Education of nurses in rural primary health cares to improve vital care of newborns: A community-based research in Nigeria

Clementina Nkiru Eze 1, Christiana I. Elusoji 2, Christiana Nkiru Okafor 3, Augusta Nkechi Emeh 4, Amuchechukwu Veronica Nwafor 5, Ihuoma A. Obi 4, Juliana Odinakachukwu Onyeabor 1 and Eugene Ohams Ohanme 6

1 Basic School of Midfery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
2 Department of Nursing sciences, Benson Idahosa’s University, Benin City. Edo State, Nigeria.
3 Department of Nursing Science, Faculty of Medicine, Kabale University, Uganda.
4 Department of Nursing science, Faculty of Health Sciences, Ebonyi state University Abakaliki. Nigeria
5 Department of Obstetrics and Gynaecology, Faculty of Clinical Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
6 Department of Pharmacology and Therapeutics, Faculty of Basic Clinical Sciences, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria.
 
Research Article
Magna Scientia Advanced Research and Reviews, 2023, 08(02), 009–021
Article DOI: 10.30574/msarr.2023.8.2.0100
Publication history: 
Received on 31 May 2023; revised on 06 July 2023; accepted on 08 July 2023
 
Abstract: 
This study was designed to ascertain the level of knowledge and the degree of practice of the components of Essential New-born care (ENC), and the effects of a training programme on the knowledge and practice of ENC among nurses in rural Primary Health Cares (PHCs) in South East Nigeria. This study was a one group pre-test and post-test intervention design. The components of ENC considered were: New-Born Initiation of Breastfeeding, Thermoregulation, New-Born Cord Care, Newborn Eye Care, Initiation of Breathing and Administration of Vitamin K. A Neonatal care Knowledge and Practice Assessment (NCKPA) Questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (96) available nurses (All female). There was significant improvement in the level of knowledge and extent of practice of the components of ENC following the training programme. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of Eye care 40(41.6%) - pre-intervention, and least knowledge of cord care 70 (72.9%) and eye care 90(93.8%) - post-intervention. Increase in knowledge corresponded with increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, update courses and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rate.
 
Keywords: 
Neonatal; Breastfeeding; Essential New-born care; Primary health cares
 
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