190

Hart, C. N., Raynor, H. A., Jelalian, E., & Drotar, D. (2010). The association of maternal food intake and infants’ and toddlers’ food intake. Child: Care, Health and Development, 36(3), 396–403. https://doi.org/10.1111/j.1365-2214.2010.01072.x

Hohman, E., Savage, J., Paul, I., & Birch, L. (2016). INSIGHT study parenting intervention to prevent childhood obesity improves patterns of dietary exposures in infants. The FASEB Journal, 30(1), 295.2. https://doi.org/10.1096/fasebj.30.1_supplement.295.2

Hopkins, D., Emmett, P., Steer, C., Rogers, I., Noble, S., & Emond, A. (2007). Infant feeding in the second 6 months of life related to iron status: An observational study. Archives of Disease in Childhood, 92(10), 850–854. https://doi.org/10.1136/adc.2006.114074

Ishikawa, M., Eto, K., Haraikawa, M., Sasaki, K., Yamagata, Z., Yokoyama, T., Kato, N., Morinaga, Y., & Yamazaki, Y. (2018). Multi-professional meetings on health checks and communication in providing nutritional guidance for infants and toddlers in Japan: A cross-sectional, national survey-based study. BMC Pediatrics, 18, 325. https://doi.org/10.1186/s12887-018-1292-7

Monterrosa, E., Frongillo, E., Cossío, T., Bonvecchio, A., Villanueva, M., Thrasher, J., & Rivera, J. (2013). Scripted messages delivered by nurses and radio changed beliefs, attitudes, intentions, and behaviors regarding infant and young child feeding in Mexico. The Journal of Nutrition, 143(6), 915–922. https://doi.org/10.3945/jn.112.169235

Moura, J., Vasconcelos, E., Vasconcelos, C., Silva, A., Medeiros, K., Lemos, F., & Silva, M. (2021). Promoção da alimentação complementar saudável em menores de dois anos por enfermeiros: revisão integrativa. Revista de Enfermagem Digital Cuidado e Promoção de Saúde, 1–8. https://doi.org/10.5935/2446-5682.20210019

Neves, F. S., Romano, B. M., Campos, A. A. L., Pavam, C. A., Oliveira, R. M. S., Cândido, A. P. C., & Netto, M. P. (2021). Brazilian health professionals' perception about the Baby-Led Weaning (BLW) method for complementary feeding: An exploratory study. Revista Paulista de Pediatria, 40, 1–10. https://doi.org/10.1590/1984-0462/2022/40/2020321

Ojha, S., Elfzzani, Z., Kwok, T. C., & Dorling, J. (2020). Education of family members to support weaning to solids and nutrition in later infancy in term-born infants (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012241.pub2

Oliveira, P., & Souza, A. (2022). Terapia com base em integração sensorial em um caso de Transtorno do Espectro Autista com seletividade alimentar. Cadernos Brasileiros de Terapia Ocupacional, 30. https://doi.org/10.1590/2526-8910.ctoRE21372824

Page, M. J., McKenzie, J. E., Bossuyt, P. M., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Paul, I., Savage, J., Anzman, S., et al. (2011). Preventing obesity during infancy: A pilot study. Obesity (Silver Spring), 19(2), 353–361. https://doi.org/10.1038/oby.2010.182

Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: Scoping Reviews. In E. Aromataris & Z. Munn (Eds.), JBI Manual for Evidence Synthesis. https://doi.org/10.46658/JBIMES-20-12

Rachmah, Q., Astina, J., Atmaka, D., & Khairani, L. (2023). The effect of educational intervention based on Theory of Planned Behavior approach on complementary feeding: A randomized controlled trial. International Journal of Pediatrics, 1086919. https://doi.org/10.1155/2023/1086919

Rito, A., Mendes, S., Baleia, J., & Gregório, M. J. (2021). Childhood Obesity Surveillance Initiative. https://nutrimento.pt/activeapp/wp-content/uploads/2021/10/COSI_Portugal_2019_out2021.pdf

Robert, R., Creed-Kanashiro, H., Villasante, R., Narro, M., & Penny, M. (2017). Strengthening health services to deliver nutrition education to promote complementary feeding and healthy growth of infants and young children. Maternal & Child Nutrition, 13(2), e12264. https://doi.org/10.1111/mcn.12264

Rossi, C., Albernaz, D., Vasconcelos, F., Assis, M., & Pietro, P. (2010). Influência da televisão no consumo alimentar e na obesidade em crianças e adolescentes: Uma revisão sistemática. Revista de Nutrição, 23(4), 607–620. https://doi.org/10.1590/S1415-52732010000400011

Samuel, F. O., Olaolorun, F. M., & Adeniyi, J. D. (2016). A training intervention on child feeding among primary healthcare workers in Ibadan Municipality. African Journal of Primary Health Care & Family Medicine, 8(1), 1–6. http://dx.doi.org/10.4102/phcfm.v8i1.884

Shi, L., & Zhang, J. (2011). Recent evidence of the effectiveness of educational interventions for improving complementary feeding practices in developing countries. Journal of Tropical Pediatrics, 57(2), 91–98. https://doi.org/10.1093/tropej/fmq053

Shi, L., Zhang, J., Wang, Y., Caulfield, L. E., & Guyer, B. (2010). Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: A cluster randomized controlled trial. Public Health Nutrition, 13(4), 556–565. https://doi.org/10.1017/S1368980009991364

Silva, G. A. P., Costa, K. A. O., & Giugliani, E. R. J. (2016). Infant feeding: Beyond the nutritional aspects. Jornal de Pediatria, 29(3), S2–S7. http://dx.doi.org/10.1016/j.jped.2016.02.006

Susanto, T., Syahrul, R., Salistyorini, L., Rondhianto, R., & Yudisianto, A. (2017). Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia. Korean Journal of Pediatrics, 60(10), 320–326. https://doi.org/10.3345/kjp.2017.60.10.320

Thompson, K., Conklin, J., & Thoyre, S. (2023). Parental decision-making around introducing complementary foods: An integrative review. Journal of Family Nursing. https://doi.org/10.1177/10748407231156914

Warren, J. (2018). An update on complementary feeding. Nursing Children and Young People, 30(6), 38–47. https://doi.org/10.7748/ncyp.2018.e1032

Williams, A., & Pinnington, L. (2003). Nurses’ knowledge of current guidelines for infant feeding and weaning. Journal of Human Nutrition and Dietetics, 16(2), 73–80. https://doi.org/10.1046/j.1365-277x.2003.00430.x

World Health Organization. (2021). Infant and young child feeding. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding

Downloads

Published

2025-06-13

How to Cite

Assunção, T., & Fernandes , R. (2025). Nurses’ role in empowering parents to complementary feeding: scoping review . Millenium - Journal of Education, Technologies, and Health, 2(18e), e40835. https://doi.org/10.29352/mill0218e.40835

Issue

Section

Life and Healthcare Sciences