Effect Of An Educational Program About Prevention Of Neonatal Skin Breakdown On Nurses’ Knowledge In Neonatal Intensive Care Units | ||||
| Port Said Scientific Journal of Nursing | ||||
| Volume 10, Issue 3, September 2023, Page 154-184 PDF (1.07 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2023.194703.1249 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Yassmine Fathy Taher1; Amal Ahmed Khalil  2; Jihan Mahmoud Farrag 3
| ||||
| 1pediatric nursing-faculty of nursing -port said university | ||||
| 2pediatric nursing -faculty of nursing-port said | ||||
| 3DEPARTMENT OF PEDIATRIC NURSING , FACULTY OF NURSING, PORT SAID UNIVERSITY, PORT SAID CITY, EGYPT | ||||
| Abstract | ||||
| Background: Neonatal care places a high priority on preventing and treating neonates with skin breakdown by revising clinical skin care guidelines, developing new techniques, and improvement staff knowledge. The study was aimed to evaluate the effect of an educational program about prevention of skin breakdown on nurses’ knowledge in neonatal intensive care units. Subject and method: Research design: A quasiexperimental research design was utilized. Setting: Research was conducted in NICUS at four hospitals affiliated to the Universal Health Insurance Authority (UHIA) in the governorate of Port Said, namely (Al-Hayat -El-Salam -Specialized obstetric -EL-Nasr specialised hospital). Sample: All nurses (70) who were employed in the above settings, along with 50 neonates in each program phase (150) who admitted during the time of data collection. Tools:: Data was gathered using two tools; a structured interviewing questionnaire sheet and Neonatal Skin Condition -Score scale. Results: Findings of the present study revealed statistically significant differences between nurses' knowledge pre & immediate post (p1), pre & follow up phase (p2) (p ≤ 0.001),and between immediate post and follow up phase (p3) (P ≤0.021). Conclusion: The educational program improved nurses’ knowledge and as well as decreased skin breakdown in the neonates. Recommendations: Providing nurses with ongoing education and training program about skin breakdown prevention in NICUs. | ||||
| Keywords | ||||
| Educational program- Neonates; Nurses' knowledge -Prevention of skin breakdown | ||||
| References | ||||
|
Abd Elrazek .F .A . (2020). Nurses knowledge and performance about skin care: guide lines in neonatal intensive care units, Menoufia University.
Abkenar, M. J., Mojen, L. K., Shakeri, F., & Varzeshnejad, M. (2020). Skin injuries and its related factors in the neonatal intensive care unit. Iranian Journal of Neonatology, 11(4) : 93-98.
Allwood, M. (2011): Skin care guidelines for infants aged 23-30 weeks’ gestation: A review of the literature. Neonatal, Pediatric & Child Health Nursing, 14(1) : 20-27.
Amr, E. F., Tantaewy, N. M., Abo Hadida, R. M., Bayumi, H., Abed Elazeem, Y. F. M., & Shrief, S. E. (2022). Effect of skincare bundle protocol on nurses’ performance regarding prevention of skin breakdown. Egyptian Journal of Health Care, 13(4) : 1323-1333.
Association of Women’s Health, Obstetric and Neonatal Nurses (2018). Neonatal Skin Care– Evidence Based Clinical Practice Guideline. 4th Edition: Washington,DC. Available at:
Retrieved from https://www.awhonn.org/store/ViewProduct.aspx?id=11678739.
August, D. L., New, K., Ray, R. A., & Kandasamy, Y. (2018). Frequency, location and risk factors of neonatal skin injuries from mechanical forces of pressure, friction, shear and stripping: a systematic literature review. Journal of Neonatal Nursing, 24(4) :173-180.
Bişgin, B., Taplak, A. Ş., & Polat, S. (2022) : Determination of neonatal unit nurses' practices for newborn skin care: A cross-sectional study. Journal of Neonatal Nursing, 28(3): 182-187.
Broom, M., Dunk, A. M., & E Mohamed, A. L. (2019). Predicting neonatal skin injury: the first step to reducing skin breakdown in neonates. Health services insights, 12, 1178632919845630.
Carol, C. (2009). Application and development of pediatric nursing guidelines. Journal of Pediatric Nursing, 88(26): 81-88.
Cho, K. S., Ahn, H. C., Lee, J. H., Lim, S. Y., Lee, H. J., & Park, H. K. (2019). Extravasation wound care in the neonatal intensive care unit. Journal of Wound Management and Research, 15(1) : 17-22.
Cooke, A., Bedwell, C., Campbell, M., McGowan, L., Ersser, S. J., & Lavender, T. (2018). Skin care for healthy babies at term: A systematic review of the evidence. Midwifery, 56: 29-43.
Diab, S., (2015). Effect of Educational Guideline on Prevention of in Neonatal Intensive Care Unit at Al-Jouf City. International Journal of Novel Research in Healthcare and Nursing, 2(2): 12-24.
Esmaeilzadeh, H., Qolizadeh, A., Hosseini, S., Norouzi, K., Mafi, M., & Rafiei, H. (2020). Incidence and risk factors of diaper dermatitis in Hospitalised Children Aged 0-24 Months: An Epidemiological Descriptive Study in Iran. Journal of Clinical & Diagnostic Research, 14(4).
Ethawi, Y., Al Zubaidi, A., Schmölzer, G., Sherif, S., Narvey, M., & Seshia, M. (2018). Clinical applications of contactless imaging of neonates using visible, infrared light and others. Adv. Biomed. Sci., 3(4): 39-54.
Ibrahem, M. Y., Rashad, H. M., & Selim, M. A. E. Effect of training program about extravastion injuries on nurses’ performance. P J M H S,15(6).
Kahraman, A., Gerçeker, G. A., Yardımc, F., Bilsin, E., Yaz, B. S., Özdemir, C. H., Karakul, A., Zengin, D., Sevgili, S. A., Gümüş, M., Akpınar, S., Başbakka, D. Z. (2020). The effect of a nurse education program on infiltration and extravasation in pediatric patients at a university hospital. The Journal of Pediatric Research; 7(4):309-15
Lauren. Q .(2021). Healthy neonates skin care and characteristics. Neonat Pediatr Med journal,7(11) : 2572-4983
Liversedge, H. L., Bader, D. L., Schoonhoven, L., & Worsley, P. R. (2018). Survey of neonatal nurses' practices and beliefs in relation to skin health. Journal of Neonatal Nursing, 24(2) : 86-93.
Lund, C.H. & Kuller, J.M(2021). Integumentary system, neonatal skin: Structure and function 5th ed, New York: Marcel Dekker.
Melnyk, B.M. & Fineout-O. E. (2021). Evidence-based practice in nursing and healthcare: A Guide to best practice (2nd ed). Philadelphia: Lippincott Williams& Wilkins.
Metallinou, D., Nanou, C., Tsafonia, P., Karampas, G., & Lykeridou, K. (2022). Investigation of healthcare professionals’ knowledge of evidence-based clinical practices for preterm neonatal skin care—a pilot study. Children, 9(8), 1235.
Mishra, U., Jani, P., Maheshwari, R., Shah, D., D'Cruz, D., Priyadarshi, A., & Wright, A. (2021). Skincare practices in extremely premature neonates: A survey of tertiary neonatal intensive care units from Australia and New Zealand. Journal of Paediatrics and Child Health, 57(10) :1627-1633.
Mohamed, B. M., El Dakhakhny, A. M., Bassam, S. E. A., & El Sayed, L. M. (2019). Assessment of nursing care provided to premature neonates at neonatal intensive care unit at zagazig university children hospital. Zagazig Nursing Journal, 7(2):1-14.
Mohamed, Z., Newton, J. M., & Lau, R. (2014). Malaysian nurses’ skin care practices of preterm infants: Experience vs. knowledge. International journal of nursing practice, 20(2) :187-193.
Molina, G. & López, A., (2017): Neonatal pressure ulcers: Prevention and treatment. Research and Reports in Neonatology, 7, 29-39
New, K. (2019). Evidence-based guidelines for infant bathing. Res. Rev, 1–4. Retrieved from https://www.researchreview.co. nz/getmedia/0a9e5190-b8ac-419f-8f44-43b8e5ba8c4b/Educational-Series-Evidence-based-guidelines-for-infant-bathing.pdf. aspx?ext=.pdf (accessed on 15 /9/ 2022).
Palmer, L. H. (2013). Prevention of skin breakdown In the Pediatric Intensive Care Unit . Doctoral dissertation, University of South Carolina.
Rayan, A., Elmorsy, S., Elyan, H., & Salahat, M. (2018). Knowledge regarding noncytotoxic medication extravasation among registered nurses working in western Saudi Arabia. Journal of vascular Nursing, 36(1) : 12-22.
Said.K.M., Mohamed.R.A.,& Draz.S.F (2019). Effect of nursing protocol regarding nasal skin breakdown for preterm neonates receiving continuous positive airway pressure, published Doctorate thesis. Benha University, Faculty of Nursing. Evidence-Based Nursing Research. Vol. 1 No. 3.
Schindler, C. A. (2010). More than skin deep: Decreasing pressure ulcer development in the pediatric intensive care unit. Doctoral dissertation.
Retrieved from Dissertations. Marquette University.: https://www.researchgate.net/publication/49244049. Accessed on 23 /4/ 2018
Sisan, M., Rayan, A., Elmorsy, S., Elyan, H., & Salahat, M. (2018). Knowledge regarding noncytotoxic medication extravasation among registered nurses working in Western Saudi Arabia. Journal of Vascular Nursing.
Retrieved from: https://doi.org/10.1016/j.jvn.2017.09.007. Accessed on 6 /2/ 2022.
Thomas, D.R. (2018): Role of Nutrition in the Treatment and Prevention of Pressure Ulcers. 29 (4) :466-472 | ||||
|
Statistics Article View: 185 PDF Download: 120 |
||||
