Health System Factors Influencing Practice Of Neonatal Resuscitation among Nurses in Machakos Level 5 Hospital
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Date
2019
Authors
MM, Daniel
T, Joseph
R, Kenneth
Journal Title
Journal ISSN
Volume Title
Publisher
Medwin publishers
Abstract
The first minute after birth is usually referred to as the golden minute, and the new born baby should be able to initiate
spontaneous breathing, failure to which a condition called birth asphyxia ensues. Globally, approximately 5 per cent to10
per cent of newborns in facilities require resuscitation after delivery. In sub-Saharan Africa where over one third of all
intrapartum related neonatal deaths occur, the rates of skilled attendance at birth are very low. In Kenya neonatal
mortality remains at 22/100,000 live births, majority associated with poor resuscitation. This study sought to assess
neonatal resuscitation practice among nurses in Machakos Level 5 Hospital, in Machakos County, Kenya. Specifically the
study sought to assess health system factors that influence practice of neonatal resuscitation among nurses. The study
adopted a descriptive cross-sectional study design. The study population included a sample of 201 nurses working in
Machakos level 5 hospitals in Machakos County. Quantitative data was collected using semi-structured questionnaires
from selected nurses through systematic random sampling at a predetermined interval of 2. Qualitative data was
collected using key informant interview schedules with 6 selected Key Informants. Key informants were purposively
selected for inclusion in the study. Descriptive statistics were analyzed using Statistical Package for Social Sciences (spss)
version 24.0 with the aid of Microsoft Excel program to generate frequency tables, graphs and pie-charts. Qualitative data
was analyzed using thematic analysis and results triangulated with quantitative data as narrations. To test the association
between study variables, Chi-Square tests done was at 95% confidence interval (p<0.05) were used. The study results
revealed that 41 per cent of respondents fully practiced neonatal resuscitation. Health system factors that significantly
influenced neonatal resuscitation included; availability of resuscitation equipment (p=0.001), place of keeping
resuscitation equipment (p=0.021) and reference to guidelines (p=0.001). The study recommends increased rates of
continuous medical education of nurses coupled with strict supervision to increase achievement rates of practicing
neonatal resuscitation according to the guidelines. The Ministry of Health and Machakos County should create awareness to the policy makers on training methods to improve on the level of skill and knowledge on newborn resuscitation among
nurses deployed in the country’s medical institutions thus reducing rates of neonatal mortality
Description
Article
Keywords
Neonatal Resuscitation, Resuscitation Factors, Asphyxia
Citation
Daniel MM, et al. Health System Factors Influencing Practice of Neonatal Resuscitation among Nurses in Machakos Level 5 Hospital. Public H Open Acc 2019, 3(2): 000147.