Torrigue, Eliza B. 4 0
Evaluation on the compliance of essential intrapartum newborn care among nurses in selected government hospitals in Manila / 6 6 Eliza B. Torrigue - - - xv, 171 pages 28. cm - - - - - . - . - 0 . - . - 0 .
Thesis (M.A) -- Pamantasan ng Lungsod ng Maynila, 2016;A thesis presented to the faculty of the College of Nursing Graduate Program in partial fulfillment of the requirements for the degree of Master of Arts in Nursing
5
ABSTRACT: Maternal death is one of the rising health issues in the Philippines. Statistics show that intrapartum period, immediate newborn care and third stage of labor are the very crucial periods for the expectant mother, as well as the first six hours of life for the newborn and to address the issue, the Essential Intrapartum Newborn Care (EINC) was developed. Through this, Obstetrics Delivery Room (OB-DR) Nurses shall be updated with the evidence- based maternal and newborn care to ensure patient safety, thus, reducing maternal and child mortality. This study aims to describe the compliance of hospitals, especially the OB-DR nurses, to the EINC Protocols. The researcher aims to link the profile variables of the respondents in terms of age, length of service and formal training to their compliance on the EINC Protocols. Outcome of the study is geared towards the development of enhancement training program for OB-DR Nurses assigned in the delivery room of the hospitals based on the study's results to sustain the EINC standards. A descriptive-correlational method was used. The sample consisted of 75 Obstetric Delivery Room (OB-DR) Nurses from three government hospitals in the City of Manila namely, Ospital ng Maynila Medical Center, Tondo Medical Center, and Gat Andres Bonifacio Memorial Medical Center. Data were collected using an evaluate checklist. Frequency distribution, percentage, sample mean, and Pearson's r test were the statistical tools that were utilized and the data was analysed through a comprehensive system called Statistical Package for the Social Science (SPSS). The level of compliance of the respondents to the EINC Protocols was evaluated implying a high compliance on the step by step interventions during the intrapartum period (M=4.617), immediate newborn care (M=4.829) and the active management of the third stage of labor (M=4.732). The profile on age and length of service has no significant relationship in all phases of the EINC Protocols. Furthermore, data shows that formal trainings on EINC have a significant relationship with OB-DR Nurses level of compliance during the intrapartum period specifically when the woman already in the delivery room preparing for delivery, immediate newborn care specifically on the 1st 30 seconds, after 30 seconds, 30 seconds to 90 minutes and 90 minutes to 6 hours of the newborns like, likewise the active management of the third stage of labor (AMTSL). In the pursuit of decreasing the maternal mortality in the Philippines, EINC Protocols have been widely implemented in the country specially in the government hospitals where most of the deliveries happen. In this study, it was found out that OB-DR Nurses adhere and are highly compliant to the standards in order to assure that optimum level of care is delivered to the mother and newborn. Formal trainings on EINC, on the other hand, create most impact on the compliance of nurses. It is therefore recommended that there must be a structured enhancement training program to plan, implement and evaluate the EINC protocols in these government hospitals.
5
2 = =
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/ 2
/ 2
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Evaluation on the compliance of essential intrapartum newborn care among nurses in selected government hospitals in Manila / 6 6 Eliza B. Torrigue - - - xv, 171 pages 28. cm - - - - - . - . - 0 . - . - 0 .
Thesis (M.A) -- Pamantasan ng Lungsod ng Maynila, 2016;A thesis presented to the faculty of the College of Nursing Graduate Program in partial fulfillment of the requirements for the degree of Master of Arts in Nursing
5
ABSTRACT: Maternal death is one of the rising health issues in the Philippines. Statistics show that intrapartum period, immediate newborn care and third stage of labor are the very crucial periods for the expectant mother, as well as the first six hours of life for the newborn and to address the issue, the Essential Intrapartum Newborn Care (EINC) was developed. Through this, Obstetrics Delivery Room (OB-DR) Nurses shall be updated with the evidence- based maternal and newborn care to ensure patient safety, thus, reducing maternal and child mortality. This study aims to describe the compliance of hospitals, especially the OB-DR nurses, to the EINC Protocols. The researcher aims to link the profile variables of the respondents in terms of age, length of service and formal training to their compliance on the EINC Protocols. Outcome of the study is geared towards the development of enhancement training program for OB-DR Nurses assigned in the delivery room of the hospitals based on the study's results to sustain the EINC standards. A descriptive-correlational method was used. The sample consisted of 75 Obstetric Delivery Room (OB-DR) Nurses from three government hospitals in the City of Manila namely, Ospital ng Maynila Medical Center, Tondo Medical Center, and Gat Andres Bonifacio Memorial Medical Center. Data were collected using an evaluate checklist. Frequency distribution, percentage, sample mean, and Pearson's r test were the statistical tools that were utilized and the data was analysed through a comprehensive system called Statistical Package for the Social Science (SPSS). The level of compliance of the respondents to the EINC Protocols was evaluated implying a high compliance on the step by step interventions during the intrapartum period (M=4.617), immediate newborn care (M=4.829) and the active management of the third stage of labor (M=4.732). The profile on age and length of service has no significant relationship in all phases of the EINC Protocols. Furthermore, data shows that formal trainings on EINC have a significant relationship with OB-DR Nurses level of compliance during the intrapartum period specifically when the woman already in the delivery room preparing for delivery, immediate newborn care specifically on the 1st 30 seconds, after 30 seconds, 30 seconds to 90 minutes and 90 minutes to 6 hours of the newborns like, likewise the active management of the third stage of labor (AMTSL). In the pursuit of decreasing the maternal mortality in the Philippines, EINC Protocols have been widely implemented in the country specially in the government hospitals where most of the deliveries happen. In this study, it was found out that OB-DR Nurses adhere and are highly compliant to the standards in order to assure that optimum level of care is delivered to the mother and newborn. Formal trainings on EINC, on the other hand, create most impact on the compliance of nurses. It is therefore recommended that there must be a structured enhancement training program to plan, implement and evaluate the EINC protocols in these government hospitals.
5
2 = =
2
2 --0------
6 --0-- 2 --------
0 2 --
--20------
--------20--
--------20--
----2
/ 2
/ 2
/
/