Effect of Educational Guideline on Nurses Performance Regarding Postnatal Care of Mothers and Neonates

Said, Samah Abd Elhaleim; Elbana, Hemmat Mostafe; Salama, Amira Mohammed

doi:10.1177/23779608211070154

Cited by 1 publication

(3 citation statements)

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“…This might be because training provided to obstetrics care providers related to basic emergency obstetrics and newborn care may enhance basic knowledge and skills about PNC in the management of complications that arise during the postnatal period, especially during the first 24 hours. This was supported by findings from previous studies revealed that training health professionals improve their adherence to available evidence or guidelines,27 and implementation framework combining training, mentoring, demonstrating and redemonstrating of the healthcare providers in the maternity ward on immediate PNC improves the performance of healthcare providers from preprograms to postprogrammes 12 28 29. Interactive and targeted education may be effective in developing clinical practitioner knowledge, skills and attitudes about a guideline’s recommendations 23 30…”

Section: Discussionmentioning

confidence: 56%

“…This is supported by findings from previous studies, which revealed that besides training, availing evidence-based summaries or guidelines to healthcare providers improves their compliance with immediate PNC guidelines, 27 and maternity nurse practice was improved after the implementation of educational guidelines regarding PNC of mothers and neonates. 29 The use of guidelines ensures healthcare teams have a similar approach to Open access care and most common implementation interventions such as distributing educational material plus educational meetings such as training and other interventions have improved the knowledge and practice of nurses and improved patient outcomes. 30 32 33 Moreover, the odds of good implementation of immediate PNC guidelines by healthcare providers working in a tertiary level hospital (comprehensive specialised and teaching hospital) were 3.85 times higher than those working in a health centre.…”

Section: Discussionmentioning

confidence: 99%

“…25 RESULT Sociodemographic characteristics of the study participants A total of 196 healthcare providers participated in this study making a response rate of 97.03% response rate. The median age of study participants was 28 years with IQR (27)(28)(29)(30)(31). More than half of the study participants 125 (53.1%) were female.…”

Section: Operational and Term Definitionmentioning

confidence: 99%

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Immediate postnatal care guidelines implementation and associated factors among healthcare providers in East Shewa zone public health facilities, Oromia, Ethiopia, 2022: a multicentre cross-sectional study

Bune,

Girmaye,

Lemma

et al. 2023

BMJ Open

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ObjectivesImmediate postnatal care is a critical intervention to reduce maternal and neonatal morbidity and mortality; however, many women and newborns receive inadequate postnatal care timely and effectively during the first 24 hours following childbirth. Therefore, this study aimed to assess the immediate postnatal care guidelines implementation and its associated factors among healthcare providers in the East Shewa zone public health facilities, Oromia, Ethiopia.DesignFacility-based cross-sectional study was conducted from 13 September 2022 to 28 October 2022.SettingThe study was conducted in 6 hospitals and 19 health centres in the East Shewa zone.ParticipantsAll healthcare providers who work in the maternity ward of the East Shewa zone public health facilities were the source population while all healthcare providers who work in the maternity ward of the randomly selected East Shewa zone public health facilities were the study population. Healthcare providers who were assigned to the delivery and postnatal ward during data collection were included in the study. Healthcare providers, who are not on duty for annual, maternity, sick and study leave, were excluded from the study.MeasuresA structured self-administered questionnaire and observational checklist were used for data collection. The questionnaires were pretested and data were collected by the Kobo toolbox software. Data were analysed by using the SPSS V.25. Binary logistic regression (bivariate and multivariable) analyses were done to identify significantly associated variables, and finally, an adjusted OR (AOR) at a 95% CI was used to declare significant variables depending on a p<0.05.ResultThe study revealed that 196 healthcare providers with a response rate of 97.03% were included in this study. The overall proportion of healthcare providers who have a good implementation of immediate postnatal care guidelines was 44.4% (95% CI 37.3% to 51.6%). Providers who received basic emergency obstetrics and newborn care training (AOR 3.72, 95% CI 1.7 to 8.1), working in a tertiary-level hospital (AOR 3.85, 95% CI 1.3 to 11.2), and who had maternal and newborn care guidelines in their facility (AOR 3.2, 95% CI 1.5 to 6.6) were significantly associated factors with good implementation of immediate postnatal care guidelines.ConclusionsImplementation of the immediate postnatal care guideline by healthcare providers in the maternity ward was found low as less than half of healthcare providers have good implementation. Receiving basic emergency obstetrics and newborn care training, having maternal and newborn care guidelines in their facility, and working in a tertiary-level hospital were significantly associated factors with good implementation of immediate postnatal care guidelines.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%