American Journal of Nursing Science

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Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care

Received: 19 August 2017    Accepted: 04 September 2017    Published: 11 October 2017
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Abstract

The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gynecology emergencies department at Benha University Hospital (40 nurse). Two tools were used for data collection; I) A structured interviewing questionnaire: include two parts; Part 1: Socio demographic characteristics of the study nurses: included (Age, educational level, years of experience, previous training program). Part 2: Assessment of nurses’ knowledge regarding obstetric emergencies such as definition, causes, basic priorities and preparations for emergency obstetrics care. II) Observational checklist for evaluating nursing management regarding obstetric emergencies such as resuscitation, nursing management of preeclampsia, eclampsia, infection, trauma & shock and assessment of fetal wellbeing. The study results showed that 88.7% of nurses had poor knowledge before intervention of the protocol. However, 75.7% of them had good knowledge after intervention respectively. As well as, 77.5% of them had unsatisfactory practices toward emergency obstetrics care before intervention of the protocol. Meanwhile, after intervention 82.3% had satisfactory practices respectively. The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies. There was a highly statistically significant difference before / after protocol of the studied nurses’ knowledge and practice regarding obstetrics emergencies (P ≤ 0.001). The study recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department. Continuous refreshment courses and follows up programs for nurses regarding emergency obstetrics care.

DOI 10.11648/j.ajns.20170605.16
Published in American Journal of Nursing Science (Volume 6, Issue 5, October 2017)
Page(s) 418-425
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Emergency Obstetrics Care, Nursing Management Protocol

References
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[5] Bayley O., Colbourn T., Nambiar B., Costello A., Kachale F., Meguid T. and Mwansambo C. (2013): Knowledge and perceptions of quality of obstetric and newborn care of local health providers: a cross-sectional study in three districts in Malawi, Malawi Med J. 2013 Dec; 25(4): 105-8.
[6] Bhandari T. R. and Dangal G. (2014): Emergency obstetric Care: strategy for reducing maternal mortality in developing countries / vol 9 / no. 1 / issue 17/.
[7] Bradley S., Kamwendo F., Chipeta E., Chimwaza W., de Pinho H., and McAuliffe E. (2015): Too few staff, too many patients: a qualitative study of the impact on obstetric care providers and on quality of care in Malawi. BMC Pregnancy Childbirth. Mar 21; 15: 65. doi: 10.1186/s12884-015-0492-5.
[8] Brenner S., De Allegri M., Gabrysch S., Chinkhumba J., Sarker M., and Muula A. S. (2015): The quality of clinical maternal and neonatal healthcare - a strategy for identifying 'routine care signal functions'. Apr 15; 10(4): e0123968.
[9] Catherin N., Anushila S. R. and Goud B. R. (2014): Obstetric emergencies presenting to a rural community maternity hospital, Southern Karnataka, India, Int, J., curr. Res. Aca. Rev., 2(9) ISSN: 2347-3215 Volume 2 Number 9, pp. 264-269.
[10] Chodzaza E, and Bultemeier K. (2010): Service providers' perception of the quality of emergency obstetric care provided and factors identified which affect the provision of quality care, Malawi Med J. 22(4): 104-11.
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[13] Gibbs R. S., Karlan B. Y., Haney A. F. & Nygaard I., (2012): Danforth`s Obstetrics and Gynecology, 10th ed., Lippincott Williams & Wilkins, China, p. 475.
[14] Islam F., Rahman A., Abdul Halim, Eriksson C., Rahman F. and Dalal K. (2015): Perceptions of health care providers and patients on quality of care in maternal and neonatal health in fourteen Bangladesh government healthcare facilities: a mixed-method study, BMC Health Services Research, 15: 237.
[15] Kavitha P., Tesfay A., Prasath R., Habtegiorgis L., Girmay S., and Sereke Y. (2014): To assess level of knowledge of staff nurses on emergency obstetric management at orotta national referral maternity hospital, Int. J. of Allied Med. Sci. and Clin. Research Vol-2(4) pp. 287-293.
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[18] Ominyi, J N and Nwodom, M U (2014): Nurses’ Perception and Practice of Evidence-Based Practice in Federal Teaching Hospital Abakaliki JMSCR Volume 2 Issue 11 Page 2778-2795.
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Author Information
  • Faculty of Nursing, Benha University, Benha, Egypt

  • Faculty of Nursing, Benha University, Benha, Egypt

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  • APA Style

    Eman Mohammed Abdelhakm, Amira Refaat Said. (2017). Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care. American Journal of Nursing Science, 6(5), 418-425. https://doi.org/10.11648/j.ajns.20170605.16

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    ACS Style

    Eman Mohammed Abdelhakm; Amira Refaat Said. Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care. Am. J. Nurs. Sci. 2017, 6(5), 418-425. doi: 10.11648/j.ajns.20170605.16

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    AMA Style

    Eman Mohammed Abdelhakm, Amira Refaat Said. Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care. Am J Nurs Sci. 2017;6(5):418-425. doi: 10.11648/j.ajns.20170605.16

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  • @article{10.11648/j.ajns.20170605.16,
      author = {Eman Mohammed Abdelhakm and Amira Refaat Said},
      title = {Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {5},
      pages = {418-425},
      doi = {10.11648/j.ajns.20170605.16},
      url = {https://doi.org/10.11648/j.ajns.20170605.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20170605.16},
      abstract = {The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gynecology emergencies department at Benha University Hospital (40 nurse). Two tools were used for data collection; I) A structured interviewing questionnaire: include two parts; Part 1: Socio demographic characteristics of the study nurses: included (Age, educational level, years of experience, previous training program). Part 2: Assessment of nurses’ knowledge regarding obstetric emergencies such as definition, causes, basic priorities and preparations for emergency obstetrics care. II) Observational checklist for evaluating nursing management regarding obstetric emergencies such as resuscitation, nursing management of preeclampsia, eclampsia, infection, trauma & shock and assessment of fetal wellbeing. The study results showed that 88.7% of nurses had poor knowledge before intervention of the protocol. However, 75.7% of them had good knowledge after intervention respectively. As well as, 77.5% of them had unsatisfactory practices toward emergency obstetrics care before intervention of the protocol. Meanwhile, after intervention 82.3% had satisfactory practices respectively. The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies. There was a highly statistically significant difference before / after protocol of the studied nurses’ knowledge and practice regarding obstetrics emergencies (P ≤ 0.001). The study recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department. Continuous refreshment courses and follows up programs for nurses regarding emergency obstetrics care.},
     year = {2017}
    }
    

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    T1  - Developing Nursing Management Protocol for Maternity Nurses Regarding Emergency Obstetric Care
    AU  - Eman Mohammed Abdelhakm
    AU  - Amira Refaat Said
    Y1  - 2017/10/11
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    AB  - The aim of the study was to develop nursing management protocol for maternity nurses regarding obstetric emergencies. An intervention (quasi experimental) study design was used. The study was conducted in the Obstetrics and Gynecology Emergencies Department at Benha University Hospital. A convenient sample of all nurses working in Obstetrics and Gynecology emergencies department at Benha University Hospital (40 nurse). Two tools were used for data collection; I) A structured interviewing questionnaire: include two parts; Part 1: Socio demographic characteristics of the study nurses: included (Age, educational level, years of experience, previous training program). Part 2: Assessment of nurses’ knowledge regarding obstetric emergencies such as definition, causes, basic priorities and preparations for emergency obstetrics care. II) Observational checklist for evaluating nursing management regarding obstetric emergencies such as resuscitation, nursing management of preeclampsia, eclampsia, infection, trauma & shock and assessment of fetal wellbeing. The study results showed that 88.7% of nurses had poor knowledge before intervention of the protocol. However, 75.7% of them had good knowledge after intervention respectively. As well as, 77.5% of them had unsatisfactory practices toward emergency obstetrics care before intervention of the protocol. Meanwhile, after intervention 82.3% had satisfactory practices respectively. The study concluded that Nurses’ management protocol has appositive effect on nurse’s knowledge and practices regarding obstetric emergencies. There was a highly statistically significant difference before / after protocol of the studied nurses’ knowledge and practice regarding obstetrics emergencies (P ≤ 0.001). The study recommended that Simple guidelines regarding emergency obstetrical nursing care can be attributed to nurses in the emergency obstetrics department. Continuous refreshment courses and follows up programs for nurses regarding emergency obstetrics care.
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