Interactive breastfeeding theory: fawcett's pragmatic adequacy assessment.
Samara Calixto Gomes, Icleia Parente Rodrigues, Marcos Venícius de Oliveira Lopes and 3 others
PMID 39625236WHAT IT FOUND
A breastfeeding nursing theory was assessed as practically usable, with assessment tools and protocols for nurses.
The evidence maps existing applications, not tested patient outcomes.
Key findings
01The review included 12 productions related to the theory's use in nursing practice.
02A nursing terminology subset derived from the theory contains 50 diagnoses/outcomes and 350 interventions.
03A breastfeeding assistance protocol contains seven diagnoses/outcomes and 86 nursing interventions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper evaluates a theory and maps existing work; it does not report a clinical trial or patient outcomes. The theory is recent, with few records of applicability and mainly national publications. This limits generalisability. Many described tools are validated for content or feasibility, not for effectiveness in improving breastfeeding. The scoping review included only 12 productions, so international evidence may be missed.
The easy way to misread this
Do not read this as proof that the theory improves breastfeeding. It assesses practical applicability by mapping existing work, and it reports no tested patient outcomes.