Gaps in international nutrition and child feeding guidelines: a look at the nutrition and young child feeding education of Ghanaian nurses

Davis, Jennie; Brown, Helen; Ramsay, Samantha

doi:10.1017/s1368980017000908

Cited by 3 publications

(4 citation statements)

References 42 publications

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“…In terms of the barriers constraining adherence, lack of in-service training on NG tube feeding was the cogent constraint identified by 91% of the respondents. This constrain has been reported in similar studies on Ghana [7, 21, 25–28] and other countries [6, 17, 29]. Limited health budgets to support staff in this regard has culminated into lower frequencies of trainings for staff resulting in many clinicians practising with obsolete knowledge.…”

Section: Discussionsupporting

confidence: 57%

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Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses

Alhassan

Tsikata

Tizaawaw

et al. 2019

BMC Health Serv Res

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Background Data on nurses’ adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols. Methods This is a descriptive analytical cross-sectional study among professional ( n = 89) and auxiliary ( n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Four-point Likert scale was used to ascertain the level of adherence to standard guidelines on nasogastric tube, ranging from 4 “Very large extent” to 1 “Very little extent”. Wilcoxon Mann-Whitney test and univariate ordered logistic regression tests (proportional odds models) were performed to determine the odds of higher self-ratings among professional and auxiliary nurses. Results Overall, the odds of higher self-ratings on adherence to standard nursing protocols on NG tube feeding was higher among auxiliary nurses than professional nurses (OR = 2.76, p = 0.031) after adjusting for age, gender, education and years of work experience. Key barriers to adherence to standard protocols on NG tube feeding were: limited opportunities for in-service trainings and insufficiency of NG tube feeding protocols on the wards. Conclusion There is the need for more routine in-service trainings for nursing staff to update their knowledge on NG tube feeding. Hospital management should also make current nursing protocols available to nurses to guide their practice alongside routine onsite supervision of nurses. Electronic supplementary material The online version of this article (10.1186/s12913-019-3931-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 57%

“…Ethical approval for conducting of this study was obtained from the Research Ethics Committee (REC) of the Institute of Health Research (IHR), University of Health and Allied Sciences, Ho. The protocol identification number is UHAS-REC/A.3 [28]17–18.…”

Section: Ethics Approval and Consent To Participatementioning

confidence: 99%

Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses

Alhassan

Tsikata

Tizaawaw

et al. 2019

BMC Health Serv Res

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“…For nurses' involvement to be effective, they need to be trained to give in-depth nutrition education, a skill they often lack (DiMaria-Ghalili et al, 2014). For example, a study by Davis et al (2017) among Ghanian nurses reported a lack of in-depth nutrition knowledge and young child feeding (YCF) education as a barrier to effective nutrition education. Perhaps incorporating other influential actors may also make up for this gap in nutrition education.…”

Section: Discussionmentioning

confidence: 99%

Drivers of Millet Consumption Among School Aged Children in Central Tanzania

Chande

Muhimbula

Mremi

et al. 2021

Front. Sustain. Food Syst.

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Background: Iron and zinc deficiency are common public health problems in low-income countries largely due to poor consumption of iron and zinc rich foods. It has previously been observed that 57% of school aged children (SAC) in Tanzania suffer from anemia. In addition, estimates indicate that over 25% of the population have inadequate zinc intake. Pearl millet is an example of a nutrient dense, resilient cereal crop, that can be promoted to diversify diets and combat iron and zinc deficiency. This study overall aim was to increase pearl millet consumption among school aged (5 – 12 years) children. As part of the study, we investigated, the drivers of food choice relating to pearl millet consumption.Methods: The study was a cross-sectional study of randomly selected households in Kongwa district, Dodoma region of Tanzania. In total, 128 women of reproductive age (20 – 49 years) were randomly selected for the study. A study questionnaire consisting of 66 items, was developed and validated. The constructs in the questionnaire were categorized in two groups: internal and external factors. Respondents were asked to indicate their level of agreement or disagreement with statements read to them by interviewers. The scores on intention and behavior constructs were based on the number of times caregivers intended to, or had fed their school going children with pearl millet in the referent month. Intention was considered high if it was higher than the median intention score of the group, and low if it was equal to or lower than the median scores. Correlations and multiple linear regressions were performed to measure association between constructs and to identify predictive constructs. The Mann-Whitney U test was used for score comparison.Results: There was a significant difference between intention and behavior among those who did not consume pearl millet (P = 0.003), and those who consumed pearl millet two or more times a week, in the same month (P = 0.01). Knowledge was significantly correlated with behavior identity (ρ = 0.58, P = 0.001), while health behavior identity was significantly correlated with intention (ρ = 0.31, P = 0.001). Intention of caregivers was significantly and positively correlated (ρ = 0.44, P = 0.001) with and predicted consumption of pearl millet (ρ = 0.87, P = 0.067).Conclusion: Increasing knowledge or awareness on nutritional benefits of pearl millet among caregivers may increase consumption of pearl millet by children of school going age.

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“…With regard to approaches employed in counselling caregivers, in similar studies, health talks emphasizing key nutrition and IYCF messages were delivered at the beginning of a day’s activities in child health facilities [13, 34]. According to Agbozo, (2016) [13] counselling services to caregivers could be provided collectively for a group of caregivers or on an individual basis.…”

Section: Discussionmentioning

confidence: 99%

Nutritional counselling interactions between health workers and caregivers of children under two years: observations at selected child welfare clinics in Ghana

Nsiah‐Asamoah

Pereko

Intiful

2019

BMC Health Serv Res

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BackgroundThis study evaluated the Health Works (HWs) nutritional counselling skills and information shared with caregivers. This was a cross-sectional study in which an observation checklist was used to examine Growth Monitoring and Promotion (GMP) activities and educational/counselling activities undertaken by health workers (HWs) to communicate nutrition information to caregivers, depending on the ages of the children.MethodsA total number of 528 counselling interactions between health workers and caregivers in 16 Child welfare Clinics (CWCs) in two rural districts in Ghana were observed. Frequencies were presented for the information that was obtained from each caregiver and those that were provided by the HWs during the nutritional counselling sessions.ResultsAbout 95.1 and 61.8% of the caregiver-HW interactions involved mothers of children who were less than 6 months of age and those above 6 months respectively. HWs counselled the caregivers on appropriate nutrition for the child. Health talk messages that were shared with caregivers focused mainly on the importance of attending CWCs and vaccination of children and rarely included any teaching materials. In most of the interactions, HWs made of child’s feeding practices the past 1 month; and also did not provide advice on specific issues of IYCF. Nutritional counselling information given for non-breastfeeding children was inadequate and in some cases absent. Little attention was given to the feeding of children with animal products during counselling.ConclusionGenerally nutritional information given to caregivers who had children above 6 months was inadequate.

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Gaps in international nutrition and child feeding guidelines: a look at the nutrition and young child feeding education of Ghanaian nurses

Cited by 3 publications

References 42 publications

Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses

Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses

Drivers of Millet Consumption Among School Aged Children in Central Tanzania

Nutritional counselling interactions between health workers and caregivers of children under two years: observations at selected child welfare clinics in Ghana

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