Salo Samuel Shanko, Ukumo Eshetu Yisihak, Teshale Manaye Yihune
Department of Midwifery, College of Medicine and Health sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, College of Medicine and Health sciences, Arba Minch University, Arba Minch, Ethiopia.
PLoS One. 2024 Dec 27;19(12):e0314767. doi: 10.1371/journal.pone.0314767. eCollection 2024.
Almost everywhere, neonatal mortality can be decreased with ease if competent obstetricians give the necessary treatment. Unfortunately, observational techniques were not used to examine basic essential newborn care practice among obstetric care providers in Ethiopia. Thus, the purpose of this study was to evaluate factors related to essential newborn care practice using observational techniques among obstetric care providers in public hospitals in the Gamo, Gofa, and Wolayta zones, southern Ethiopia.
An institutional-based cross-sectional study carried out from May 15 to June 30, 2022. A simple random sampling method was used. Structured self-administered questionnaires with a clinical observational checklist were used to collect data. Data imported into Epidata version 4.6 and analyzed using the SPSS Version 25. Bivariable and multivariable analyses were used to identify factors associated with essential newborn care practices. An odds ratio with a 95% confidence interval was used to assess the direction and strength of the association.
The overall magnitude of good essential newborn care practice among obstetric care providers was 53.5% (95% CI = 49, 58). Factors positively associated with the practice of essential newborn care were having interest on working in delivery room (AOR = 3.16, 95% CI = 1.71,5.83), having no work load (AOR = 2.96, 95% CI = 1.78,4.49), received in-service training (AOR = 3.09, 95% CI = 1.75,5.45), having supportive supervision (AOR = 3.41, 95% CI = 1.25, 9.24), and having good knowledge on essential newborn care (AOR = 3.04, 95% CI = 1.89,4.90).
The observed level of essential newborn care practices among obstetric care providers underscores the necessity for targeted interventions that stimulate interest in delivery room work, effectively manage workloads, and offer comprehensive training along with supportive supervision. By concentrating on these aspects and enhancing providers' knowledge, we can significantly improve essential newborn care practices.
几乎在所有地方，如果有能力的产科医生提供必要的治疗，新生儿死亡率都可以轻松降低。不幸的是，埃塞俄比亚没有使用观察技术来检查产科护理人员的基本新生儿护理实践。因此，本研究的目的是使用观察技术评估埃塞俄比亚南部加莫、戈法和沃莱塔地区公立医院产科护理人员中与基本新生儿护理实践相关的因素。
于2022年5月15日至6月30日进行了一项基于机构的横断面研究。采用简单随机抽样方法。使用带有临床观察清单的结构化自填问卷收集数据。数据导入Epidata 4.6版本，并使用SPSS 25版本进行分析。采用双变量和多变量分析来确定与基本新生儿护理实践相关的因素。使用具有95%置信区间的比值比来评估关联的方向和强度。
产科护理人员中基本新生儿护理实践良好的总体比例为53.5%（95%置信区间=49,58）。与基本新生儿护理实践呈正相关的因素包括对产房工作感兴趣（调整后比值比=3.16，95%置信区间=1.71,5.83）、工作量不大（调整后比值比=2.96，95%置信区间=1.78,4.49）、接受在职培训（调整后比值比=3.09，95%置信区间=1.75,5.45）、得到支持性监督（调整后比值比=3.41，95%置信区间=1.25,9.24）以及对基本新生儿护理有良好的知识（调整后比值比=3.04，95%置信区间=1.89,4.90）。
产科护理人员中观察到的基本新生儿护理实践水平强调了有针对性干预措施的必要性，这些措施可以激发对产房工作的兴趣、有效管理工作量，并提供全面培训以及支持性监督。通过关注这些方面并提高护理人员的知识水平，我们可以显著改善基本新生儿护理实践。
