scholarly journals Determinants of Nutrition Care Practice by Midwives and Nurses in the Antenatal and Postnatal Care Settings: A Multi-Site Cross-sectional Survey From Ghana

2021 ◽  
Author(s):  
Jacqueline Kumbiley ◽  
Anthony Amalba ◽  
Paul Armah Aryee ◽  
Simon Agongo Azure ◽  
VICTOR MOGRE
Keyword(s):  
Nutrition Education ◽  
Self Efficacy ◽  
Postnatal Care ◽  
School Nutrition ◽  
Care Practice ◽  
Cross Sectional ◽  
Contact Points ◽  
Nutrition Care ◽  
Key Skills ◽  
Antenatal And Postnatal Care

Abstract Background: Midwives and nurses are in an opportune position to provide nutrition care to pregnant women and lactating mothers during routine antenatal and postnatal care. However, midwives and nurses may not have adequate competencies and confidence to provide effective nutrition care. We evaluated the adequacy of nutrition education received in nursing and midwifery school; nutrition care competencies; self – efficacy and the nutrition care practice of midwives and nurses during routine antenatal and postnatal care in Ghana. We also evaluated determinants of nutrition care practice among these participants.Methods: This was a multi-site cross- sectional study conducted among midwives and nurses working at antenatal and postnatal contact points in Sunyani Municipality, Ghana. Data was collected using a self-administered questionnaire. Descriptive statistics of mean, standard deviation and frequencies were used to describe the data. Results: Almost 90% (n=267) of the participants received nutrition education during training. More than half of the participants were either unsatisfied or uncertain with: the amount of time allocated for nutrition education during training in school (77.5%); the integration of nutrition content into the curriculum (82.6%); and how nutrition course content was presented (77.4%). Almost 40% of the participants felt inadequately prepared from school to provide nutrition care during routine antenatal and postnatal care. The mean (±SD) knowledge of the participants was 57.46 (8.12) %. Participants attitude towards nutrition care was positive. Self-efficacy level ranged from moderate to low. Factors that had a positive association with nutrition care practice were age of respondents (B = 0.04; p = 0.002), nutrition-related knowledge (B = 0.05; p = 0.016), adequacy of nutrition education in school (0.14; p = 0.006), receipt of nutrition training after school (B = 0.38; p = 0.010) and nutrition care self-efficacy (B = 0.03; p = 0.048). Conclusion: Nutrition education received during nursing/midwifery training was unsatisfying and inadequate, resulting in participants inadequate knowledge in basic nutrition issues, feeling ill prepared, less confident and lacking the key skills to provide nutrition care. Although participants recognised nutrition care to be important and as their responsibility to provide it, they could not provide nutrition care as may be needed by mothers during routine antenatal and postnatal care.

scholarly journals Determinants of Nutrition Care Practice by Midwives and Nurses in the Antenatal and Postnatal Care Settings: A Multi-Site Cross-Sectional Survey From Ghana

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110483
Author(s):  
Jacqueline Kumbiley ◽  
Anthony Amalba ◽  
Paul Armah Aryee ◽  
Simon Agongo Azure ◽  
Victor Mogre
Keyword(s):  
Nutrition Education ◽  
Self Efficacy ◽  
Postnatal Care ◽  
School Nutrition ◽  
School Level ◽  
Care Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutrition Care ◽  
Antenatal And Postnatal Care

Aim. Midwives and nurses are critical in nutrition care for pregnant women and lactating mothers. Ghanaian nurses and midwives’ perception of the adequacy and their satisfaction with nutrition education received during training in school, level of nutrition care competencies, and nutrition practice behavior is unknown. We evaluated the adequacy of nutrition education received in nursing and midwifery school; nutrition care competencies; self-efficacy and the nutrition care practice of midwives and nurses. We also evaluated determinants of nutrition care practice during routine antenatal and postnatal care. Methods. Cross-sectional study conducted among midwives and nurses working at antenatal and postnatal clinics in Ghana. Data was collected using a self-administered questionnaire. Data analysis was done using descriptive statistics, correlation, and linear regression. Findings. Almost 90% (n = 267) of the participants received nutrition education during training, 77.5% were unsatisfied with the amount of time allocated for nutrition education and 40% felt inadequately prepared from school to provide nutrition care. Self-efficacy ranged from moderate to low. Determinants of nutrition care practice were age of respondents ( B = 0.04; P = .002), nutrition-related knowledge ( B = 0.05; P = .016), adequacy of nutrition education ( B = 0.14; P = .006), nutrition training after school ( B = 0.38; P = .010) and nutrition care self-efficacy ( B = 0.03; P = .048). Conclusion. Notable knowledge gaps in basic nutrition, inadequate preparedness, and poor confidence to provide nutrition care was common. There is a need to improve the nutrition education experiences of midwives and nurses through curricula revision and refresher training courses.

scholarly journals Three-fourth of children is received early initiation of Breastfeeding in West Belessa District

2020 ◽  
Author(s):  
Desalew Degu Ayalew ◽  
Belayneh Ayanaw Kassie ◽  
Melkamu Tamir Hunegnaw ◽  
Kassahun Alemu ◽  
Aysheshim Kassahun Belew
Keyword(s):  
Logistic Regression ◽  
Postnatal Care ◽  
Sampling Technique ◽  
Early Initiation ◽  
P Value ◽  
Cross Sectional ◽  
North West ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding ◽  
Antenatal And Postnatal Care

Abstract Background : The world is now suffering from malnutrition and remains one of the major causes of under-five mortality. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Hence, the study aims were to assess early initiation of breastfeeding among children aged less than two years, months in West Belessa district, North West Ethiopia, 2019. Methods: A community-based cross-sectional study was conducted from January to February 2019 in the West Belessa district. A total of 569 Children was selected by a simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable logistic regression analysis was used to check predictor variables associated with the dependent variable. Variables having a p-value of less than 0.20 in the bi-variable analysis were fitted into the multivariable model. Multivariable binary logistic regression with a 95% confidence interval and Odds Ratio (OR) were computed. Variables having p-value < 0.05 were taken as significantly associated with the dependent variables. Result : The prevalence of EIBF was 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR= 2.76, 95%CI (1.21, 6.27)), postnatal Visit (AOR= 1.85, 95%CI (1.03, 3.85)), and Antenatal care (AOR= 2.58, 95%CI (1.18, 9.94)) was significantly associated with EIBF. Conclusion and Recommendation: We observed, the prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Keywords: early initiation of breastfeeding, Children, West Belessa

Antenatal and postnatal care practices among mothers in rural Bangladesh: A community based cross-sectional study

Midwifery ◽  
2017 ◽  
Vol 52 ◽  
pp. 42-48 ◽  
Author(s):  
Md Shahjahan ◽  
Hasina Akhter Chowdhury ◽  
Ahmed Y. Al-Hadhrami ◽  
Golam Dostogir Harun
Keyword(s):  
Postnatal Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Rural Bangladesh ◽  
Care Practices ◽  
Antenatal And Postnatal Care

scholarly journals New Zealand Medical Students Have Positive Attitudes and Moderate Confidence in Providing Nutrition Care: A Cross-Sectional Survey

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Jennifer Crowley ◽  
Lauren Ball ◽  
Dug Yeo Han ◽  
Bruce Arroll ◽  
Michael Leveritt ◽  
...  
Keyword(s):  
New Zealand ◽  
Medical Students ◽  
Nutrition Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutrition Care ◽  
Positive Attitudes ◽  
Students Attitudes ◽  
Inadequate Nutrition

Throughout the world, medical students and doctors report inadequate nutrition education and subsequently lack of knowledge, attitude, and skills to include nutrition in patient care. This study described New Zealand’s students’ attitudes to and self-perceived skills in providing nutrition care in practice as well as perceived quantity and quality of nutrition education received in training. 183 medical students from New Zealand’s largest medical school (response rate 52%) completed a 65-item questionnaire, partially validated, using 5-point Likert scales. Students believed incorporating nutrition care into practice is important, yet they were less confident patients improve nutrition behaviours after receiving this care. Students were confident in skills related to nutrition in health and disease but less confident in skills related to general food knowledge. Greater quantity and quality of nutrition education received was associated with greater self-perceived skills in providing nutrition care to patients but not with attitudes towards incorporating nutrition care into practice. This cohort of New Zealand medical students places similarly high importance on nutrition care as students and doctors from other countries. Further investigations beyond graduation are required to inform whether additional nutrition education is warranted for these doctors.

scholarly journals Factors Associated with Self-Efficacy Toward Healthy Eating and Physical Activity among Kuwaiti Adolescent Girls

2021 ◽  
Vol 9 (3) ◽  
pp. 890-903
Author(s):  
Latifa Al-Ghanim ◽  
Dalal Alkazemi
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Weight Status ◽  
Dietary Habits ◽  
School Nutrition ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Cross Sectional

Factors that influence adolescents’ health-related behaviors in Kuwait are unclear. We hypothesized that self-efficacy would be negatively associated with a heavier weight status and positively associated with healthy eating-related behaviors. We aimed to measure healthy eating-related parameters in a sample of Kuwaiti girls and to assess the correlates of self-efficacy. The participants of this cross-sectional study were adolescent schoolgirls. The main outcome measures were self-efficacy, dietary habits, dietary beliefs, nutrition knowledge, physical activity, and weight status per body mass index (BMI) categories. Pearson’s correlation analysis was performed to determine the associations among the healthy behavior-related parameter scores. Independent samples t-test was used to examine the differences in scores between participants’ characteristics and self-efficacy score (SES). Only 19.9% of the participants had high self-efficacy toward healthy eating behaviors, 20.9% had “satisfactory eating habits,” 11.3% had a good comprehension of the meanings of healthy and unhealthy dietary habits and food, 16.3% had good nutrition knowledge, and 29.2% had an active lifestyle. SES is associated negatively with BMI, and positively with all the domains of healthy eating and with physical activity. However, SES was not associated with nutritional knowledge. Adolescent girls in Kuwait demonstrated a high level of self-efficacy toward healthy eating and behaviors with firm nutritional beliefs; however, they failed to practice them. Interventional school nutrition programs could help to improve healthy behaviors among adolescents.

The situation of stunting among children aged 6-23 months in Tan Thinh commune, Nam Truc district, Nam Dinh province, 2020

2021 ◽  
Vol 05 (03) ◽  
pp. 94-101
Author(s):  
Thi Trang Vu ◽  
◽  
Thi Thu Ha Le ◽  
Trong Hung Nguyen
Keyword(s):  
Nutrition Education ◽  
Maternal Education ◽  
Nutrient Deficiency ◽  
Descriptive Study ◽  
Care Practice ◽  
Age Group ◽  
Critical Periods ◽  
Cross Sectional ◽  
Laboratory Methods ◽  
Severe Stunting

The prevalence of stunting across the country remains high and uneven across regions. In Tan Thinh commune, Nam Truc district, Nam Dinh province, most mothers have not really paid attention to the nutritional status of their children. The assessment of the stunting status of children here is the basis for building communication strategies to improve nutritional practices for children of local mothers. Objective: The study aimed to evaluate the stunting status of children aged 6-23 months in Tan Thinh commune, Nam Truc district, Nam Dinh province in 2020. Methods: Cross-sectional descriptive study conducted on 357 children aged 6-23 months from May to July, 2020 in Tan Thinh commune, Nam Truc district, Nam Dinh province. Results: Stunting prevalence among children aged 6-23 months were 20.4%. Stunting increased gradually by age group, the lowest were in the 9-11 months group (10.7%), the highest in the 18-23 months group (35.7%), The level of moderate stunting (16%) was higher than the level of severe stunting (4.5%). There were lower prevalence of stunted boys (20%) than stunted girls (20,9%). Conclusion: The rate of stunting among children aged 6-23 months in the commune in the study area is still high, especially in children aged 18-23 months. An organized effort should be made at all levels to improve maternal education, postnatal care practice to solve the problems of stunting in children, especially in such critical periods, to avoid its effect on future development of young children. Appropriate and early intervention should be designed at health facility and community level for mothers to have postnatal followup since it is an opportunity for health professional to give nutrition education for mothers. Further research should be conducted to investigate specific nutrient deficiency status (vitamin A, vitamin D, cailcium, zinc, iron, …) in body serum by using laboratory methods. Keywords: Stunting, children aged 6-23 months, Tan Thinh.

scholarly journals The Nutrition Knowledge of Croatian General Practitioners

2018 ◽  
Vol 7 (7) ◽  
pp. 178 ◽  
Author(s):  
Albina Dumic ◽  
Maja Miskulin ◽  
Nika Pavlovic ◽  
Zelimir Orkic ◽  
Vesna Bilic-Kirin ◽  
...  
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Rank Correlation ◽  
Preventive Health Care ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Care Practice ◽  
Cross Sectional ◽  
Daily Work ◽  
Nutrition Care

Nutrition care delivered in primary health care setting is an effective and necessary preventive health care measure. General practitioners (GPs) nutrition knowledge is related to their nutrition care practice. The aim of this study was to explore the nutrition knowledge of Croatian GPs, and to investigate its connection with the implementation of nutrition care in GPs’ offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July 2013, via an anonymous questionnaire. The study showed that only 35.8% of the Croatian GPs had an adequate level of nutrition knowledge (five or more correct answers to nutrition questions). The study further revealed that females, GPs with additional education in nutrition and GPs who had not suffered from chronic diseases with poor nutrition posing as a risk factor had better nutrition knowledge (p = 0.029, p < 0.001 and p = 0.041, respectively). The Spearman rank correlation between GPs’ nutrition knowledge and the implementation of nutrition care in their offices during daily work with patients was rs = −0.190 (p < 0.001). To provide nutrition care in GPs’ offices in Croatia, strategies for improving GPs’ nutrition knowledge are needed.

scholarly journals Adolescents Nutrition Knowledge: A mixed methods Research.

2020 ◽  
Author(s):  
Tafirenyika Mafugu
Keyword(s):  
High School ◽  
Mixed Methods ◽  
Nutrition Education ◽  
Chronic Diseases ◽  
Mixed Methods Research ◽  
Significant Proportion ◽  
School Curriculum ◽  
School Nutrition ◽  
Nutrition Knowledge ◽  
Cross Sectional

Abstract Background Poor nutrition has been associated with lack of nutrition education, which leads to chronic diseases like diabetes, hypertension, obesity and coronary artery diseases. The objectives of the study were to evaluate learners’ knowledge of nutrition education principles and to determine how the knowledge of nutrition principles could be improved among learners. Methods Mixed methods cross-sectional research with application of semi-structured face-to-face interviews and a structured questionnaire were used to collect data. Eight stake-holders participated in the qualitative component of the study while 108 learners from 8 different schools responded to the questionnaire. The qualitative data was analyzed by coding and categorizing the data into themes and sub-themes while the quantitative data was analyzed using SPSS yielding frequencies, percentages, means and standard deviations. Results A significant proportion of learners lacked the nutrition knowledge due to the absence of health promotion campaigns in the schools and teaching of the nutrition principles was only limited to Life Science in the high school curriculum. Majority (56%) of the learners were taught nutrition education at primary school mainly in the Life Orientation curriculum while less than 2% were taught in grade 11 and 12. About 92% of the learners were not aware of the nutritional value of fruits, vegetables, milk and fats. Conclusions Incorporation of nutrition education in a compulsory subject in high school and in-school nutrition education sessions in school gatherings that involve various stakeholders is critical in improving the nutrition knowledge of stakeholders. Such interventions will assist in curbing diet related chronic diseases.

The Woman-Centeredness of Various Dutch Maternity Service Providers During Antenatal and Postnatal Care

2019 ◽  
Vol 9 (2) ◽  
pp. 92-101 ◽  
Author(s):  
Yvonne Fontein-Kuipers ◽  
Elise van Beeck ◽  
Liesbeth Kammeraat ◽  
Fleur Rutten
Keyword(s):  
Maternity Care ◽  
Postnatal Care ◽  
Service Providers ◽  
Self Report ◽  
Care Providers ◽  
Validity And Reliability ◽  
Community Based ◽  
Cross Sectional ◽  
Centered Care ◽  
Antenatal And Postnatal Care

AIMSTo examine the woman-centeredness of maternity care providers from the woman's perspective. To investigate the validity and reliability of the Client Centered Care Questionnaire among a childbearing population.DESIGNA cross-sectional study.METHODSThe self-report Client Centered Care Questionnaire was administered to evaluate women's one-on-one antenatal and postnatal care appointments with various Dutch care providers: community and hospital-based midwives, General Practitioners, (registrar) obstetricians, sonographers, and maternity care nurses.RESULTSEight-hundred and fifteen completed questionnaires were received. Exploratory and confirmatory factor analyses provided support for a two-factor model, with an acceptable model fit. Woman-centeredness of all maternity care providers showed scores above baseline for the neutral value. Welch ANOVA showed a statistical significant effect of the type of maternity care practitioner in providing woman-centered care during antenatal and postnatal visits (F(5.8) = 7.79). The Bonferroni post hoc test showed that women assigned significantly higher woman-centered care scores to community-based midwives compared with hospital-based midwives (p .011) and compared with registrars/obstetricians (p < .001).CONCLUSIONAlthough overall scores of perceived woman-centeredness indicated a good to excellent performance of woman-centered care, with significantly higher scores for community-based midwives, it cannot be assumed that current woman-centered care completely meets the needs of Dutch childbearing women. The Client Centered Care Questionnaire (CCCQ) is an adequate instrument to measure woman-centered care in antenatal and postnatal maternity services. Further research regarding measuring woman-centered care is needed.

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