Publication: Quality of care provided to newborns by nursing personnel at BP Koirala Institute of Health Sciences
Date
2009
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Background: Birth is a major challenge for the newborn to negotiate successfully from intrauterine to extra uterine
life. The first few hours since birth is the most crucial period in the life of an infant for further growth and development,
which is largely determined by the quality of care that the newborn receives.
Objective: The aim of this study is to assess the quality of care provided by nursing personnel to newborn in the labour
room.
Materials and methods: This study was conducted in BP Koirala Institute of Health Science. Cross sectional, non
participatory observational research design was adopted for the study. Care provided by nursing personnel to 814 normal
newborns was observed. Samples were chosen by non probability purposive sampling technique. Data was collected
through observational method by trained nursing personnel, using 46 items pre-tested, validated and self developed
observational checklist. Care provided to newborns was observed from birth to two hours and categorised as good,
average and poor based on scores obtained. Data was entered and analysed using SPSS-10. Descriptive statistics-
[Mean, percentage, frequencies and standard deviation] was used to describe the quality of care provided to the newborn
babies.
Results: Overall quality of care was good in 42.36%, average in 57.64% and none of them received poor care. Overall
mean score for quality of care was 34.75/46 (75.54 %). Regarding subscales quality of care was good in majority
of newborns in areas such as Preparation to receive the baby (76.1%), Initiation of breathing (100%), Maintaining
thermoregulation (77.3%), Physical assessment (90.9%), and other aspects of care (95.2%). However the quality of care
was poor in majority of newborns in establishment of breast feeding (58.23%) and average in prevention of infection
(76.9%).
Conclusion: Study findings highlight the need for focus in establishment of breast feeding and prevention of infection.
Key words: Quality of care, newborns, nursing personnel, breast feeding, prevention of infection and assessment of
newborn.
Description
Shrestha M 1, Singh R 2 , Upreti D 3
1 Associate Professor and HOD, Department of Maternal Health Nursing, 2 Professor and Rector, 3 Additional Professor and HOD, Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Science, Dharan, Nepal.