scholarly journals Skills Laboratory Implementation Readiness and Associated Students Clinical Performance on Neonatal Resuscitation: A Cross-Sectional Study among Diploma Nursing Schools in Tanzania

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Afizu Alhassan ◽  
Abdul-Ganiyu Fuseini ◽  
Wahab Osman ◽  
Alhassan Basour Adam

Background. Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. Objectives. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. Methods. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson’s correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. Results. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge (24.67 ± 2.79, p = .014), compared to those at the Tamale Teaching Hospital (22.92 ± 4.56, p = .028) and Tamale West Hospital (21.50 ± 6.24, p = .021). Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (r(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Conclusion. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.


2019 ◽  
Author(s):  
gebeyaw biset ◽  
Ketema Bizuwork ◽  
Teshome Habte ◽  
Mengesha Birkie ◽  
Abay Woday

Abstract Background: The neonatal period is the most vulnerable time for child morbidity and mortality. Asphyxia due to poor resuscitation techniques contributed significantly to this vulnerability. Therefore, this study is aimed to assess the extent of knowledge and practice towards neonatal resuscitation among nurses and midwives in public hospitals of south Wollo northeast Ethiopia. Method: Institutional based cross-sectional study design was employed among 143 study participants selected by a simple random sampling method from each hospital. Self-administered questionnaire and interview-based guide were used to collect data. Data were coded and entered into EPI data software version 3.1 and was exported into SPSS version 20 for analysis. Logistic regression with backward LR method was performed to see the possible associations of factors with the outcome variables. Finally, p-values of less than 0.05 in multivariate analysis were declared having a significant association with the outcome variable. Result: One hundred and forty-three participants were included with a response rate of 100%. Only 32.9% and 24.5% of the participants had good knowledge and practice toward neonatal resuscitation respectively. After adjustment was made for covariates; lack of training (AOR: 3.44, 95% CI:1.54-7.68), absence of guideline (AOR: 3.8, 95% CI: 1.68-8.58) and lack of supportive supervision (AOR: 2.49, 95% CI:1.1-5.6) were significantly associated with poor knowledge score, whereas absence of guidelines (AOR: 2.83, 95% CI:1.12-7.15) and lack of supportive supervision (AOR: 5.28, 95% CI: 1.86-14.96) were significantly associated with the poor practice of the participants. Specialization with neonatology (AOR: 0.19, 95% CI: 0.047-0.8) was associated with good practice level of neonatal resuscitation. Conclusion: Knowledge and practice of nurses and midwives toward neonatal resuscitation were suboptimal. The training was found to be a single predictor for knowledge while supportive supervision and availability of resuscitation guidelines were predictors for both knowledge and practice toward neonatal resuscitation. Therefore, regular training and supportive supervision need to be strengthened to fill the identified gaps. Other observational and qualitative studies are recommended to explore factors that contributed to poor knowledge and practice toward neonatal resuscitation.


Author(s):  
Charu Mahajan ◽  
Devyani Misra ◽  
Mariyam Faruqi ◽  
Rajkumar Mishra

Introduction: Most of the pregnancies progress normally but unfortunately, few are prone to developing complications. Some antenatal and intra-partum conditions place the mother and the developing foetus or both at risk for complications and infections which undoubtedly play a major role in the same. Vaginal microbiome composition changes during pregnancy. This change is believed to inhibit pathogen growth through secretion of bacteriocins such as lactic acid that maintain acidic pH. Disturbed vaginal environment is associated with complications of pregnancy. Aim: To find the relationship between the microbiological study of High Vaginal Swab (HVS) in pregnancy at term with the maternal and foetal outcome. Materials and Methods: This cross-sectional study was conducted on 200 women who underwent vaginal swab culture during routine prenatal check-up from July 2019 to January 2020, in a hospital in Lucknow, Uttar Pradesh, India.The maternal and perinatal outcome and their relation with microbiological study of HVS were studied. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) version 11.5. Chi-square test was used for comparison of data for statistical significance. For descriptive statistics percentage, mean and Standard Deviation (SD) was calculated. Results:E.coli (18%) was the most common organism isolated from HVS cultures in this study. Maternal complications, rate of Lower Segment Caesarean Section (LSCS), low APGAR scores (Appearance, Pulse, Grimace, Activity and Respiration), need for neonatal resuscitation and Neonatal Intensive Care Unit (NICU) admission were more in the culture positive group. Conclusion: The study suggests that the abnormal vaginal microbiota is associated with adverse pregnancy outcomes. HVS cultures are simple and non-invasive screening tool which should be used as a routine procedure in all antenatal patients for preventing complications and improving the foeto-maternal outcome.


2021 ◽  
Author(s):  
Dr Vaibhav A Chaudhari 3rd ◽  
Dr Shyam K Agrawal Sr ◽  
Dr Rachit R Mathur 2nd ◽  
Dr Deep Shikha 4th ◽  
Dr Dhaval Desai ◽  
...  

BACKGROUND Introduction : Stress is a significant threat that can result in physical and mental illness and may have a significant negative effect on 'students'performance and professional practice of dentistry. Elevated stress levels due to prolonged workload may precipitate fatigue, a term that describes the experience of long-term work-related exhaustion and lessens the interest. , This study aims to determine if the perceived source of stress changes along the years among dental graduates. OBJECTIVE Objective: To determine if perceived sources of stress have changed overthe years. METHODS Methods: A cross-sectional study was conducted among dental graduates from the first year to an internship students. Dental Environment Stress (DES) questionnaire consisting of 20 questions was used for data collection. A total of 200 students filled the questionnaire. Data were analyzed using descriptive statistics RESULTS : It was observed that the most common sources of stress were academic examinationsand working on clinical years. Moreover, in the five years of the traditional curriculum, the clinical years reported the highest stress level among dentalgraduates CONCLUSIONS Conclusion: Findings like academic and clinical performance, low grading, unemployment, limitation in leisure time, family problems were the upmost stress-inducing factors among undergraduate of dentistry., clinical quota, family problems, staff-student relationship found less stressful. Hence students need to be addressed for the stress-coping. CLINICALTRIAL Not Required


2016 ◽  
Vol 116 (3) ◽  
pp. 431-435 ◽  
Author(s):  
Paola C. Saponaro ◽  
Burak Yilmaz ◽  
Reza H. Heshmati ◽  
Edwin A. McGlumphy

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nancy Berduzco-Torres ◽  
Pamela Medina ◽  
Montserrat San-Martín ◽  
Roberto C. Delgado Bolton ◽  
Luis Vivanco

Abstract Background Empathy is described as a core competence of nursing. There is abundant research evidence supporting that empathy varies according to personal characteristics and targeted training. The aim of this study was to characterize non-academic factors (personal and environmental) influencing the development of empathy in undergraduate nursing studies who are not receiving a targeted training in empathetic abilities in their nursing schools. Methods A cross-sectional study was performed in the three nursing schools located in Cusco city, Peru (two private and one public). The Jefferson Scales of Empathy, Attitudes toward Physician-Nurse Collaboration, and Lifelong Learning, the Emotional Loneliness Scale for Adults, and the Scale of Life Satisfaction, were applied as the main measures. Also, information regarding gender, nursing school, and age, were collected. After psychometric properties were assessed, all measures were used in the development of a multivariate regression model to characterize factors of influence in empathy. Results In a sample composed by 700 undergraduate nursing students (72 males and 628 females), a multivariate linear regression model was created. This model explained the 53% of variance of empathy and fitted all conditions necessary for inference estimations. Teamwork abilities, loneliness, age, sex, subjective well-being, and nursing school, appeared as factors influencing the development of empathy in patients’ care. Conclusions Findings have indicated that, in absence of a targeted training, individual characteristics and characteristics associated with social and family environments play an important role of influence in the development of empathy in nursing students. These findings are also in consonance with others previously reported in different cultural settings including high-, middle- and low-income countries.


2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Najara Queiroz Cardoso ◽  
Priscilla Santos Ferreira Ream ◽  
Camila Lucas De Souza ◽  
Thaís De Arvelos Salgado ◽  
Hélio Galdino Júnior ◽  
...  

Objetivo: identificar atividades de risco para acidentes com material biológico segundo estudantes de enfermagem e o conhecimento das medidas frente ao acidente, descrever frequência e perfil dos acidentes e identificar o atendimento pósexposição Metodologia: estudo transversal, com estudantes de enfermagem de uma instituição de ensino superior no Centro- Oeste, Brasil. Dados obtidos por questionário eletrônico e analisados por estatística descritiva. Resultados: Participaram 126 estudantes, maioria mulheres (96,0%) que referiu orientação prévia acerca do risco biológico. Nenhum citou todas medidas pósexposição recomendadas. Manusear perfurocortante (64,4%) foi o maior risco relatado e a exposição mucosa a causa de três dos quatro acidentes relatados. Desses, dois foram informados aos docentes e seguidas as condutas indicadas. Conclusão: A maioria dos estudantes reconheceu o risco no manuseio de perfurocortante. Três estudantes (2,4%) sofreram acidente (um relatou dois) e três em mucosa. Informar ao docente foi a conduta pós-exposição mais citada, sendo que entre acidentados as condutas mais seguras foram adotadas sob orientação do docente.Descritores: Exposição Ocupacional; Estudantes de Enfermagem; Enfermagem; Escolas de Enfermagem; Conhecimento; Riscos Ocupacionais.ACCIDENTS TO BIOLOGICAL RISK FROM THE POINT OF VIEW OF NURSING STUDENTS: REFLECTIONS ON TEACHINGObjective: to identify risk activities for accidents with biological material in the opinion of nursing students and the knowledge of the measures against an accident, to describe the frequency and profile of the accidents and to identify the post-exposure care. Methodology: cross-sectional study with nursing students from a higher education institution in the Center-West of Brazil. Data obtained by electronic questionnaire and analyzed by descriptive statistics. Results: A total of 126 students participated, most of them women (96.0%) who reported previous guidance on biological risk. None cited all recommended post-exposure measures. Handling sharps (64.4%) was the most reported risk behavior and mucosal exposure was the cause of three of the four reported accidents. Of these, two were informed to the teachers and followed the indicated behaviors. Conclusion: Most students recognize the risk in activities involving sharps, but few identify them in other activities involving body fluids. Three students (2.4%) suffered an accident (one reported two) and three in the mucosa. Informing the teacher was the most cited post-exposure behavior, and among the injured, the most secure behaviors were adopted under the guidance of the teacher.Descriptors: Occupational Exposure; Students, Nursing; Nursing; Schools, Nursing; Knowledge; Occupational Risks.ACCIDENTES AL RIESGO BIOLÓGICO BAJO LA ÓPTICA DE LOS ESTUDIANTES DE ENFERMADO: REFLEXIONES PARA LA ENSEÑANZAObjetivo: identificar actividades de riesgo para accidentes con material biológico según estudiantes de enfermería y el conocimiento de las medidas frente al accidentes, describir frecuencia y perfil de los accidentes e identificar la atención post-exposición Metodología: estudio transversal, con estudiantes de enfermería en el Centro-Oeste, Brasil. Datos obtenidos por cuestionario electrónico y analizados por estadística descriptiva. Resultados: Participaron 126 estudiantes, mayoría mujeres, que han mencionado orientación previa sobre el riesgo biológico. Ninguno citó todas las medidas post-exposición recomendadas. El manejo de pinchazo fue el mayor riesgo reportado y la exposición mucosa a causa de tres de los cuatro accidentes reportados. De ellos, dos fueron informados a los docentes y seguidas las conductas indicadas. Conclusión: Tres estudiantes (2,4%) sufrieron accidente (uno relató dos) y tres en mucosa. El informe al docente fue la conducta post-exposición más citada, siendo que entre accidentados las conductas más seguras fueron adoptadas bajo orientación del docente.Descriptores: Exposición Ocupacional; Estudiantes de Enfermería; Enfermería; Facultades de Enfermería; Conocimiento; Riesgos Laborales 


2021 ◽  
Author(s):  
Nancy Berduzco-Torres ◽  
Pamela Medina ◽  
Montserrat San-Martín ◽  
Roberto C. Delgado Bolton ◽  
Luis Vivanco

Abstract Background: Empathy is described as a core competence of nursing. There is abundant research evidence supporting that empathy varies according to personal characteristics and targeted training. The aim of this study was to characterize non-academic factors (personal and environmental) influencing the development of empathy in undergraduate nursing studies who are not receiving a targeted training in empathetic abilities in their nursing schools. Methods: A cross-sectional study was performed in the three nursing schools located in Cusco city, Peru (two private and one public). The Jefferson Scales of Empathy, Attitudes toward Physician-Nurse Collaboration, and Lifelong Learning, the Emotional Loneliness Scale for Adults, and the Scale of Life Satisfaction, were applied as the main measures. Also, information regarding gender, nursing school, and age, were collected. After psychometric properties were assessed, all measures were used in the development of a multivariate regression model to characterize factors of influence in empathy. Results: In a sample composed by 700 undergraduate nursing students (72 males and 628 females), a multivariate linear regression model was created. This model explained the 53% of variance of empathy and fitted all conditions necessary for inference estimations. Teamwork abilities, loneliness, age, sex, subjective well-being, and nursing school, appeared as factors influencing the development of empathy in patients’ care.Conclusions: Findings have indicated that, in absence of a targeted training, individual characteristics and characteristics associated with social and family environments play an important role of influence in the development of empathy in nursing students. These findings are also in consonance with others previously reported in different cultural settings including high-, middle- and low-income countries.


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