Evaluation the Effect of Evidence Based Guidelines for Maternity Nurses to Cope with Aborted Women
[1]
Nadia Abdulla Mohammed, Obstetrics & Gynecology Nursing, Faculty of Nursing, South Valley University, Quena, Egypt.
[2]
Amira Refaat Said, Obstetric and Woman’s Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt.
Caring of the women who are considering abortion is a sensitive area of practice that requires appropriate evidence knowledge, skills and practice. Aim: to evaluate the effect of evidence based guidelines for maternity nurses to cope with aborted women. Material & method: A quasi experimental design was used. A total sample of (67) staff nurses were recruited in the study. Setting: The study was conducted in obstetrics & Gynecological department at Benha University Hospital. Tools: two tools were used I): An interviewing questionnaire sheet II): Evidence nursing care practice for practices of abortion care. Results: revealed that there was a highly statistically significant difference regarding studied nurses' knowledge about evidence based practice in nursing and abortion pre & post guidelines. As well as 73.2% of nurses had poor performance level before evidence guidelines. However, 86.5% of them had good performance level immediately after evidence guidelines respectively. Conclusion: The implementation of an evidence based guidelines was effective and significantly improved nurse’s knowledge and performance towards abortion and abortion care. Recommendations: The nursing curriculum should include the evidence based practice to update the evidence knowledge regarding recent advances in abortion care. Specific procedure booklets should be available to standardize the nursing care provided in obstetrics department.
Abortion Care, Maternity Nurses, Evidence-Based Knowledge & Practice
[1]
Abu Ruz ME, Hayeah HA, Al-Dweik G, (2017): Knowledge, Attitudes, and Practice about Evidence-Based Practice: A Jordanian Study. Health Sci J., 11: 2. Health Science Journal Vol. 11 No. 2: 489.
[2]
Ammouri AA, Raddaha AA, Dsouza P, Geethakrishnan R, Noronha JA, (2014): Evidence-based practice: Knowledge, attitudes, practice and perceived barriers among nurses in Oman. Sultan Qaboos Univ Med J. Nov; 14 (4): e537-45.
[3]
Andersen K, Singh A, Shrestha MK, Shah M, Pearson E, Hessini L.(2013):- Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services. Glob Health Sci Pract.; 1 (3): 372-381.
[4]
Barnet, Amos, Gina s, Heidi, pualand ruby, Laura Bevlack, Elizabeth Summers (2015): introduction to maternity and pediatric Nursing. 7th ed., elsever inc. Canda.
[5]
Belty J. Ackley and Gail B. Ladwig (2014): Nursing diagnosis hand book- an evidence based guide to planning care. 10th ed., P 18.
[6]
Brian A. Magowan, Philip Owen and Andrew Thomson (2014): clinical obstetrics &Gynaecology, 3rd ed., UK. PP 83-84.
[7]
Fen Z, Yufang H, Hong G, and Hongxia L (2016):- Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: Research article.
[8]
Gary Cunningham, Kenneth J. Leveno. Steven L. Bloom, Catherine Y. Spong. Jodi S. Dashe, Jeanne S. Sheffield (2014): Williams Obstetrics, 24th ed., USA. Mc. Graw- hill education.
[9]
Kapp NI, Whyte P, Tang J, Jackson E, Brahmi D.(2013): A review of evidence for safe abortion care:- Sep; 88 (3): 350-63. Dec 20.
[10]
Majid S, Foo S, Luyt B, Zhang X, Theng YL, and Chang YK, (2011):-Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc. 99: 229–36.
[11]
Melnyk BM, Gallagher L, Long LE, Fineout E (2014): The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid. Based Nurs. 11: 5-15.
[12]
Michael R. Foley, ThomasH. Strong JR. Thomas J. Garite (2014): Obstetric intensive care manual, 4th edition. MCGraw Hill education. pp: 301-302.
[13]
Moore ER, Watters R (2013) Educating DNP students about critical appraisal and knowledge translation. Int. J Nurs. Educ. Scholar. 10: 237-244.
[14]
Ndira MH, MD, Dirgha R, Shrestha M, Meena N, Mukta M, Shilu A (2013): Expansion of Safe Abortion Services in Nepal Through Auxiliary Nurse-Midwife Provision of Medical Abortion.
[15]
Royal College of obstetricians and Gynaecologists guidelines (2017):- Genital examination in women: a resource for skills development and assessment, 3rd edition London: RCN. Available at: www.rcn.org.uk
[16]
Said, S. A. (2011): Effect of guideline about ethics on nurses’ knowledge, performance and attitude in obstetric and gynecological department at Benha university hospital, Unpublished Ph. Sc. Nursing thesis submitted to faculty of nursing, Benha University, p 82.
[17]
Say L., (2014):- Global causes of maternal death: a WHO systematic analysis, Lancet Global Health, 2 (6): 323–333.
[18]
Singh S and Maddow I, (2015):- Facility-based treatment for medical complications resulting from unsafe pregnancy termination in the developing world: BJOG.
[19]
Singh S, Darroch JE and Ashford LS, Adding It Up (2014): The Costs and Benefits of Investing in Sexual and Reproductive Health 2014, New York: Guttmacher Institute.
[20]
Stichler JF, Fields W, Kim SC, Brown CE. (2011):- Faculty knowledge, attitudes, and perceived barriers to teaching evidence-based nursing. J Prof Nurs.; 27: 92–100.
[21]
Warriner IK, (2011). Can midlevel health-care providers administer early medical abortion as safely and effectively as doctors? A randomized controlled equivalence trial in Nepal. Lancet; 377: 1155–1161.
[22]
World Health Organization (2016):-Clinical practice handbook for safe abortion. Department of Reproductive Health and Research - available at international network health technicians’ education.
[23]
Kourtis, Athena P.; Read, Jennifer S.; Jamieson, Denise J. (2014): “Pregnancy and Infection”. New England Journal of Medicine. 370 (23): 2211–2218.