Effect of Competency-Based Education on Maternity Nurses' Performance and Quality of Care regarding Management of First Stage of Labor

Fatma Kamal Ali, Ola Abdel-Wahab Afifi Araby Ali, Fatma Mansour Abdel Azeem Barakat
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Abstract

The inadequate quality of care provided to mothers and newborns is the primary cause of the high rates of maternal and neonatal mortality, likely due to healthcare providers lacking skills in managing the initial stage of labor. In order to guarantee high-quality nursing care, competencies fill the gap between education and practice. The aim of this research was to evaluate the effect of competency-based education on maternity nurses' performance and quality of care regarding management of first stage of labor . Design: A quasi-experimental research design (One-Group, Time series quasi-experimental design). Setting: The research was conducted at obstetrics and gynecological emergency department (labour unit) at Benha University hospitals in Qaliubya governorate, Egypt. Sample: A convenient sample of 53 maternity nurses . Data collection tools: Four tools were used to collect data: A structured interviewing questionnaire (Personal characteristics of maternity nurses and Maternity nurses' knowledge questionnaire), Observational Practical Checklists, Nurse competency scale and Quality of Nursing Care Scale. Results: There was a statistical significant improvement in maternity nurses' total knowledge, total practices, total competency and total quality of care regarding management of the first stage of labour at immediately post-intervention and follow up phases compared to pre-intervention phase. It was revealed that total mean scores of studied nurses' knowledge, practices, competency and quality of care were higher at immediately post-intervention and follow up phases compared to pre-intervention phase. Conclusion : The implementation of competency based education was effective in improving maternity nurses' total knowledge score, total practices score and total quality of care regarding management of the first stage of labour. Recommendation: It was recommended that ongoing competency-based education is essential for maternity nurses to improve their knowledge, practices, competency and quality of care regarding management of labour
能力本位教育对产科护士第一产程管理绩效和护理质量的影响
为产妇和新生儿提供的护理质量不高是产妇和新生儿死亡率居高不下的主要原因,这很可能是由于医护人员缺乏管理分娩初期阶段的技能。为了保证高质量的护理服务,能力填补了教育与实践之间的空白。本研究旨在评估基于能力的教育对产科护士在第一产程管理方面的表现和护理质量的影响。设计:准实验研究设计(单组、时间序列准实验设计)。研究地点研究在埃及卡柳比亚省本哈大学医院妇产科急诊室(分娩室)进行。样本:53 名产科护士。数据收集工具:使用四种工具收集数据:结构化访谈问卷(产科护士个人特征和产科护士知识问卷)、观察实用检查表、护士能力量表和护理质量量表。结果与干预前相比,产科护士在干预后和随访阶段对第一产程管理的总知识、总实践、总能力和总护理质量均有明显改善。结果显示,与干预前相比,在干预后即刻阶段和随访阶段,被研究护士在知识、实践、能力和护理质量方面的总平均得分更高。结论:实施能力本位教育能有效提高产科护士在第一产程管理方面的知识总分、实践总分和护理总质量。建议建议产科护士必须持续开展能力本位教育,以提高她们在产程管理方面的知识、实践、能力和护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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