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Knowledge and practice of immediate newborn care among midwives and nurses in public health facilities of Afar regional state, Northeast Ethiopia

机译:埃塞俄比亚东北地区国家公共卫生设施立即新生儿护理的知识与实践

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BACKGROUND:The care given to newborns immediately within the first few hours of birth is critical for their survival. However, their survival depends on the health professional's knowledge and skills to deliver appropriate newborn care interventions. Therefore, this study aimed to assess the knowledge and practice of immediate newborn care among nurses and midwives in public health facilities of Afar Regional State, Northeast Ethiopia.METHODS:Institution based cross-sectional study design was employed on 357 nurses and midwives working in 48 public health facilities (45 health centers and 3 hospitals) during April 2018. Data were collected using interviewer-administered questionnaire and observation checklist. Then, data were entered into Epi-info version 7.0 and exported to SPSS version 20 for analysis. Univariable and multivariable logistic regression analyses were carried out to estimate odds ratio with 95% confidence interval. A p-value less than 0.05 was used to declare statistical significance.RESULTS:Overall, 53.8% [95% CI: (48.6, 59.0%)] and 62.7% [(95% CI: (57.7, 67.8%))] of the health professionals (midwives and nurses) had adequate knowledge and good practice on immediate newborn care, respectively. Working in hospital [AOR: 4.62; 95% CI (1.76, 12.10)], being a female [AOR: 0.59; 95% CI (0.39, 0.98)] and interested in providing newborn care [AOR: 0.29; 95% CI (0.13, 0.68)] were positively associated with having adequate knowledge on immediate newborn care. On the other hand, having work experience of ?5?years [AOR: 0.33; 95% CI (0.14, 0.78)], inadequate knowledge [AOR: 0.39; 95% CI (0.25, 0.64)], having work load [AOR: 2.09; 95% CI (1.17, 3.73)], being not interested to provide immediate newborn care [AOR: 0.35; 95% CI (0.16, 0.74)] and working in health center [AOR: 8.56; 95% CI (2.39, 30.63)] were negatively associated with good immediate newborn care practices.CONCLUSIONS:A significant number of nurses and midwives had inadequate knowledge and poor practice on immediate newborn care. Therefore, providing a comprehensive newborn care training and creating an opportunity for nurses and midwives working at health centers to share experience from those hired in hospitals are very crucial to improve their knowledge and skills on newborn care.
机译:背景:在出生前几小时内立即给予新生儿对他们的生存至关重要。然而,他们的生存取决于健康专业人员的知识和技能,以提供适当的新生儿护理干预措施。因此,本研究旨在评估位于埃塞俄比亚东北部区域国家的公共卫生设施的护士和助产士立即新生儿护理的知识和实践。方法:在48名工作的357名护士和助产士中雇用了基于机构的横断面研究设计2018年4月期间公共卫生设施(45个保健中心和3家医院)。使用采访者管理的问卷和观察清单来收集数据。然后,将数据输入到EPI-Info V7.0中,并导出到SPSS版本20进行分析。进行了不可变性和多变量的逻辑回归分析,以估计95%置信区间的差距。低于0.05的p值用于申报统计学显着性。结果:总体而言,53.8%[95%CI:(48.6,59.0%)]和62.7%[(95%CI:(57.7,67.8%))]卫生专业人士(助产士和护士)分别对即时新生儿提供了足够的知识和良好的做法。在医院工作[AOR:4.62; 95%CI(1.76,12.10)],是女性[AOR:0.59; 95%CI(0.39,0.98)]并兴趣提供新生儿护理[AOR:0.29; 95%CI(0.13,0.68)]与在立即新生儿护理中具有足够的知识呈正相关。另一方面,拥有<5?五年的工作经验[AOR:0.33; 95%CI(0.14,0.78)],知识不足[AOR:0.39; 95%CI(0.25,0.64)],工作载荷[AOR:2.09; 95%CI(1.17,3.73)],对立即提供新生儿护理并不兴趣[AOR:0.35; 95%CI(0.16,0.74)]和在卫生中心工作[AOR:8.56; 95%CI(2.39,30.63)]与良好的直接新生儿护理实践负相关。结论:大量的护士和助产士的知识和脱脂型新生儿的实践不足。因此,为综合新生儿护理培训提供全面的新生儿护理培训,为医疗中心工作的护士和助产士培养机会,以分享来自医院雇用的人的经验,这对于提高新生儿护理的知识和技能非常重要。

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