Assessment of Critical Knowledge on Maternal and Newborn care Services among Primary Level Nurse Mid-wives in Kapilvastu District of Nepal

Acharya, Dilaram; Paudel, Rajan

doi:10.3126/kumj.v13i4.16836

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…A study in Yemen reported that formal HCPs scored only 17.2% on questions related to maternal‐newborn care counselling (Ba Saleem et al ). In Nepal, 69% of nurse‐midwives studied reported poor knowledge levels regarding newborn care (Acharya & Paudel ). Similar findings are reported in Indonesia where declines in neonatal mortality have stalled (Sethi et al ).…”

Section: Discussionmentioning

confidence: 99%

Integrated review of healthcare provider postnatal newborn care recommendations in Sub‐Saharan Africa

Reid

García

2019

International Nursing Review

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Aims To (1) identify formal and informal healthcare provider knowledge and counselling on newborn care recommendations; (2) identify care guidelines used; and (3) determine healthcare provider training regarding recommendations. Background In sub‐Saharan Africa, many newborn deaths occur in the community between days two to 42 of life. Introduction Formal and informal healthcare providers, including nurses and community health workers, counsel newborn caregivers but little is known about their recommendations. Methods Integrative review of studies conducted 2000–2018 after search of PubMed, CINAHL, Embase, and African healthcare journals. Study quality was assessed and findings synthesized. Findings Twelve qualitative, quantitative, or mixed‐methods studies (quality good to poor) from seven countries were included. Eleven reported on one to three recommendations; one study reported on eight recommendations. Knowledge or counselling on feeding, cord care, recognizing illness, referrals, informal treatment, home visits, immunizations, follow‐up examinations, thermal care, low birthweight, and bed net usage were reported. Formal healthcare providers gave recommendations in only two studies. Four studies documented use of guidelines. Six studies reported on training. Discussion Studies were primarily descriptive, limiting quality. Feeding and cord care recommendations were prioritized. Care guidelines were underutilized. Additional training on recommendations is needed. These findings regarding healthcare providers align with other regions with high neonatal mortality. Conclusion Research is needed to improve and sustain knowledge, counselling, and guideline usage among providers to address neonatal mortality. Implications for nursing The unique role of nurses to promote newborn health appears under‐researched. Nurse professionalization and specialization may contribute to sustained knowledge of and counselling on newborn recommendations. Implications for health policy As countries adopt universal health care, policies that enable formal providers to encourage maternal‐newborn engagement in newborn health promotion before transition to the community are needed. Collaboration between formal and informal providers may improve dissemination of recommendations and contribute to gains in newborn health.

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Section: Discussionmentioning

confidence: 99%

Integrated review of healthcare provider postnatal newborn care recommendations in Sub‐Saharan Africa

Reid

García

2019

International Nursing Review

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“…Moreover, training related to evidence-based practices is rarely provided to Nepalese nurses [ 14 ]. These might be the contributing factors responsible for incompetencies in some areas of nursing services, if not all [ 15 – 18 ]. Additionally, commercialization of the profession is strongly attributed to deteriorating nursing education and practice in Nepal [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Adhikari

Poudel

Rajbanshi

et al. 2018

Nursing Research and Practice

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Introduction Sound knowledge and good practice on insulin injection technique are essential for nurses in order to administer insulin correctly and to educate patients or their relatives adequately. This study aimed to assess the insulin injection practice through the use of insulin pen among nurses working in a tertiary healthcare center of Nepal. Materials and Methods A cross-sectional descriptive study was conducted among 67 nurses working in one of the tertiary healthcare centers of Nepal. Demographic information and insulin injection practice of nurses through the use of insulin pen were assessed using self-administered questionnaire. Each correct practice was scored “1” and incorrect practice was scored “0.” Results. The median (IQR) insulin injection practice score of nurses was 11 (9-12) out of 16. Thirty-seven (55.2%) nurses store insulin pen filled with insulin cartridge at room temperature while 57 (85.1%) nurses store unopened cartridge at refrigerator (2-8°C). The practice of hand washing and injection site cleaning was mentioned by 92.5% and 82.1% of the nurses, respectively. However, just over half of the nurses mix the premix (cloudy) insulin and prime insulin pen before each injection. Thirty-four (50.7%) nurses do not lift skin during injection and more than half of the nurses keep needle beneath the skin for less than 5 seconds after completely injecting the required dose of insulin. One out of ten nurses massage injection site after injecting insulin. Most of the nurses (86.6%) use single needle more than once and the median (IQR) frequency of needle reuse was 6 (3-12). Similarly, systematic site rotation was performed by 59 (88.1%) nurses and twenty (29.9%) nurses claim that they use single insulin pen for two different cartridges. Conclusion The insulin injection practice of nurses assessed through the use of insulin pen was suboptimal and highlights the need for urgent educational intervention.

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“…Competent nurse-midwife practitioner and skilled delivery care are crucial to ensure quality health services for saving of mothers and newborns lives. However, nurse-midwife's knowledge is essential for improving the newborn health; there has been a great gap in recommended knowledge of maternity health services among them in developing countries (7) . The reason of neonatal death was the low levels of knowledge among health workers regarding newborn care (8) .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Education Program on Nurse-Midwife’s Knowledge Regarding Immediate Newborn Care in Delivery Rooms at Maternity Hospitals in Baghdad City/Iraq

Hussein,

Abbas

2021

Indian Journal of Forensic Medicine & Toxicology

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Immediate newborn care is the care given to newborns in the transitional period (immediately after birth) which crucial to their survival. Nurses-midwives require adequate knowledge and skills to provide immediate newborn care. The study was aimed at determining the effectiveness of education program on nurses-midwives' knowledge before and after the implementation of an educational program regarding immediate newborn care in delivery room among study sample. Quasi-experimental study was conducted from 1 st October 2019 to 20th January 2021 at three maternity teaching hospitals in Baghdad city/Al-Russafa Health Directorate: Al-Elwiya Maternity Teaching hospital, Fatema Al-Zahra Maternity and Pediatric Hospital, Al-Za'faraniyah General Hospital. Non-probability (convenient sample) used to collect the data from ( 40) participant (nurse-midwife) who work in delivery room that considered as study sample. The results of study indicated that nurses-midwives' knowledge assessment before the implementation of an educational program for study sample was moderate related to immediate newborn care in delivery room. There were high significant differences in participants' knowledge at pretest and posttest before and after the implementation of education program for study sample. Socio-demographic and professional variable were no significant effect on their knowledge. The study findings showed that program had been an effective method of increasing the nurses-midwives' knowledge about immediate newborn care in delivery room.

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Assessment of Critical Knowledge on Maternal and Newborn care Services among Primary Level Nurse Mid-wives in Kapilvastu District of Nepal

Cited by 4 publications

References 9 publications

Integrated review of healthcare provider postnatal newborn care recommendations in Sub‐Saharan Africa

Integrated review of healthcare provider postnatal newborn care recommendations in Sub‐Saharan Africa

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Effectiveness of Education Program on Nurse-Midwife’s Knowledge Regarding Immediate Newborn Care in Delivery Rooms at Maternity Hospitals in Baghdad City/Iraq

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