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Qualitative analysis of breastfeeding training

Evidano5 min read

Hospital-based nurses and midwives are central to early breastfeeding outcomes, but preservice and in-service education varies widely. This post refracts the BMJ Open scoping review protocol (published 1 August 2025) through the lens of AI-enabled qualitative research and shows a repeatable workflow to run a rigorous qualitative analysis of breastfeeding training, including how to ingest multilingual literature, map themes, and produce PRISMA-ScR-ready outputs with www.evidano.com.

Fast take: why this protocol matters

The authors publish a scoping review protocol that will systematically map global evidence on breastfeeding education for hospital-based nurses and midwives (BMJ Open, published 1 August 2025). Full protocol: www.bmjopen.bmj.com/content/15/8/e102871.

  • What you get from this post: concrete steps to run a qualitative analysis of breastfeeding training (preservice, in‑service, online, simulation) and specific ways AI speeds the work.
  • Payoff: replicate the protocol’s mapping and thematic synthesis in weeks, not months, and produce visual outputs that stakeholders can act on, using www.evidano.com.

Findings snapshot (protocol at a glance)

Date / ItemMetricValueSource / Note
PublishedArticle date1 August 2025www.bmjopen.bmj.com/content/15/8/e102871
Search windowPlanned searchAugust–October 2025Protocol methods
Inclusion timeframeYears covered2000–presentProtocol eligibility
LanguagesIncludedEnglish, ChineseLanguage constraint noted in protocol
DatabasesPrimary sourcesOVID Medline, CINAHL, Scopus, Web of Science, ProQuest, AiritiProtocol methods
MethodologyFrameworksArksey & O’Malley; JBI; PRISMA-ScRProtocol methods

What happened (plain English)

The protocol sets out to map the global landscape of breastfeeding education and training for hospital-based nurses and midwives, focusing on types of programmes (preservice, in-service, certification), pedagogies (simulation, e-learning, blended), and reported outcomes (knowledge, skills, confidence, practice, maternal–infant outcomes).

  • Scope: hospital/inpatient settings only (maternity wards, NICUs).
  • Evidence types: quantitative, qualitative, mixed-methods, programme evaluations, and grey literature.
  • Analysis plan: descriptive statistics for counts + inductive thematic synthesis for qualitative findings.

Why this protocol is useful for qualitative researchers and educators

Clear inclusion logic

The Population–Concept–Context (PCC) framework makes study selection reproducible, useful when you want to reproduce counts (how many simulation-based programmes vs web-based modules) or compare LMIC vs HIC implementations.

Mixed evidence types = analytic challenge

The protocol explicitly includes qualitative studies and programme reports. That breadth demands a workflow that preserves nuance (quotes, context) while enabling cross-study theme counts, a classic AI-assisted qualitative research job.

Postpandemic innovations captured

By including literature since 2000 and planning searches through 2025, the review captures digital, hybrid and simulation-based training innovations introduced or accelerated since COVID-19.

How to run a qualitative analysis of breastfeeding training (7‑step workflow)

Step 1; Ingest the evidence

Export search results (RIS/CSV) and batch-download PDFs. Use a platform that ingests mixed inputs (PDFs, Word, web pages).

Evidano fit: bulk import of PDFs and scraped web reports; metadata parsing into a single corpus (title, year, country, setting).

Step 2; Auto-extract and translate

Extract methods, intervention descriptions, and outcome sections as text; translate Chinese records with a custom dictionary to preserve technical terms.

Evidano fit: built-in translation with custom dictionary to keep terms like “Baby‑Friendly Hospital Initiative” and clinical skills labels consistent.

Step 3; Build an initial codebook

Seed codes from the protocol’s PCC headings (format, pedagogy, outcomes, contextual factors) and add emergent codes from a 10% sample.

Evidano fit: import a codebook or generate one automatically from frequent phrases; iterate with human-in-the-loop editing.

Step 4; AI-assisted coding & cross-segment analysis

Run AI-assisted coding to label passages; then produce frequency tables by region, setting (NICU vs maternity), and training type.

Evidano fit: thematic, content frequency, and cross-segment analyses (click to compare Chinese vs English studies, simulation vs web modules).

Step 5; Validate themes and extract quotes

Manually review coded excerpts, extract representative quotes, and track provenance for PRISMA-ScR reporting.

Evidano fit: clickable source-to-quote links and exportable evidence tables for appendices.

Step 6; Visualize and quantify

Create co-occurrence networks, hierarchical code→subcode trees, and simple counts (n programs by pedagogy).

Evidano fit: one-click visualizations (word cloud, co-occurrence network, hierarchical coding) to share with stakeholders.

Step 7; Write the synthesis & PRISMA-ScR outputs

Export tables (study characteristics), PRISMA flow diagram data, and the narrative synthesis; include limitations about language bias (English/Chinese) and grey literature coverage.

Evidano fit: export reproducible tables and an audit trail to support method transparency.

Do more, faster with Evidano (mapped to this use case)

Problem: Large, mixed-language corpus

Manual translation and normalization of technical terms slows synthesis.

Evidano: automated translation with custom dictionary + unified ingestion of PDFs and web reports to keep terminology consistent across English and Chinese sources.

Problem: Reproducible thematic synthesis

Manual thematic coding is time-consuming and hard to reproduce.

Evidano: AI-assisted coding with editable codebooks, frequency counts, and exportable code→quote provenance for PRISMA-ScR compliance.

Problem: Finding grey literature and program reports

Government and NGO reports often live on websites; harvesting them is manual.

Evidano: website/social scraping to ingest training manuals and hospital reports, then include them in the same analytic pipeline as journal articles.

Problem: Stakeholder-ready outputs

Stakeholders need concise tables and visuals, not raw excerpts.

Evidano: generate visual summaries (co-occurrence networks, hierarchies) and downloadable evidence tables for presentations and policy briefs.

Security & research ethics

If your corpus includes sensitive evaluations or interview transcripts, ensure research ethics and consent.

Evidano: enterprise-grade encryption and a policy that your data is never used to train third-party models (secure-by-design). Note: this post focuses on research workflows and is non-diagnostic.

Quick FAQ: common questions

Q: Can AI reliably code quotes about clinical skills?

A: AI accelerates initial coding and surface patterns, but human validation (especially for clinical nuances like latch techniques) is essential.

Q: How do I compare regions or settings?

A: Segment the corpus by metadata (country, setting, year) and run cross-segment frequency and co-occurrence analyses to spot differences and implementation gaps.

Q: What about language bias?

A: The BMJ protocol limits to English and Chinese; if you need broader coverage, add targeted translation and local grey-literature scraping early in the pipeline.

Wrapping up: next steps

If you’re preparing a scoping review or thematic synthesis like the BMJ protocol (www.bmjopen.bmj.com/content/15/8/e102871), apply the 7-step workflow above to compress months of manual work into weeks while keeping traceability and PRISMA-ScR readiness.

  • Ready to try it? Start a pilot: ingest 50 studies, auto-generate a codebook, and produce a visual summary in a single workflow at www.evidano.com.
  • Evidano offers secure ingestion, translation with custom dictionaries, AI-assisted thematic + cross-segment analyses, and exportable evidence tables, built for qualitative research teams.

Visit www.evidano.com to request a demo or run a pilot with your corpus.

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