The extent of Knowledge and practice toward neonatal resuscitation among nurses and midwives in public hospitals of South Wollo, northeast Ethiopia: Cross-sectional study

Abstract

Background: The neonatal period is the most vulnerable time for child morbidity and mortality. Asphyxia due to poor resuscitation techniques contributed significantly to this vulnerability. Therefore, this study is aimed to assess the extent of knowledge and practice towards neonatal resuscitation among nurses and midwives in public hospitals of south Wollo northeast Ethiopia. Method: Institutional based cross-sectional study design was employed among 143 study participants selected by a simple random sampling method from each hospital. Self-administered questionnaire and interview-based guide were used to collect data. Data were coded and entered into EPI data software version 3.1 and was exported into SPSS version 20 for analysis. Logistic regression with backward LR method was performed to see the possible associations of factors with the outcome variables. Finally, p-values of less than 0.05 in multivariate analysis were declared having a significant association with the outcome variable. Result: One hundred and forty-three participants were included with a response rate of 100%. Only 32.9% and 24.5% of the participants had good knowledge and practice toward neonatal resuscitation respectively. After adjustment was made for covariates; lack of training (AOR: 3.44, 95% CI:1.54-7.68), absence of guideline (AOR: 3.8, 95% CI: 1.68-8.58) and lack of supportive supervision (AOR: 2.49, 95% CI:1.1-5.6) were significantly associated with poor knowledge score, whereas absence of guidelines (AOR: 2.83, 95% CI:1.12-7.15) and lack of supportive supervision (AOR: 5.28, 95% CI: 1.86-14.96) were significantly associated with the poor practice of the participants. Specialization with neonatology (AOR: 0.19, 95% CI: 0.047-0.8) was associated with good practice level of neonatal resuscitation. Conclusion: Knowledge and practice of nurses and midwives toward neonatal resuscitation were suboptimal. The training was found to be a single predictor for knowledge while supportive supervision and availability of resuscitation guidelines were predictors for both knowledge and practice toward neonatal resuscitation. Therefore, regular training and supportive supervision need to be strengthened to fill the identified gaps. Other observational and qualitative studies are recommended to explore factors that contributed to poor knowledge and practice toward neonatal resuscitation.

Training and well-equipped facility increases the odds of skills of health professionals on helping babies breathe in public hospitals of Southern Ethiopia: cross-sectional study

“…Salary, academic qualification, year of experience in work, recent performance in work, and confidence in offering HBB were not significantly associated with the skills of health professionals on HBB. This is in line with the studies done in Ghana, Afghanistan, and Northwest and Northeast Ethiopia [24, 31, 42, 43]. But, incongruent with the study conducted in Eastern Ethiopia [32].…”

Knowledge level of Neonatal Resuscitation and Its Associated factors among Healthcare Professionals at Asella Referral and Teaching Hospital, in Southeast Ethiopia.

“…In this study, midwives exhibited a suboptimal mean knowledge score (60.9%). This nding was in parallel with a study done in Afghanistan (66% mean score) (23), Ghana( mean score of 61.8%) (13), and South wollo,Ethiopia (66.8% mean score) (30). However, our result surpassed that of a study conducted in North West Ethiopia, where the mean knowledge score was 42.8%.…”

“…and South Wollo, Ethiopia (64.5%) (30)(31)(32). However, the nurses' knowledge score was higher than that reported in a study from the Gondar Teaching Hospital, Ethiopia (43.9%) (19), and another study conducted in a selected public hospital in Addis Ababa, Ethiopia (46%) (25).…”

Knowledge, Attitude, Practice and Associated Factors toward Neonatal resuscitation among graduating health science students in Hadiya Zone Southern Ethiopia

“…The nding from this study indicated that the good knowledge level of the participants was 58.2%, in this study the participants had greater knowledge scores than the study conducted in south Wollo among health care professionals with their good knowledge score of 32.9% 19 . Their mean score of knowledge was 73.77% and which was higher than an experimental study done on nursing students and their mean score was 63.33%, another cross sectional study done on health professionals working in selected hospitals in south Wollo Ethiopia with their mean score is 68.56% 19,20 . The difference might be due to study period, and participants in this study were recent to take their course and most of them are in attachment time in the pediatrics unit.…”