Effect of Educational Program about Prevention of Neonatal Skin Breakdown on Nurses’ Practices at Neonatal Intensive Care Units | ||
| Port Said Scientific Journal of Nursing | ||
| Volume 10, Issue 4, December 2023, Pages 167-192 PDF (513.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/pssjn.2023.195597.1251 | ||
| Authors | ||
| Yassmine Taher* 1; Amal Ahmed Khalil2; Jihan Mahmoud Farrag3 | ||
| 1pediatric nursing-faculty of nursing -port said university | ||
| 2pediatric nursing-faculty of nursing-portsaid | ||
| 3DEPARTMENT OF PEDIATRIC NURSING , FACULTY OF NURSING, PORT SAID UNIVERSITY, PORT SAID CITY, EGYPT | ||
| Abstract | ||
| Background: Preventing neonates with skin breakdown is a high priority for neonatal care by reviewing clinical guidelines of skin care, implementing new procedures, and updating nurses’ knowledge. The study was aimed to evaluate the effect of an educational program about prevention of neonatal skin breakdown on nurses’ practices at neonatal intensive care units. Subjects and method: Research design: A quasi-experimental research design was used. Setting: The study was conducted at Neonatal Intensive Care Units (NICUS) of four hospitals (El Salam Hospital, Al Hayat Hospital, Specialized Maternity Hospital, and EL-Nasr Specialized Hospital) which are affiliated to the Universal Health Insurance Authority (UHIA) of Port Said governorate. Subjects: Convenience sampling included all nurses (70) working at the aforementioned hospitals, as well as 50 neonates in each program phase (150) who admitted during the time of data collection. Tools used for data collection: first, an observational checklist and second, scale termed as the Neonatal Skin Condition Score (NSCS). Results: statistically significant differences were found between nurses' total practice levels pre & immediate post, pre & follow up phase (p ≤ 0.005). Also, between the immediate post and follow-up phase of program implementation (p ≤ 0.001). Conclusion: implementing an educational program significantly improved nurses' practices and decreased neonatal skin breakdown. Recommendations: Providing continuous training education programs for nurses about prevention of skin breakdown in NICU. | ||
| Keywords | ||
| educational program; neonates; prevention; skin breakdown; nurses' practices | ||
| References | ||
|
Abd Elrazek .F .A . (2020). Nurses Knowledge and Performance about Skin Care: Guide Lines in Neonatal Intensive Care Units, Menoufia University.
Association of Women’s Health, Obstetric and Neonatal Nurses (2018). Neonatal Skin Care (Forth Edition) – Evidence Based Clinical Practice Guideline.
Association of Women's Health, Obstetric and Neonatal Nurses and the National Association of Neonatal Nurses (2011). Neonatal skincare: Clinical outcomes of the AWHONN/NANN evidence-based clinical practice guideline. J Obstet Gynecol Neonatal Nurs, 30(1): 41-51.
August, D. L., New, K., Ray, R. A., & Kandasamy, Y. (2018). Frequency, location and risk factors of neonatal skin breakdown from mechanical forces of pressure, friction, shear and stripping: a systematic literature review. Journal of Neonatal Nursing, 24(4): 173-180.
Bişgin, B., Taplak, A. Ş., & Polat, S. (2022) : Determination of neonatal unit nurses' practices for newborn skin care: A cross-sectional study. Journal of Neonatal Nursing, , 28(3): 182-187.
Boswell, N., Waker, C. L., & Dowling, D. (2016). Comparing 2 adhesive methods on skin integrity in the high-risk neonate. Advances in Neonatal Care, 16(6): 449-454.
Broom, M., Dunk, A. M., & E Mohamed, A. L. (2019). Predicting neonatal skin injury: the first step to reducing skin breakdown in neonates. Health services insights, 12, 1178632919845630.
Burdall, O., Willgress, L., & Goad, N. (2019). Neonatal skin care: developments in care to maintain neonatal barrier function and prevention of diaper dermatitis. Pediatric dermatology, 36(1): 31-35.
Diab, S., (2015): Effect of Educational Guideline on Prevention of in Neonatal Intensive Care Unit at Al-Jouf City. International Journal of Novel Research in Healthcare and Nursing, 2(2): 12-24.
Drost, J. L. (2019). Developing the alliances to expand traditional Indigenous healing practices within Alberta Health Services. The Journal of Alternative and Complementary Medicine, 25(S1), S69-S77.
Ethawi, Y., Al Zubaidi, A., Schmölzer, G., Sherif, S., Narvey, M., & Seshia, M. (2018). Clinical applications of contactless imaging of neonates using visible, infrared light and others. Adv. Biomed. Sci., 3, 39.
Garncarczyk, A. A., Adamczyk, K., Lubczyńska, A., Wcisło-Dziadecka, D., Antończak, P., & Jakubowska, M. (2021). Structure of children’s skin and rules for its care–what’s new? Children’s skin structure. Pediatria Polska-Polish Journal of Paediatrics, 96(4), 258-262.
Gupta, P., Nagesh, K., Garg, P., Thomas, J., Suryawanshi, P., Sethuraman, G., & Pandita, A. (2022). Evidence-based consensus recommendations for skin care in healthy, full-term neonates in India.
Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2022). Wong's essentials of pediatric nursing. 11th Edition.Elsevier health sciences.
https://extranet.ahsnet.ca/teams/policydocuments/1/clp-neonatology-skin-assess-ps-99-01.pdf Accessed on 24/12/2018,at5pm.
Melnyk, B.M. & Fineout-O. E. (2021): Evidence-based Practice in Nursing and Healthcare: A Guide to Best Practice, 2nd ed., Philadelphia: Lippincott Williams& Wilkins.
Milligan, P. S., & Goldstein, M. R. (2017). Implementation of an evidence-based non-invasive respiratory support (NIRS) bundle in the NICU to decrease nasal injury complications. Journal of Neonatal Nursing, 23(2): 89-98.
Mishra, U., Jani, P., Maheshwari, R., Shah, D., D'Cruz, D., Priyadarshi, A., & Wright, A. (2021). Skincare practices in extremely premature neonates: a survey of tertiary neonatal intensive care units from Australia and New Zealand. Journal of Paediatrics and Child Health, 57(10), 1627-1633
Mohamed, B. M., El Dakhakhny, A. M., Bassam, S. E. A., & El Sayed, L. M. (2019). Assessment of Nursing Care Provided to Premature Neonates at Neonatal Intensive Care Unit at Zagazig University Children Hospital. Zagazig Nursing Journal, 7(2): 1-14.
Palmer, L. H. (2013). Prevention of skin breakdown in the Pediatric Intensive Care Unit (Doctoral dissertation, University of South Carolina).
Ricci, S. S., & Kyle, T. (2021) : Maternity and pediatric nursing. 4th ed., Lippincott Williams & Wilkins, New York: PP.153.
Sabaq, A. G., & Amer, S. A. M. (2018). Effect of preventive bundle guidelines on reducing iatrogenic pressure injuries among critically ill neonates. International journal of Nursing Didactics, 8(08): 22-36.
Said.K.M., Mohamed.R.A.,& Draz.S.F (2019). Effect of Nursing Protocol Regarding Nasal skin breakdown for Preterm Neonates Receiving Continuous Positive Airway Pressure. published doctorate thesis. Benha University, Faculty of Nursing. Vol. 1 No. 3.
Santos, S. V., & Costa, R. (2015). Prevention of newborn skin lesions: knowledge of the nursing team. Texto & Contexto-Enfermagem, 24, 731-739.
Stroustrup, A., Bragg, J., & Gennings, C. (2018): Neonatal intensive care unit phthalate exposure and preterm neonate neurobehavioral performance, PLoS One, 13(3):16
World Health Organization (2020): Newborns: Improving Survival and Well-Being Switzerlan https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality.
Yashwantrao D. (2019): Care of Skin in Neonate (Neonatal Skin Care Guidelines). Nursing & Healthcare International Journal, 3(2): 2575-9981. | ||
|
Statistics Article View: 193 PDF Download: 201 |
||
