Knowledge, Practice and Associated Factors toward Neonatal Resuscitation among Nurses and Midwifes in South Wollo Governmental Hospitals, Northeeast Ethiopia 2018.
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Date
2018-06
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Addis Ababa University
Abstract
Background: The neonatal period is the most vulnerable time for child’s survival because ofthe highest mortality and morbidity. One quarters of the global neonatal mortality is attributedto asphyxia; the highest burden of which is disproportionately concentrated in low and middleincome countries including Ethiopia. Poor resuscitation due to incompetent health care providercontributed significantly to this asphyxia related mortality and morbidity.
Objective: The aim of the study is to assess knowledge, practice and associated factors towardneonatal resuscitation among nurses and midwifes in South Wollo public hospitals, Ethiopia.
Methods: Institutional based cross-sectional study design was employed among 143 studysubjects selected by simple random sampling method. Self-administered questionnaire and interview guide were used to collect data. Data was coded and entered into EPI data softwareversion 3.1 and exported in to SPSS version 20 for analysis. Logistic regression was computedto see the possible associations of factors with the dependent variables and p-values of less than0.05 in multivariate analysis was declared significant.
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 towardsresuscitation respectively. 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 performance of the participants. Specialization withneonatology (AOR:0.19, 95%CI: 0.047-0.8) were associated with a higher performance ofneonatal resuscitation.
Conclusion: Knowledge and practice of nurses and midwifes toward neonatal resuscitationwere inadequate. Training were found to be a single predictor for knowledge while supportivesupervision and guideline were predictors for both knowledge and practice. Continuous andregular training and supportive supervision for nurses and midwifes should be strengthen.
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Keywords
Neonate, asphyxia, Resuscitation, Knowledge, Practice.