Nurses’ Knowledge and Practices Regarding Care of High-Risk Neonates Connected with Mechanical Ventilator

Amna Mohammed, Sanaa Ahmed, Asmaa Reyad, Shaima Mohamed
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Abstract

Background : A high-risk neonate refers to a newborn who has an elevated likelihood of experiencing adverse health outcomes or death, irrespective of their gestational age or birth weight. A mechanical ventilator controls or helps a neonate’s respiration when he or she cannot maintain adequate gas exchange because of respiratory or ventilatory failure. Aim of the study : Assess the nurses’ knowledge and practices regarding care of high-risk neonates connected with mechanical ventilator . Research design : A descriptive research design was used . Setting : The study was conducted in the Neonatal Intensive Care Unit (NICU) at Minia University Hospital for Obstetrics and Pediatrics . Sample : All the available nurses (40) working in NICU at Minia University Hospital for Obstetrics and Pediatrics . Tools : Tool (I): A structured interview questionnaire covering the demographic characteristics of the studied nurses and nurses' knowledge. Tool (II): Observational checklist sheet . Results: The results of this study proved that; the vast majority of the studied nurses had poor knowledge, and most of them had an incompetent level of total practice regarding the care of high-risk neonates under mechanical ventilator. There is also, a statistically significant relation between the total mean score of nurses’ knowledge and practices and their marital status and qualifications . Conclusion: A minority of the studied nurses had average knowledge and competent level of total practices regarding the care of high-risk neonates under mechanical ventilator . Recommendations: Periodical training programs and educational workshops should be conducted for nurses working in the NICU about the nursing care of mechanically ventilated neonates.
护士对使用机械呼吸机的高危新生儿的护理知识和实践
背景:高危新生儿是指新生儿经历不良健康结果或死亡的可能性升高,无论其胎龄或出生体重如何。当新生儿由于呼吸或通气衰竭而不能维持足够的气体交换时,机械呼吸机可以控制或帮助新生儿呼吸。目的:评估护士对高危新生儿机械呼吸机的护理知识和实践情况。研究设计:采用描述性研究设计。环境:本研究在Minia大学妇产科医院新生儿重症监护病房(NICU)进行。样本:所有在Minia大学附属妇产科医院新生儿重症监护室工作的护士(40)。工具:工具(I):一份结构化访谈问卷,涵盖被研究护士的人口学特征和护士知识。工具(II):观察检查表。结果:本研究结果证明;绝大多数受访护士对高危新生儿机械呼吸机护理的知识水平较差,且大部分护士对机械呼吸机下高危新生儿护理的总体实践水平不高。护士知识与执业总均分与婚姻状况、执业资格有显著相关。结论:少数受访护士对高危新生儿机械呼吸机护理的知识和总体操作水平处于中等水平。建议:应定期对新生儿重症监护室护士进行机械通气新生儿护理方面的培训和教育研讨会。
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