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050			_a _aT Fil RG951 _d _b.F56 20002 _c0
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100			_e _e _aFlores, Hononica S. _d _b4 _u _c0 _q16
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245		0	_a _aThe role of nurses in the implementation of the Mother and Baby Friendly Hospital Initiative (MBFHI) in selected private hospitals in Manila : _d _ban analysis / _n _cHononica S. Flores _h6 _p
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300			_e _e _c _axv, 85 pages _b
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336			_b _atext _2rdacontent
337			_3 _30 _b _aunmediated _2rdamedia
338			_3 _30 _b _avolume _2rdacarrier
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500			_a _aThesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 2000.;A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing. _d _b _c56
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520			_b _b _c _aABSTRACT. This study was focused on the analysis of the roles of nurses in the implementation of the Mother and Baby Friendly Hospital Initiative (MBFHI) at the University of Santo Tomas Hospital and Chinese General Hospital and Medical Center. Specifically, the study aimed to answer the following: 1. What is the demographic profile of the nurses involved in the implementation of MBFHI program in terms of: a. Age b. Civil Status c. Designation d. Length of Service e. Training attended related to MBFHI 2. To what extent do nurses participate in the various activities related to the implementation of MBFHI Program according to: a. Patient education b. Actual bedside care 3. Is there a significant difference in the extent of the nurses' participation in the implementation of MBFHI? 4. What problems do the nurses encountered in the implementation of MBFHI? 5. What solutions do the respondents offer to remedy the problems? HYPOTHESIS: The following hypotheses were tested at .05 level of significance: 1. There is no significant difference in the extend of the nurses' participation between patient education and actual bedside care. 2. The demographic variables do not effect the extent of the nurses' participation in the implementation of the MBFHI. There were 76 nurses involved in the study. These nurses were assigned in OPD, OB, D.R., NICU AND PEDIA Wards. METHODOLOGY: The descriptive method of study was used since this concerns the assessment of prevailing condition in the hospital. In gathering the data, the researcher made used of survey questionnaire. The researcher developed this questionnaire and content validated by her adviser, reader and three (3) experts in the nursing service. To treat the data statistically, the researcher employed frequency counting, percentage, ranking, weighted mean, standard deviation and t-test at .05 level of significance. FINDINGS: The respondents in this study revealed that they are generally middle-aged, mostly married, majority are staff nurse, with the length of service of below four (4) years and most of them has no training attended related to MBFHI. Under Patient Education category, the nurse performs the roles of a teacher, counselor and administrator. Likewise, the nurse implemented to the greatest extent of the following activities: informs all pregnant women about breastfeeding policy (4.55), encourage breastfeeding on demand (4.53) and oversee that the policy is implemented (4.52). For the Actual Bedside Care category, the nurses' role are the role model and caregiver/patient advocate. These nurses implemented the following activities: shows mother how to breastfeed and how to maintain lactation (4.52), foster the establishment of breastfeeding support group (4.51) and help mothers initiate breastfeeding within half-hour of birth (4.39). There is no significance difference in the extent of nurses' participation with respect to patient education and actual bedside care. The demographic profile such as age, civil status, designation, and length of service of the nurses affect the extent of their participation in the implementation of MBFHI. The first three (3) common problems which were encountered by the nurses in the implementation of MBFHI revolved on help mothers initiate breastfeeding within half-hour after birth, give newborn no drink other than breast milk unless, medically indicated and foster the establishment of breastfeeding support groups and refer mother to them on discharge from the hospital. The first three (3) ranking recommended solutions of the respondents to remedy the existing problems are as follows: 1) provide more educational material to reproduce or distribute to all concerned. 2) establish breastfeeding support group in the locality within the catchment area. 3) prompt coordination between DOH-MBFHI and Governor/Mayors regarding funding support, supervision for standardization, enforcement of the MBFHI policies and funds appropriation through provincial/city ordinance. CONCLUSIONS: In view of the foregoing findings, the following conclusions were drawn: 1. There is no significant difference in the extent of participation of nurses in the various activities in the implementation MBFHI Program with respect to Patient Education and Actual Bedside Care. 2. Age, civil status, designation and length of service of the nurses affects the extent of nurses' participation in the implementation of the MBFHI. However, nurses with or without training relative to MBFHI do not affect the implementation of the said program. 3. The nurse-respondent in the implementation of the MBFHI Program from the University of Sto. Tomas Hospital and Chinese General Hospital and Medical Center mostly belongs to the middle aged (22-29 years old), married, occupied the staff nurse position, had been in the service for almost four (4) years and had no training related to MBFHI. 4. Under Patient education, the primary roles of nurses in the implementation of the Program are teacher, counselor and administrator and under Actual Bedside Care, the dominating role of nurses in the implementation of the Program is role model. 5. Cooperation of all concerned and strict implementation may adversely affect the nurses' implementation of MBFHI. 6. There was scarcity of support group in the catchment area. RECOMMENDATIONS: Based on the aforementioned findings and conclusions, the following recommendations are hereby proposed: 1. Recognition and motivation should be given to all nurses who are assigned in the area designated as MBFHI by sending them to training or giving some plaques of appreciation. This will make then more productive and committed to the MBFHI. 2. Nurses assigned in the area designated as MBFHI should be exempted in rotation of nurses in the ward or at least should stay for one year in the area. So that, nurses will be more effective and efficient in the implementation of the MBFHI. 3. Organize a committee that will be responsible for preparing the information materials and disseminating the same to all concerned. 4. Organize monthly seminars/lectures and invite the mothers who have patients as resource speakers to share their experiences to the new mothers. 5. Establish intra-professional linkages, which are needed to achieve the highest level of implementation of the MBFHI Program. 6. Private hospital should work closely with Barangay Health Centers on the possibility of forming and maintaining breastfeeding support groups who can can be tapped in following up the discharged mothers. 7. There is a need to review the policy on following up discharged mothers to ensure continuity of the breastfeeding program. _u
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