Bakar Salama A, Joho Angelina A
Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania.
East Afr Health Res J. 2023;7(1):58-66. doi: 10.24248/eahrj.v7i1.709. Epub 2023 Jul 12.
Essential newborn care (ENC) is one of the significant strategies for neonatal survival, especially immediately after delivery. Nurses and midwives are the key healthcare providers who care for neonates immediately after birth, their knowledge and skills on ENC are very important for the preventable causes of neonatal deaths. Therefore, this study aimed to assess essential newborn care knowledge and skills among nurses/midwives in Zanzibar.
A hospital-based analytical cross-sectional study that included 246 nurses-midwives was conducted in Zanzibar from January to February 2021. The purposive sampling method was used to select district and regional hospitals. Simple random sampling was used to select primary health facilities. A systematic random sampling technique was used to select study participants. A standard structured self-administered questionnaire was used. Predictors of knowledge and skills of ENC were determined using Binary Logistic regression under multivariate analysis using SPSS version 23.0. P<.05 was considered to be significant.
Among the total (246) participants, 89 (36.2%) and 66 (26.8%) had adequate knowledge and appropriate skills of ENC, respectively. Having a BSc in Nursing (AOR = 8.83, 95%CI = 2.00-38.96) and the presence of guidelines (AOR = 3.52, 95%CI = 1.59 -7.80) were significantly associated with knowledge of ENC. Residing in Pemba (AOR = 0.30, 95%CI = 0.11-0.80), availability of staff (AOR = 0.80, 95%CI = 0.02-0.32), adequate knowledge (AOR = 2.80, 95%CI = 1.15-6.84) were factors significantly associated with ENC skills.
Generally, nurses-midwives had suboptimal knowledge and skills on essential newborn care. Nurses-midwives are in urgent need of positive supportive supervision and low-dose- high-frequency skills training in ENC for the prevention of neonatal morbidity and mortality. Also, policymakers should be aware of this gap and should plan necessary interventions to close the gap to resecure newborns' survival.
基本新生儿护理（ENC）是提高新生儿存活率的重要策略之一，尤其是在分娩后即刻。护士和助产士是新生儿出生后即刻护理的关键医疗服务提供者，他们在基本新生儿护理方面的知识和技能对于预防新生儿死亡的可避免原因非常重要。因此，本研究旨在评估桑给巴尔岛护士/助产士的基本新生儿护理知识和技能。
2021年1月至2月在桑给巴尔岛开展了一项基于医院的分析性横断面研究，纳入246名护士-助产士。采用目的抽样法选择地区和区域医院，简单随机抽样法选择基层医疗卫生机构，系统随机抽样技术选择研究参与者。使用标准的结构化自填式问卷。在使用SPSS 23.0版本进行多变量分析时，采用二元逻辑回归确定基本新生儿护理知识和技能的预测因素。P<0.05被认为具有统计学意义。
在总共246名参与者中，分别有89名（36.2%）和66名（26.8%）具备足够的基本新生儿护理知识和适当的技能。拥有护理学理学学士学位（比值比[AOR]=于预防新生儿发病和死亡。此外，政策制定者应意识到这一差距，并应规划必要的干预措施以缩小差距，确保新生儿存活。 8.83，95%置信区间[CI]=2.00-38.96）和有指南（AOR=3.52，95%CI=1.59-7.80）与基本新生儿护理知识显著相关。居住在奔巴岛（AOR=0.30，95%CI=0.11-0.80）、人员配备情况（AOR=0.80，95%CI=0.02-0.32）、足够的知识（AOR=2.80，95%CI=1.15-6.84）是与基本新生儿护理技能显著相关的因素。
总体而言，护士-助产士在基本新生儿护理方面的知识和技能欠佳。护士-助产士迫切需要积极的支持性监督和基本新生儿护理方面的低剂量高频技能培训，以预
