A Pre-Post Interventional Study on Improving the Implementation Status of Nursing/Midwifery Care Standard Practice At Haramya Hospital, Oromia Regional State, Ethiopia
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Date
2020-08
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Addis Abeba University
Abstract
Background: The nursing/midwifery care standards help to ensure that patients are receiving high quality care. The standards support implementation of the basics of nurses‟/midwives‟ profession. Despite the importance of nursing care standards, implementation of the standards is lacking in most of the developing countries, including Ethiopia. Similarly, the baseline assessment of nursing standards in this study at Haramaya hospital was poor.Thus, it was critically important to improve the implementation of the Nursing/midwifery care standard practice in Haramaya general hospital.
Objectives: To improve the implementation status of Nursing /midwifery Care Standards from 52.5% to 81% in wards of Haramaya Hospital, by the end of August 2020.
Method: A facility based pre & post interventional study was conducted from March to August 2020 in Haramaya Hospital. A nationally tested and accepted instrument, the Ethiopian Hospitals Reform Implementation Guideline tool, was used to measure the performance on nursing/midwifery standards of care.The sampled nurses/midwives were allocated proportionally from all wards in the hospital. Data related to factors that hinder implementation of the nursing /midwifery standards was collected consecutively by data collectors using checklist and nursing standards through observational methods. Data quality was controlled through supervision and training of data collectors.
Result: Among the total 88 the same respondents (44 before & 44 after), mean age was 27.23 years (SD=4.2) and the implementation status of nursing/midwifery care standards was 52.5% in pre-intervention & 78.4% after-intervention.
This change was statistically significant at (df =44,P<0.001). Of the total of 80 patient cards documentation review (before 40 & 40 after intervention) the average implementation status of the standards in nursing/midwifery process & Medication administration record was 10.3 (50%) in pre-intervention & 28.5 (72.3%) after intervention.
Conclusion and recommendation: The implementation status of the nursing /midwifery care standard practice is still below the expected criteria and it needs further intervention to increase its utilization. Knowledge, recognition & motivation are possible contributing factors for the improving of nursing/midwifery care standard practices those who are working at medical, surgical, & gynecology wards.
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Keywords
Nursing,Midwifery Care