A Model for Fostering Self-Efficacy in Breastfeeding Mothers Through Self-Directed Learning in Nursing Care

Background: The prevailing low coverage of exclusive breastfeeding in Indonesia has a profound impact on the health outcomes of both mothers and infants in the short and long term. Notably, the primary issue in this context pertains to maternal self-efficacy. No concurrent research has addressed a self-efficacy model grounded in self-directed learning among breastfeeding mothers. This study aims to develop a model to enhance breastfeeding confidence in mothers through self-directed learning, with significant implications for maternal and infant health. Methods: The research utilized cross-sectional methods to examine 200 mothers who were breastfeeding infants between the ages of 0 and 6 months. Data analysis was carried out using structural equation modelling (SEM). Results: The research findings indicate a significant relationship between breastfeeding self-efficacy and the autonomic process, as evidenced by a t-value of 9.414 and a beta coefficient of 0.492 (moderate correlation). An increase in breastfeeding self-efficacy positively correlates with the success of exclusive breastfeeding. This autonomous process is influenced by breastfeeding education design and personal attributes, all of which contribute to the enhancement of breastfeeding self-efficacy and, ultimately, the success of exclusive breastfeeding. The autonomous process is identified as a significant influencer of breastfeeding self-efficacy. Breastfeeding support significantly influences Personal Attributes (PA) but does not have a notable impact on the Autonomous Process. Conclusion: In conclusion, breastfeeding self-efficacy emerges as the principal determinant in bolstering the successful practice of exclusive breastfeeding, facilitated by self-directed learning capabilities. The capacity for self-regulation significantly impacts breastfeeding self-efficacy.