American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2020, 8(1), 9-17
DOI: 10.12691/ajnr-8-1-2
Open AccessArticle

The Effect of Implementing a Guideline Protocol on Nurses' Knowledge about the Nutritional Requirements of Low Birth-Weight Infants

Hend Abdelhady Salah El-Morsy1, , Rabab El-Sayed Hassan El-Sayed2 and Magda Ahmed Abd El Aziz2

1Neonatal Nursing Department, Biyala Central Hospital, Kafr El-Shaikh, Egypt

2Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Pub. Date: November 05, 2019

Cite this paper:
Hend Abdelhady Salah El-Morsy, Rabab El-Sayed Hassan El-Sayed and Magda Ahmed Abd El Aziz. The Effect of Implementing a Guideline Protocol on Nurses' Knowledge about the Nutritional Requirements of Low Birth-Weight Infants. American Journal of Nursing Research. 2020; 8(1):9-17. doi: 10.12691/ajnr-8-1-2

Abstract

Background: Optimal nutritional management for low birth weight infants decreases postnatal catabolism, promotes growth, and improves neurodevelopmental outcomes. A guideline protocol about the ‎nutritional requirements is necessary to understand the practical knowledge related to feeding of these infants, decrease variation in knowledge among nurses, and promote the health outcomes for low birth weight infants. Aim: This study aimed to assess the effect of implementing a guideline protocol on nurses' knowledge about the ‎nutritional requirements of low birth weight infants. Research design: A quasi-experimental design was used. Setting: The study was conducted at the neonatal intensive care units affiliated to Health Insurance Hospital, Mansoura Old General Hospital, and ‎Mansoura New General Hospital in El - Mansoura City, Egypt. Sample: The study included a convenience sample of 59 nurses working in the previously mentioned study settings. Tool: Data were collected by using self- administered questionnaire sheet which composed of two parts. Part 1: Characteristics of the studied nurse. Part 2: Nurses' knowledge about nutritional requirements of low birth weight infants. Results: More than half of the studied nurses had insufficient knowledge about nutritional requirements of low birth weight infants, pre implementation of guideline protocol, while all of the studied nurses had a sufficient knowledge post implementation of guideline protocol, which revealed a significant differences. Conclusion: There was a significant improvement in nurses' knowledge about the nutritional requirements of low birth weight infants post implementation of guideline protocol. Recommendation: Developing training programs regarding nutritional requirements of low birth weight infants depending on evidence-based guideline protocol for the nurses at neonatal intensive care units is important to improve their knowledge.

Keywords:
low birth weight infants neonatal intensive care units nurses' knowledge nutritional requirements

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Bhimwal, R. K., Makwana, M., Chouhan, H. K., Gupta, M., Lal, K., & Jora, R. (2017). A study of various determinates and incidence of low birth weight babies born in Umaid hospital, Jodhpur (Western Rajasthan). International Journal of Contemporary Pediatrics, 4(4), 1302-1309.
 
[2]  World Health Organization (2018). New global estimates on preterm birth published. WHO.
 
[3]  Bansal, P., Garg, S., & Upadhyay, H. P. (2019). Prevalence of low birth weight babies and its association with socio-cultural and maternal risk factors among the institutional deliveries in Bharatpur, Nepal. Asian Journal of Medical Sciences, 10(1), 77-85.
 
[4]  Talie, A., Taddele, M., & Alemayehu, M. (2019). Magnitude of Low Birth Weight and Associated Factors among Newborns Delivered in Dangla Primary Hospital, Amhara Regional State, Northwest Ethiopia, Journal of Pregnancy.
 
[5]  Embleton, N. D., & Simmer, K. (2014). Practice of parenteral nutrition in VLBW and ELBW infants. In Nutritional Care of Preterm Infants (Vol. 110, pp. 177-189).
 
[6]  Karger Publishers. Gupte, S., (2016). Low Birthweight Neonates: Aspects of Feeding in Resource-limited Settings. EC Paediatrics 2.3, 143-152.
 
[7]  Lee, K. A., & Hayes, B. C. (2015). Head size and growth in the very preterm infant: a literature review. Research and Reports in Neonatology, 5, 1.
 
[8]  Wang, G., Johnson, S., Gong, Y., Polk, S., Divall, S., Radovick, S., ... & Chen, Z. (2016). Weight gain in infancy and overweight or obesity in childhood across the gestational spectrum: a prospective birth cohort study. Scientific reports, 6, 29867.
 
[9]  Mula, C. (2014). Nurses’ Competency and Challenges in Enteral feeding in the Intensive Care Unit (ICU) and High Dependency Units (HDU) of a referral hospital, Malawi. Malawi Medical Journal, 26(3), 55-59.
 
[10]  Hockenberry, M. J., & Wilson, D. (2014). BOPOD-Wong's Nursing Care of Infants and Children. Elsevier Health Sciences.
 
[11]  Shakeel, F., Napolitano, A., Newkirk, M., Harris, J. E., & Ghazarian, S. R. (2015). Improving Clinical Outcomes of Very Low Birth Weight Infants by Early Standardized Nutritional Management. ICAN: Infant, Child, & Adolescent Nutrition, 7(6), 328-337.
 
[12]  Paul, S. P., Kirkham, E. N., Hawton, K. A., & Mannix, P. A. (2018). Feeding growth restricted premature neonates: a challenging perspective. Sudanese journal of paediatrics, 18(2), 5.
 
[13]  Ehrenkranz, R. A. (2014). Extrauterine growth restriction: is it preventable?. Jornal de pediatria, 90(1), 01-03.
 
[14]  Graziano, P. D., Tauber, K. A., Cummings, J., Graffunder, E., & Horgan, M. J. (2015). Prevention of postnatal growth restriction by the implementation of an evidence-based premature infant feeding bundle. Journal of Perinatology, 35(8), 642.
 
[15]  Kish, M. Z. (2014). Improving preterm infant outcomes: implementing an evidence-based oral feeding advancement protocol in the neonatal intensive care unit. Advances in Neonatal Care, 14(5), 346-353.
 
[16]  Thoene, M. K., Lyden, E., & Anderson‐Berry, A. (2018). Improving Nutrition Outcomes for Infants< 1500 Grams With a Progressive, Evidenced‐Based Enteral Feeding Protocol. Nutrition in Clinical Practice, 33(5), 647-655.
 
[17]  Zaki, A. M., El-Sayed, E. M., Said, K. M., & Ali, R. H. (2018). Assessment of Nurses' Performance Regarding Care for Neonates with Necrotizing Enterocolitis at Intensive Care Units. Egyptian Journal of Health Care, 9(3), 111-124.
 
[18]  Adzitey, S. P., Wombeogo, M., Mumin, A. H., & Adzitey, F. (2017). Knowledge and Attitude of Nurses in the Tamale Metropolis toward Kangaroo Mother Care (KMC). Annals of Medical and Health Sciences Research.
 
[19]  Ezenduka, P. O., Ndie, E. C., & Oburoh, E. T. (2016). Assessment of knowledge, attitude, and practice of nursing management of birth asphyxia in federal medical centre Asaba, Delta State-Nigeria. Clinical Nursing Studies, 4(2), 21.
 
[20]  Mohamed Ibrahim, M., El-Sayed Ouda, W., Salah Ismail, S., & Abdal semia Elewa, A. (2019). Assessment of Nursing Care Provided to Neonates Undergoing Phototherapy. Egyptian Journal of Health Care, 10, 1–12.
 
[21]  Mohammed, A. A., & Abdel Fattah, S. A. (2018). The effect of Educational Program on Nurse’s Knowledge and Practices about Nasogastric Tube Feeding at neonatal intensive care units. Journal of Nursing Education and Practice, 8(8).
 
[22]  Abo-El Ezz, A. A., Alseraty, W. H., & Farag, N. H. (2019). Effect of Nursing Intervention Guidelines on Nurses’ Knowledge and Performance Regarding Prevention and Management of Intraventricular Hemorrhage among Preterm Neonates. IOSR Journal of Nursing and Health Science, 8(3). 62-73.
 
[23]  Amoula, I. W., & Kambal, E. I. (2016). Pediatric Nurses’ Knowledge and Practices Regarding Nursing Management of Premature Babies in Neonatal Intensive Care Unit at Soba University Hospital, Khartoum State, Sudan, International Journal of Recent Research in Life Sciences(IJRRLS) , 3(4): 1-9.
 
[24]  Salah Ismail, S., & Hassan Bayoumy, M. (2017). Nurses’ Performance in Premature Transition from Gavage to Breastfeeding: Effect of Education Program. Egyptian Journal of Health Care, 8(1), 163–181.
 
[25]  Phanase, B. N. (2016). Effectiveness of Structured Teaching Programme (STP) on knowledge regarding care of low birth weight babies among staff nurses working at hospitals of Vidarbha region. International Journal of Nursing Education and Research, 4(2), 95-98.
 
[26]  Ameri, Z. D., Vafaee, A., Sadeghi, T., Mirlashari, Z., Ghoddoosi-Nejad, D., & Kalhor, F. (2016). Effect of a Comprehensive Total Parenteral Nutrition Training Program on Knowledge and Practice of Nurses in NICU. Global journal of health science, 8(10), 56478-56478.
 
[27]  Lee, L. Y., Muhardi, L., Cheah, F. C., Supapannachart, S., Teller, I. C., Bindels, J., ... & van Elburg, R. M. (2018). Health‐care professionals’ approach in feeding term small‐for‐gestational age infants and its potential implications to later growth outcomes. Journal of paediatrics and child health, 54(4), 370-376.
 
[28]  Yang, Y., Li, R., Wang, J., Huang, Q., & Lu, H. (2018). Knowledge of healthcare providers regarding breastfeeding preterm infants in mainland China. BMC pediatrics, 18(1), 251.
 
[29]  Ziadi, M., Héon, M., Aita, M., & Charbonneau, L. (2016). A pilot nursing educational intervention promoting an evidence-based transition from gavage to direct breastfeeding in a NICU. Journal of Neonatal Nursing, 22(3), 124-137.
 
[30]  Elzubeir, E. I. D. (2015). Nurses’ Knowledge regarding Nursing Care of preterm Infants in Wad Medani Pediatric Teaching Hospital, Gezira State, Sudan (Doctoral dissertation, University Of Gezira).
 
[31]  Aziz, A. R., & Mansi, Q. H. (2017). Assessment Quality of Nursing Care Provided to Neonates with Respiratory Distress Syndrome at Intensive Care Unit in AL-Nasiriyah City Hospitals. kufa Journal for Nursing sciences, 7(2), 1-12.
 
[32]  Prasanna, K., Sheelu, J., & Indira, D. S. (2016). Assess the knowledge regarding assessment of high risk neonates among staff nurses and nursing students in selected hospitals at Nellore, AP. IJAR, 2(6), 730-4.