Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses' Knowledge and Performance in NICU

Abstract

Premature infants surviving require advanced medical interventions and professional nursing care. Despite the innovative interventions in the medical field, they remain vulnerable for long-term complications, which is the result of early disruption of their intrauterine life and sudden exposure to an entirely unfamiliar NICU environment. One strategy for helping premature grows normally in NICU is developmental care, which includes positioning, nesting, and swaddling as daily routine care. This study aims to assess the effect of learning package regarding nesting and swaddling for premature on nurses knowledge and performance in NICU. A quasi-experimental research design using one group (pre, immediately post and three months later) was used for this study. Setting: The study was conducted at NICU in Abha Maternity and Child Hospital (AMCH), Abah city, Kingdom of Saudi Arabia. Subjects: 77 nurses who work in the previously mentioned NICU as a convenience sample. Tools: two tools used to collect the study: A Structured questionnaire sheet to assess nurses' knowledge regarding nesting and swaddling and the observation sheet to assess nurses' performance of nesting and swaddling in NICU. Results: There was a statistically significant difference regarding nurses' knowledge and performance about nesting and swaddling immediately after and three months later compared with before learning package. Conclusion: There was a significant positive effect of implementing learning package in improving nurses' knowledge and performance about nesting and swaddling in NICU for premature infants. Recommendations: Neonatal nurses must be provided with the best evidence about applying nesting and swaddling techniques for premature infants as a standard of developmentally supportive care in the NICUs.

Knowledge of Safe Swaddling Practices among Mothers of Neonates Visiting a Tertiary-Care Hospital in a Developing Country

“…A quasi-experimental study reported signicant improvement in nesting and swaddling knowledge for premature babies after three months of learning package intervention provided to neonatal ICU nurses. 17 Contrary to our results, a study on knowledge attitudes and behaviours of mothers about infant personal care only reported 13% of safe swaddling knowledge, and most of the knowledge they received was from their healthcare professional. 18 Our study highlights the following mother's education areas about safe swaddling techniques.…”

The effect of educational interventions in managing nurses' alarm fatigue: An integrative review

“…All nurses agreed that they felt anxious due to alarms in the unit as compared to 50% of nurses who agreed on the post-intervention program. Nurses perceived that alarm fatigue frequently occurs in the intensive care units and that alarm fatigue has a negative impact on patient safety (Aysha & Ahmed, 2019). in the experimental group, and the difference was statistically significant (p < .001).…”

“…The following study methodologies were used: uncontrolled before and after (n = 9), RCT (n = 1), descriptive study (n = 1) and Quasiexperimental (n = 2). Majority of studies included nurses working in the ICU (n = 6); (Allen et al, 2020;Bi et al, 2020;Lewis & Oster, 2019;Seifert et al, 2021;Sowan et al, 2016Sowan et al, , 2017, MICU (n = 1); (Brantley et al, 2016), all department (n = 1); (Cameron & Little, 2018), NICU (n = 1); (Sahoo et al, 2019), ED (n = 1); (Blair, 2018), PACU (n = 2); (Aysha & Ahmed, 2019;Cvach et al, 2020) and non-intensive care cardiac telemetry unit (n = 1); (Karapas & Bobay, 2021). Majority of the included studies focused on reducing excessive alarms and false alarms as well as examining the perceptions, knowledge and practices of nurses through educational intervention.…”

“…Eight studies (Allan, 2018;Aysha & Ahmed, 2019;Blair, 2018;Cameron & Little, 2018;Karapas & Bobay, 2021;Lewis & Oster, 2019;Sowan et al, 2016Sowan et al, , 2017 examined nurses' perception of alarm fatigue and alarm management while three studies (Aysha & Ahmed, 2019;Sahoo et al, 2019;Sowan et al, 2016) examined knowledge, attitude and practices. Seifert et al (2021) and Bi et al (2020) measured nurses' alarm fatigue using a questionnaire.…”

“…Nurses perceived a significant decrease in nuisance alarms (pretest 68% and post-test 44%) (Lewis & Oster, 2019). Prior to the teaching, the majority of nurses (82.5%) believed that nuisance alarms often occurred in intensive care units, compared to 30% of nurses who agreed with the post-intervention program (Aysha & Ahmed, 2019).…”