A key reason for premature cessation of breastfeeding is inadequate support from healthcare providers. Most physicians and nurses do not feel confident in their ability to support families with breastfeeding initiation or maintenance. Increasing health professional confidence in clinical lactation skills is key to improving maternal and child health outcomes. High-fidelity (realistic) simulators encourage learner engagement, resulting in increased clinical skills competency, confidence, and transfer to patient care. Lactation educators teach with low-fidelity cloth and single breast models. There are no high-fidelity breast simulators for health professional education in clinical lactation. In this commentary we describe the development of a high-fidelity Lactation Simulation Model (LSM) and how physician residents, nurse-midwifery students, and clinical lactation experts provided feedback on LSM prototypes. The user-testing described in this commentary does not represent comprehensive validation of the LSM due to small sample sizes and the significant conflict of interest. For breastfeeding rates to improve, mothers need support from their nurses, midwives, pediatricians, obstetricians and gynecologists, and all healthcare staff who interact with pregnant and lactating women. Clinical education with high-fidelity breastfeeding simulators could be the ideal learning modality for trainees and hospital staff to build confidence in clinical lactation skills. The ability of a high-fidelity breastfeeding simulator to increase a learner’s lactation knowledge and psychomotor skills acquisition, retention, and transfer to patient care still needs to be tested.

中文翻译：

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卫生专业母乳喂养教育的高保真泌乳模拟模型的开发和评估。

提前停止母乳喂养的一个关键原因是保健提供者的支持不足。大多数医生和护士对他们通过母乳喂养或维持母乳来支持家庭的能力没有信心。增强健康专业人士对临床泌乳技能的信心是改善母婴健康结局的关键。高保真（逼真的）模拟器鼓励学习者参与，从而提高临床技能能力，自信心并转移到患者护理中。哺乳教育者使用低保真布料和单身乳房模型进行教学。没有用于临床哺乳期健康专业教育的高保真乳房模拟器。在这篇评论中，我们描述了高保真哺乳模拟模型（LSM）的发展以及医师居民，护士-助产士学生如何，临床哺乳专家对LSM原型提供了反馈。由于样本量小且存在重大利益冲突，因此在此评论中描述的用户测试并不代表对LSM的全面验证。为了提高母乳喂养率，母亲需要他们的护士，助产士，儿科医生，妇产科医生和妇科医生以及与孕妇和哺乳期妇女互动的所有医护人员的支持。使用高保真母乳喂养模拟器进行临床教育可能是受训人员和医院工作人员建立对临床泌乳技能的信心的理想学习方式。仍然需要测试高保真母乳喂养模拟器增加学习者的泌乳知识以及获得，保留和转移到患者护理的心理运动技能的能力。