Heat Loss Prevention Education Aids Nurses’ Knowledge in Prevention of Hypothermia in Newborns

Purnamasari, Meivita Dewi; Rustina, Yeni; Waluyanti, Fajar Tri

doi:10.1080/24694193.2017.1386969

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…This study coincided with a study by Purnamasari et al who evaluated the momentous improvement in nurses' knowledge in prevention of hypothermia in newborns after heat loss prevention education. 17 The results of this study are in line with those found by Chang et al, 18 which appraised significant improvement in nurses' knowledge after an information program about thermoregulation in neonates was provided.…”

Section: Discussionsupporting

confidence: 90%

Newborn’s body temperature regulation: a multi-method training program

et al. 2021

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Introduction: Newborns’ incapability to self-regulate their body temperature exposes them torisk of many complications. Therefore, proper initiations of nursing interventions are crucial for ensuring early stabilization after birth. The present study aimed to evaluate the impact of a multi-method training program on knowledge and practices in neonatal nurses. Methods: This quasi-experimental research was carried out with a pre-test–post-test and intervention-control groups design. The population consisted of 60 nurses working in the neonatal and neonatal intensive care unit (NICU) of two hospitals in Iran. The samples were selected using the convenience sampling technique. A researcher-made questionnaire was used. The validation and reliability of the questionnaire were confirmed. The nurses received a multi-method training for two weeks. They were evaluated three months later. Results: The mean knowledge score obtained in the pre-test was 30.33 ± 2.01, and it was47.73 ± 6.82 three months after the intervention. There was a statistically significant difference in the trend of changes in the scores of the two groups (F = 125.72, P < 0.001). The mean performance score in intervention group before the intervention was 60.63 ± 5.69 and after the intervention was 81.77 ± 6.37, indicating a significant difference in the trend of changes(F = 90.285, P < 0.001).The correlation between knowledge and practice was significant at the 0.01 level (r = 0.544,P = 0.002). The previous in-service training, individuals’ education, and thermoregulation knowledge were determined as predictors of performance (r = 0.651, P = 0.013). Conclusion: According to the results, a multi-method training program improves the nurses’ knowledge and performance in the infants’ body temperature regulation care.

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Section: Discussionsupporting

confidence: 90%

Newborn’s body temperature regulation: a multi-method training program

et al. 2021

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“…Although further research is needed, it can be speculated that increased nurse knowledge and commitment provide an essential return on investment through nurse education. Preventing hypothermia complications such as intraventricular hemorrhage and respiratory distress by improving nursing knowledge and assessment of hypothermia in infants may impact outcomes (Purnamasari et al, 2017; Verklan, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Pretest and posttest scores were compared using a paired t test before and after the educational activity (see Table 1). The self-evaluation of nurse commitment to improved practice was assessed after the educational activity (Polit & Beck, 2017; Purnamasari et al, 2017). See Supplemental Digital Content 3 (http://links.lww.com/JNPD/A39) for the nursing self-evaluation survey.…”

Section: Methodsmentioning

confidence: 99%

A Web-Based Nursing Education for Thermoregulation

Gest

2021

J Nurses Prof Dev

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Neonatal nurses provide essential care in the hospital setting for improving infants' morbidity and mortality outcomes by preventing hypothermia after delivery. This quality improvement project describes the development and implementation of a web-based educational activity, demonstrating that online education effectively increases nurse knowledge and commitment to thermoregulation practices. A learning management system provides nursing professional development practitioners an effective method of improving nursing knowledge using a web-based educational curriculum in the clinical setting.

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“…Education on prevention of heat loss has been shown to be an effective strategy to promote nurses' knowledge and behavior in preventing hypothermia. 27 Furthermore, targeted interventions for larger infants should be developed and tested to prevent the onset of hypothermia.…”

Section: Discussionmentioning

confidence: 99%

“…To decrease and eliminate costly and preventable admissions to the NICU, future implications for research should focus on identifying potential risk factors for developing hypothermia in not only infants less than 1500 g but also those born 1500 g or more. Education on prevention of heat loss has been shown to be an effective strategy to promote nurses' knowledge and behavior in preventing hypothermia 27. Furthermore, targeted interventions for larger infants should be developed and tested to prevent the onset of hypothermia.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Intensive Care Unit Admission Temperatures of Infants 1500 g or More

Apanovitch

McGrath

McGlothen-Bell

et al. 2020

Advances in Neonatal Care

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Background: Smaller preterm infants often receive extra attention with implementation of additional thermoregulation interventions in the delivery room. Yet, these bundles of interventions have largely remained understudied in larger infants. Purpose: The purpose of this study was to evaluate initial (or admission) temperatures of infants born weighing 1500 g or more with diagnoses requiring admission to the neonatal intensive care unit (NICU). Methods: Retrospective medical record review of 388 infants weighing 1500 g or more admitted to the NICU between January 2016 and June 2017. Result: In total, 42.5% of infants weighing 1500 g or more were admitted hypothermic (<36.5°C), 54.4% with a normothermic temperature, and 2.8% were hyperthermic. Of those infants admitted hypothermic, 30.4% had an admission temperature ranging from 36°C to 36.4°C and 12.1% had an admission temperature of less than 36°C. When compared with infants weighing less than 1500 g, who were born at the same institution and received extra thermal support interventions, there was a statistically significant difference (P < .001) between admission temperatures where infants less than 1500 g were slightly warmer (36.8°C vs 36.5°C). Implications for Practice: Ongoing admission temperature monitoring of all infants requiring NICU admission regardless of birth weight or admission diagnosis is important if we are going to provide the best support to decrease mortality and morbidity for this high-risk population. Implications for Research: While this study examined short-term outcomes, effects on long-term outcomes were not addressed. Findings could be used to design targeted interventions to support thermal regulation for all high-risk infants. Conclusion: Neonates admitted to the NICU weighing 1500 g or more are at high risk for developing hypothermia, similar to smaller preterm infants.

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Heat Loss Prevention Education Aids Nurses’ Knowledge in Prevention of Hypothermia in Newborns

Cited by 7 publications

References 14 publications

Newborn’s body temperature regulation: a multi-method training program

Newborn’s body temperature regulation: a multi-method training program

A Web-Based Nursing Education for Thermoregulation

Neonatal Intensive Care Unit Admission Temperatures of Infants 1500 g or More

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