Efficacy of Self Instructional Guide on Knowledge and Practices Regarding Care of Pre-Eclampsia Women among Staff Nurses

Shaimaa Hassan Mohamady¹ and Sahar. A. Elkheshen^2,

¹lMaternal & Newborn Nursing, Faculty of Applied Medical Sciences Faculty of Nursing, Helwan University

²Maternal & Newborn Nursing, Faculty of Applied Medical Sciences, Nursing Major, Misr University for Science and Technology

Cite this paper:
Shaimaa Hassan Mohamady and Sahar. A. Elkheshen. Efficacy of Self Instructional Guide on Knowledge and Practices Regarding Care of Pre-Eclampsia Women among Staff Nurses. American Journal of Nursing Research. 2017; 5(6):235-242. doi: 10.12691/ajnr-5-6-6

Abstract

Background: Pre-eclampsia is one of the most common complications of pregnancy affecting both the mother and fetus and the management of pre-eclampsia is currently a rescue perspective, as opposed to a preventable approach. Aim of the study to evaluate the effect of self-instructional guide on knowledge and practices regarding pre-eclampsia among staff nurses. Design: A Quasi-experimental design was utilized. Setting: the current study was conducted in the obstetric and gynecologic department, Helwan General Hospital. Sample: A sample of 40 nurses was recruited according to inclusion criteria. Two tools were used for data collection (1) A structured interview questionnaire, included socio-demographic characteristics of the studied nurses, and nurse’s knowledge about care of pre-eclampsia (2) observation checklist included standards of nursing care of pre-eclampsia Both tools of evaluation were used to assess nurses’ level of knowledge and practice before / after three months of implementing the study. The main findings the self-instructional guide significantly improved the knowledge and practice of nurses regarding care of preeclampsia women. The self-instructional guide was useful in improving the knowledge of nurses in pretest 12.5% samples has good knowledge and 85% samples had good knowledge in posttest. The study recommended putting clear guidelines (policies, protocols and standards) of the different services such guides shall be prepared on various important subjects and made available for nurses working in clinical areas. It will be effective method of updating nurse's knowledge and practice regarding management of pre-eclampsia and eclampsia.

Keywords:
nurses knowledge practice self instructional guides preeclampsia women

This 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]	English, F., A., Kenny, L.C., McCarthy, F., P., (2015). Risk factors and effective management of preeclampsia. Integer Blood Press Control; 8: 7-12.
[2]	August, P., and Sibai, B., (2014). Preeclampsia: Clinical features and diagnosis. Up-to -date. Retrieved from:
[3]	http://www.uptodate.com/contents/preeclampsia-clinical-features-and- diagnosis.
[4]	Lowdermilk, D., Perry, S., Cashion, K., and Alden, K., (2012). Textbook of Maternity & women’s healthcare, 10th edition, p 250-254. St. Louis, MO: Mosby/ Elsevier.
[5]	Dutta, D.C., (2013). Hypertensive disorders in pregnancy, Textbook of Obstetrics, Ed Konar, H.L., 7th edition; p220-224.
[6]	Martin, J., (2013). Forward in American College of Obstetricians and Gynecologist (AGOG), Hypertension in pregnancy. (pp. ix-x). Washington, DC: American College and Obstetricians and Gynecologist.
[7]	World Health Organization. (2011). WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia. Geneva WHO.
[8]	Bell, M., (2010). A historical overview of preeclampsia-eclampsia. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 39(5), 510-518.
[9]	Mitchell, G., (2013). Selecting the best theory to implement planned change. Nursing Management - UK, 20(1), 32-37.
[10]	Norwitz, E. R., and Repke, J. T., (2014). Preeclampsia: Management and prognosis. UpToDate. Retrieved from
[11]	http://www.uptodate.com/contents/preeclampsia-management-and-prognosis.
[12]	Nguyen, T., Crowther, C., Wilkinson, D., & Bain, E. (2013). Magnesium sulphate for women at term for neuroprotection of the fetus.
[13]	Roth, C. K., Parfitt, S. E., Hering, S. L., & Dent, S. A. (2014). Developing protocols for obstetric emergencies. Nursing for Women’s Health. 18(5), 379-390.
[14]	McDowell, D., & McComb, S. A. (2014). Safety checklist briefings: A systematic review of the literature. Association of Perioperative Registered Nurses Journal, 99(1), 125-137.
[15]	DiptiShukla, M.S. (2016). "A Study to Assess the Effectiveness of Self Instructional Guide on Knowledge Regarding the Selected Care of Pre-Eclampsia Patient among Nurses in Selected Hospitals Of Vidarbha Region.” IOSR Journal of Nursing and Health Science, 5 (4): PP 04-08.
[16]	WHO, (2015). Maternal mortality-Fact sheet N°348- Updated November 2015.
[17]	Brown, L.H., and Small, J. M. (2016): Overview of maternal mortality and morbidity.
[18]	https//www.up to date.com/contents/overview/-of-maternal- mortality- and-morbidity.
[19]	Filippi V, C., Ronsmans, C., and Say, G.W., L. (2016): Levels and Causes of Maternal Mortality and Morbidity. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, 3rd ed., (Volume 2). Washington (DC): The International Bank for Reconstruction and Development /the World Bank; 2016 Apr. Chapter 3.
[20]	https://www.ncbi.nlm.nih.gov./pubmed?term= Ronsmans.
[21]	World Health Organization. (2015). Education maternal for teachers of midwifery. Midwifery education guide 5
[22]	*World Health Organisation:
[23]	http://www.who.int/countries/tza/en/
[24]	*WorldHealth Organisation:
[25]	http://www.who.int/gho/countries/tza.pdf
[26]	* Countdown To 2015 report, UNICEF:
[27]	http://www.countdown2015mnch.org/documents/2010report/Profile--‐
[28]	TanzaniaURep.pdf
[29]	*World Health Organisation:
[30]	http://www.who.int/pmnch/topics/child/DHS--‐country--‐profiles.pdf.
[31]	Magee, L.A,Abalos, E, Dadelszen, P, Sibai B,and Walkinshaw SA. (2009). Control of hypertension in pregnancy. Current Hypertension, 11: 429-436.
[32]	Melzer, K, Schutz, Y,DrakshayanideviMelzer K, and Schutz Y, (2012). Improved quality of management of eclampsia patients through criteria based audit at Muhimbili National Hospital, Dar es Salaam, Tanzania. Bridging the quality gap, BMC Pregnancy Childbirth. Nov 21; 12: 134. US National Library of Medicine National Institutes of Health
[33]	Talungchit, P, Liabsuetrakul, T, and Lindmark, G. (2013). Multifaceted intervention to implement indicators of quality of care for severe pre-eclampsia/eclampsia. International Journal of Gynecology and Obstetrics.
[34]	Chen, H.L,Liu, P.F,Liu, P.W, and Tsai, P.S. (2011). Awareness of hypertension guidelines in Taiwanese nurses: a questionnaire survey. J Cardiovasc Nursing; 26(2): 129-36.
[35]	Cunningham, G., Leveno. K., Bloom. S., Hauth., J, Rouse.D., Spong. C. (2014). Antepartum Assessment, Williams Obstetrics, 24th ed. New York: McGraw Hill; pp 407-422.
[36]	Ronsmans, C, and Campbell, O. (2011). Quantifying The fall in mortality associated with interventions related to hypertensive diseases of pregnancy. BMC Public Health; Suppl 3:88.
[37]	Abed El sayed, S., and Hassan, F., (1994). In-service educational program for nurses performance tracheal suctioning, The New Egyptian Journal of Medicine, 10(4): 18.