From: The IBLCE exam: candidate experience, motivation, study strategies used and predictors of success
Passed | Failed | χ2 | p | ||
---|---|---|---|---|---|
n (%) | n (%) | ||||
N | 53 | 39 | 0.18 | ||
Demographic characteristics | |||||
Profession | Community nurse | 19 (35.8) | 11 (28.2) | 0.60 | 0.44 |
Midwife | 14 (26.4) | 13 (33.3) | 0.52 | 0.47 | |
Neonatology nurse | 13 (24.5) | 9 (23.1) | 0.03 | 0.87 | |
Doctor | 3 (5.7) | 0 | 2.28 | 0.13 | |
Other | 4 (7.6) | 6 (15.3) | 0.73 | 0.40 | |
Highest qualification | University degree | 14 (27.0) | 9 (23.1) | 1.13 | 0.57 |
College degree | 31 (59.6) | 27 (69.2) | |||
High school degree | 7 (13.5) | 3 (7.7) | |||
Place of worka | Community health centre | 21 (40.4) | 13 (33.3) | 7.57 | 0.18 |
Maternity hospital | 18 (34.3) | 13 (33.3) | |||
Neonatology ward | 3 (5.8) | 3 (7.7) | |||
Paediatric ward | 0 | 3 (7.7) | |||
Private practice | 0 | 2 (5.1) | |||
Other | 10 (19.2) | 5 (12.8) | |||
Time spent working with breastfeeding mothers (years) | > 20 | 24 (46.2) | 11 (28.2) | 5.43 | 0.14 |
11–20 | 17 (32.7) | 12 (30.8) | |||
5–10 | 9 (17.3) | 11 (28.2) | |||
< 5 | 2 (3.8) | 5 (12.8) | |||
Duration last child breastfed (months) | > 12 | 27 (52.9) | 18 (48.6) | 0.51 | 0.97 |
> 6–12 | 13 (25.5) | 10 (27.0) | |||
3–6 | 6 (11.8) | 6 (16.2) | |||
< 3 | 2 (3.9) | 1 (2.7) | |||
Did not breastfeed | 3 (5.9) | 2 (5.4) | |||
Breastfeeding education | |||||
Was breastfeeding part of your formal education? | Yes | 29 (55.8) | 19 (48.7) | 0.45 | 0.51 |
No | 23 (44.2) | 20 (51.3) | |||
If yes, no. of hours | < 10 | 22 (78.6) | 7 (36.8) | < 0.01* | |
10–20 | 3 (10.7) | 3 (15.8) | 9.38 | ||
> 20 | 3 (10.7) | 9 (47.4) | |||
If yes, did it include bed-side learning? | Yes | 7 (17.9) | 12 (30.7) | 5.18 | 0.03* |
No | 21 (53.8) | 8 (20.5) | |||
If yes, how many hours? | < 5 | 2 (3.8) | 3 (7.7) | 0.45 | |
5–10 | 2 (3.8) | 1 (2.6) | 1.61 | ||
> 10 | 3 (5.7) | 8 (20.5) | |||
Which forms of informal breastfeeding education have you attended? | 90 h IBLCE exam preparatory course | 53 (100.0) | 26 (66.7) | 20.57 | < 0.01* |
Breastfeeding conferences/symposiums | 42 (79.2) | 11 (28.2) | 23.97 | < 0.01* | |
UNICEF/WHO 20-h course for maternity staff | 28 (52.8) | 15 (38.5) | 1.86 | 0.17 | |
Breastfeeding webinars | 22 (41.5) | 4 (10.3) | 10.82 | < 0.01* | |
20-h course for primary health care teams | 19 (35.8) | 6 (15.4) | 4.76 | 0.03* | |
Exam preparation | |||||
Motivation for sitting exam | To improve my knowledge in breastfeeding | 48 (90.6) | 25 (64.1) | 9.60 | < 0.01* |
So I can work as an IBCLC | 19 (35.8) | 6 (15.4) | 4.76 | 0.03* | |
To test my knowledge in breastfeeding | 17 (32.0) | 7 (17.9) | 2.24 | 0.13 | |
To obtain the prestigious IBCLC certificate | 13 (24.5) | 5 (12.8) | 1.96 | 0.16 | |
To prove that I can do it | 9 (17.0) | 3 (7.7) | 1.71 | 0.19 | |
I was obliged to by my employer | 6 (11.3) | 7 (17.9) | 0.81 | 0.38 | |
Study strategies used | Reread handouts | 47 (88.7) | 25 (64.1) | 7.89 | < 0.01* |
Underlined or highlighted while reading | 41 (77.4) | 22 (56.4) | 4.56 | 0.03* | |
Tested myself with practice questions | 39 (73.6) | 18 (46.2) | 7.71 | < 0.01* | |
Made outlines | 25 (47.2) | 18 (46.2) | 0.01 | 0.92 | |
Studied with others | 19 (35.8) | 4 (10.3) | 7.85 | < 0.01* | |
Actively participated during breastfeeding course | 16 (30.2) | 2 (5.1) | 8.99 | 0.01* | |
Re-copied my notes | 8 (15.1) | 5 (12.8) | 0.09 | 0.75 | |
Crammed the night before the test | 7 (13.2) | 1 (2.6) | 3.02 | 0.07 | |
Materials useda | Course handouts | 53 (100.0) | 27 (69.2) | 18.75 | < 0.01* |
Breastfeeding atlas | 37 (69.8) | 15 (38.5) | 8.99 | < 0.01* | |
Translated questions from Comprehensive Lactation Consultant Exam Review | 35 (66.0) | 15 (38.5) | 6.89 | < 0.01* | |
There was enough literature in my mother tongue. | 13 (48.1) | 27 (50.9) | 0.06 | 0.81 | |
I used study materials in English. | 16 (59.3) | 24 (48.0) | 0.89 | 0.34 | |
Study pattern used | Study sessions spaced out over weeks/months | 37 (72.5) | 16 (59.3) | 1.43 | 0.23 |
Most study done in the days before the exam | 14 (27.5) | 11 (40.9) | |||
Did you spend time observing mother-support groups or otherwise find time to listen to normal, healthy mothers? | Yes | 30 (56.6) | 15 (55.3) | 0.01 | 0.92 |
No | 23 (43.4) | 12 (44.7) | |||
Exam experience | |||||
Clarity of instructions provided by IBLCE regarding exam application process | n = 53 | n = 26 | |||
Completely clear | 44 (83.0) | 16 (61.5) | 4.41 | 0.11 | |
Partially clear | 8 (15.1) | 9 (34.6) | |||
Unclear | 1 (1.9) | 1 (3.8) | |||
Clarity of instructions provided by IBLCE regarding exam procedure | n = 53 | n = 27 | |||
Completely clear | 38 (71.7) | 10 (37.0) | 10.26 | < 0.01* | |
Partially clear | 14 (26.4) | 17 (63.0) | |||
Unclear | 1 (1.9) | 0 | |||
Clarity of instructions provided by proctors during exam | n = 52 | n = 27 | |||
Completely clear | 47 (90.4) | 22 (81.5) | 2.51 | 0.29 | |
Partially clear | 4 (7.7) | 5 (18.5) | |||
Unclear | 1 (1.9) | 0 | |||
Clarity of photographs used during the exam | n = 52 | n = 27 | |||
Completely clear | 15 (28.3) | 2 (7.4) | |||
Partially clear | 32 (60.4) | 17 (63.0) | 7.12 | 0.03* | |
Unclear | 6 (11.3) | 8 (29.6) | |||
Was there sufficient time to solve all exam questions | n = 52 | n = 27 | |||
Yes | 48 (90.6) | 23 (85.2) | 0.52 | 0.47 | |
No | 5 (9.4) | 4 (14.8) |