Effect of Preventive Care Bundle Guidelines for Nurses on Incidence of Intraventricular Hemorrhage among Mechanically Ventilated Preterm Neonates | ||
| Egyptian Journal of Health Care | ||
| Article 50, Volume 11, Issue 2, June 2020, Pages 789-803 PDF (474.35 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.195260 | ||
| Authors | ||
| Hanan El-sayed Metwally; Reda Mohammed Abd-allah; Esraa Gamal Mohammed | ||
| Lecturer of Pediatric Nursing/ Faculty of Nursing/ Benha University | ||
| Abstract | ||
| Background: Intraventricular hemorrhage (IVH) is a major neurological complication responsible for preterm neonates' morbidity and mortality. In the first 72 hours of life, nurses have a critical role in maintaining bundled practices for intraventricular hemorrhage prevention. The study aimed to assess preventive care bundle guidelines for nurses on the incidence of intraventricular hemorrhage among preterm neonates who were mechanically ventilated. This study was carried out at Neonatal Intensive Care Unit of Specialized Pediatric Hospital at Benha city. Sample of the study was convenient sample for nurses and purposive sample for preterm neonates who consisted of 60 preterm neonates on mechanical ventilation and 60 nurses who cared for them at previous setting. Tools of data collection included four tools, (1) A structured Interviewing Questionnaire Sheet, (2) Medical record of preterm neonates, (3) Intraventricular hemorrhage grading scale, (4) preventive care bundle checklist. The main results of this study revealed high statistical significant improvement in the studied nursesʹ total level of knowledge and total practice post- preventive care bundle guidelines implementation. Additionally, there was a negative correlation between total nurses' knowledge, their practice and IVH incidence pre and post-neonatal care bundle guidelines implementation. The main recommendation is Conducting an orientation programs for nurses in NICU with regular updates of knowledge and practice regarding preventing intraventricular hemorrhage for enhancing the quality of care and reducing in the incidence of all grades of IVH. | ||
| Keywords | ||
| Intraventricular hemorrhage; Preterm neonates; Preventive care bundle | ||
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