Assessment of Nursing Care Skills in Neonatal Unit: A Cross Sectional Observational Study

  • RUKHSANA RAFIQUE The School of Nursing, The University of Lahore
  • MUHAMMAD HUSSAIN The School of Nursing, The University of Lahore – Pakistan
  • MUHAMMAD AFZAL The School of Nursing, The University of Lahore – Pakistan
  • SYED AMIR GILANI The School of Nursing, The University of Lahore – Pakistan
Keywords: Neonate Care

Abstract

Objective: Increased hospital treatment is required to reduce neonatal mortality in low/middle-income (LMIC) countries. Nurses are vital for providing safe and efficient treatment, but a shortage of nurses and high patient workloads can lead to missed treatment. We aimed to evaluate thecare provided to newborns and finding missing care using direct observation methods.

Material and Methods:  Cross sectional observational study. The sample size was 133 which were calculated through Slovin’s formula. An adopted research tool was used which contain two sections. Section I included demographic data of nurses and neonates admitted in the ward. Section IIwas an Observational checklist on neonate’s care with “Yes” “NO” which include 5 main themes that had sub points.

Result:  Handing over the baby was less fifty five percent. Member not assesses the patient at the end of shift 54.1% nurses done this and 45.1% missed this task. Intravenous drug administration with a septic technique was 42 percent. Counselling of kangaroo mother care was 45.9 percent done and 54 percent missed.

Conclusion:  Research addresses a significant gap in global literature regarding quantification of nurse’s treatment using direct observational methods. We found considerable variability in the implementation of the task with potentially significant consequences for well-being and health of patients. The concentration of nursing tasks in babies was less than 60% on average. Tertiary care setting environment lacks a large proportion of nursing care with potentially serious effects on patient health and outcomes.

References

1. Ahmed SM, Hani M. Assessment of Nurse's Knowledge and Practice Working in District Hospitals at Minia Governorate about Neonatal Hyperbilirubinemia. IOSR. J. Nurs. Health Sci. 2017; 6 (2): 9-16.
2. Abduawahid MK, Mahmood NR. Awareness, Knowledge and Attitude of Hand Hygiene Practices among Healthcare workers in Kirkuk Pediatric Hospital. Middle East Journal of Family Medicine. 2020; 18 (2).
3. Almazan JU, Cruz JP, Albougami AS, Alamri MS, Adolfo CS. Maternity‐ward nurses’ kangaroo mother care attitudes and practices: implications and future challenges. Scandinavian journal of caring sciences, 2019; 33 (4): 848-56.
4. Ali LM, Ahmed DM, Mohamed SO, Mohammed MA (2019). Nurse’s Skills Regarding Care of Preterm Infants in Neonatal Intensive Care Unit Selected in Jazan, KSA. Neonat Pediatr. 2019; 5: 184.
5. Arora A, Kannampallil T, Abraham J. Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study. BMJ Paediatrics Open, 2019; 3 (1).
6. Chandra Shekar M, Williams S. A Study to Assess the Knowledge and practice of staff Nurses Regarding Thermoregulation of Neonates selected Hospital at Mysuru. Asian Journal of Nursing Education and Research, 2018; 8 (1): 94-8.
7. Data from UNICEF, maternal and newborn health Disparities in Pakistan, 2015.
8. Gathara D, Serem G, Murphy GA, Abuya N, Kuria R, Tallam E, English M. Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study. BMJ Open, 2018; 8 (7): e022020.
9. HematiZ, Mohammadi R, Boroumand S, Poorpooneh Z, Ghazavi Z. Nurse’ Performance Oxygen Therapy for Infants Hospitalized at the Neonate Intensive Care Unit.
10. Hockenberry MJ, Wilson D. Wong's Essentials of Pediatric Nursing9: Wong's Essentials of Pediatric Nursing. Elsevier Health Sciences; 2013.
11. Lake ET, Staiger D, Edwards EM, Smith JG, Rogowski JA. Nursing care disparities in neonata intensive care units. Health services research, 2018 Aug; 53: 3007-26.
12. Lehtonen L, Gimeno A, Parra-Llorca A, Vento M. Early neonatal death: a challenge worldwide. InSeminars in Fetal and Neonatal Medicine, 2017; 22, (3): 153-160. WB Saunders.
13. Mohamed BM, El Dakhakhny AM, Bassam SE, El Sayed LM. Assessment of Nursing Care Provided to Premature Neonates at Neonatal Intensive Care Unit at Zagazig University Children Hospital. Zagazig Nursing Journal, 2019; 7 (2): 1-4.
14. Mohammed AQ. Assessment of Nurses’ Knowledge and Practices Regarding Nasogastric Tube at Neonatal Intensive Care Unit in Baghdad Hospitals. Indian Journal of Public Health Research & Development, 2019; 10 (4): 585-91.
15. Mayhob MM. Nurses' Knowledge, Practices and Barriers Affecting a Safe Administration of Oxygen Therapy.
16. Metwaly EA, Mohammed EH, Mohammed MA. Nurses' Performance Regarding Nasogastric Tube Feeding in Intensive Care Units. Zagazig Nursing Journal, 2013; 9 (1): 69-86.
17. Murphy GA, Gathara D, Mwaniki A, Nabea G, Mwachiro J, and Abuya N, English M. Nursing knowledge of essential maternal and newborn care in a high mortality urban African setting: A cross sectional study. Journal of Clinical Nursing, 2019; 28 (5-6): 882-93.
18. Nzinga J, McKnight J, Jepkosgei J, English M. Exploring the space for task shifting to suppor nursing on neonatal wards in Kenyan public hospitals. Human Resources for Health, 2019; 17 (1): 18.
19. Ogero M, Ayieko P, Boniface Makone TJ, Malla L, Oliwa J, Irimu G, English M. An observational study of monitoring of vital signs in children admitted to Kenyan hospitals: an insight into the quality of nursing care?. Journal of global health. 2018; 8 (1).
20. Omer IM, Ibrahim NG, Nasr AM. Oxygen therapy in neonatal intensive care units in Khartoum State. Sudanese journal of Paediatrics, 2015; 15 (2): 49.
21. Parker LA, Withers JH, Talaga E. Comparison of neonatal nursing practices for determining feeding tube insertion length and verifying gastric placement with current best evidence. Advances in Neonatal Care. 2018; 18 (4): 307-17.
22. Regeru RN, Chikaphupha K, Bruce Kumar M, Otiso L, Taegtmeyer M. ‘Do you trust those data?’—a mixed-methods study assessing the quality of data reported by community health workers in Kenya and Malawi. Health Policy and Planning, 2020.
23. Ramdan AA, Refat NH, Mobarak AA. Assessment of Nursing Practice Regarding Neonates with Hyperbilirubinemia. Assiut Scientific Nursing Journal, 2019; 7 (19): 52-60.
24. Randle J, Firth J, Vaughan N. An observational study of hand hygiene compliance in paediatric wards. Journal of Clinical Nursing, 2013; 22 (17-18): 2586-92.
25. Samantha Keogh RN, Caroline Shelverton RN, Julie Flynn RN, Karen Davies RN, Nicole Marsh RN, Rickard CM, Keogh S. An observational study of nurses’ intravenous flush and medication practice in the clinical setting.
26. Westbrook JI, Woods A, Rob MI, Dunsmuir WT, Day RO. Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal Medicine, 2010; 26; 170 (8): 683-90.
27. Zaki A, El-Sayed E, Said K, Ali R. Assessment of Nurses' Performance Regarding Care for Neonates with Necrotizing Enterocolitis at Intensive Care Units. Egyptian Journal of Health Care, 2018; 9 (3): 111-24.
Published
2020-07-14
Section
Allied Specialities/Nursing Section