Quality of Nursing Care Provided for Preterm Infants Suffering From Respiratory Distress Syndrome

Abstract

Preterm infants are at risk for respiratory distress syndrome which defined as a breathing disorder resulting from lung immaturity.Respiratory distress syndromeis a life-threatening lung disorder that results from underdeveloped and small alveoli and insufficient levels of pulmonary surfactant. Quality improvement is a major focus of neonatal health care. The present study aims to assess quality of nursing care provided to preterm infant with respiratory distress syndrome. A descriptive research design was utilized on48 neonatal nurses and 71 preterm infants. The nurses were working in the neonatal intensive care units of El-Nasr, El-Tadamon, and Port-Fouad General hospitals in Port Said City. The data were collected using an interview questionnaire sheet for nurses and assessment data sheet for preterm infants. The study"s results indicated that, less than two-thirds of the studied nurses had poor level of knowledge and more than half of them had poor level of practice. There was a highly statistical significant relation between the studied nurses' total knowledge mean scores and total practice mean scores with their educational level with p ≤ 0.001. The study concluded that there was a highly statistical significant correlation between the studied nurses' total knowledge mean scores and their total practice mean scores. It was recommended that educational and training programs should be provided to neonatal nurses to improve their level of knowledge and practice through multidisciplinary approach that focus on the quality of nursing care provided to high risk neonates.

Assessment Quality of Nursing Care Provided to Neonates with Respiratory Distress Syndrome at Intensive Care Unit in AL- Nasiriyah City Hospitals

“…Regarding level of education, the results show that there is a significant relationship between the level of education and nurses' knowledge toward quality of nursing care in neonatal respiratory distress syndrome domains. These results agree with study done by Loutfy et al, (2014), who found highly significant relation between level of education and nurses' knowledge (7) . These results also agree with Ahmed, et al, (2014), who found significant relation between level of education and nurses' knowledge (21) .…”

“…And they are accounted for (61) nurses with percent (61%). This result agrees with Loutfy et al, (2014), Who find that the majority of study sample with age (20-30) (7) .…”

“…The table (3) show that knowledge related to the nurse's practice toward child management and nursing care domain, this table show nurse have poor knowledge about nursing care of respiratory distress syndrome, this result agrees with study done by Loutfy et al, (2014) (7) , this result also agrees with study done by Mohammed, (2010), that show poor nurse knowledge about care of respiratory distress syndrome (17) . In this table the sub domains (Oxygen therapy) show poor nursing care and nurse knowledge, this result agrees with study done by Mahmood et al, (2015) (11) .…”

“…These results also agree with Aferu, (2015), who found highly significant relation between years of experience and nurses' knowledge (p.value = 0.000) (20) . While these results disagreement with study done by Loutfy et al, (2014), who found a nonsignificant relation between years of experience and nurses' knowledge (7) .…”

“…the majority of the sample (57) nurses and they accounted for (57%) of the total sample. This result disagrees with Loutfy et al, (2014), that reveals the majority of study sample with bachelor's degree in nursing (7) .According to the subject's marital status, the majority of the sample are married for (57%) of the total sample. This result agrees with Elsayed et al, (2013), that show the majority of study sample with married nurses (8) .…”