Verma Bhavna, Kumar Manoj, Swati Swati, Tanwar Kamla, Kiran Shashi
Obstetrics and Gynecology, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Pediatrics, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Cureus. 2022 Oct 1;14(10):e29811. doi: 10.7759/cureus.29811. eCollection 2022 Oct.
Background and objective Good health and well-being occupy the third position among 17 sustainable development goals designed by the United Nations. The key to reducing maternal and newborn morbidity and mortality is competent and skilled birth attendance. The objectives of this study were to assess and compare the pre-test and post-test knowledge and expressed practices regarding selected obstetrical emergencies among staff nurses; to develop and determine the effectiveness of planned teaching programs on selected obstetrical emergencies among staff nurses; and to find out the correlation between knowledge and expressed practices regarding selected obstetrical emergencies. Materials and methods A pre-experimental study was conducted for a period of one month in 2019 among 60 staff nurses in selected hospitals through a validated tool/questionnaire, which was piloted on six staff nurses prior to starting the study. Data were collected using a structured knowledge questionnaire and expressed practices checklist. Results Of note, 70% of participants had General Nursing and Midwifery (GNM) as a professional qualification. The majority (51.7%) had one to five years of work experience; 46.7% of staff nurses had good knowledge in the pre-test assessment and 95% had good knowledge in the post-test evaluation. Significantly, 80% showed good expressed practices in the pre-test and 96.7% revealed good expressed practices in the post-test regarding selected obstetrical emergencies. In the pre-test, there was a significant association between the sociodemographic variables (age and work experience) with expressed practices, while that was not the case with post-test expressed practices. No significant association was found between pre- and post-test knowledge and selected demographic variables. There was a significant difference between pre-test and post-test knowledge and expressed practices score (mean pre- and post-test knowledge score: 18.82 vs. 25.43, p<0.001; mean pre- and post-test expressed practices score: 14.43 vs. 16.30, p<0.001). Conclusion Based on our findings, the planned teaching program is effective in improving the knowledge and expressed practices of staff nurses regarding selected obstetrical emergencies.
背景与目的 健康与福祉在联合国制定的17项可持续发展目标中位列第三。降低孕产妇和新生儿发病率及死亡率的关键在于具备胜任能力和专业技能的助产服务。本研究的目的是评估和比较在职护士对选定产科急症的测试前和测试后知识及所表达的实践情况；制定并确定针对在职护士选定产科急症的计划教学项目的有效性；找出选定产科急症的知识与所表达的实践之间的相关性。材料与方法 2019年，通过经过验证的工具/问卷，对选定医院的60名在职护士进行了为期一个月的预实验研究，该问卷在研究开始前在6名在职护士中进行了预测试。使用结构化知识问卷和所表达实践清单收集数据。结果 值得注意的是，70%的参与者拥有普通护理与助产（GNM）专业资格。大多数（51.7%）有1至5年工作经验；46.7%的在职护士在测试前评估中有良好知识，95%在测试后评估中有良好知识。重要的是，80%在测试前表现出良好的实践表达，96.7%在测试后针对选定产科急症表现出良好的实践表达。在测试前，社会人口统计学变量（年龄和工作经验）与实践表达之间存在显著关联，而测试后实践表达情况并非如此。测试前和测试后知识与选定人口统计学变量之间未发现显著关联。测试前和测试后知识及实践表达得分存在显著差异（测试前和测试后知识平均得分：18.82对25.43，p<0.001；测试前和测试后实践表达平均得分：14.43对16.30，p<0.001）。结论 根据我们的研究结果，计划教学项目在提高在职护士对选定产科急症的知识和实践表达方面是有效的。
