Evaluation of Nurses' Practices about Care Neonates with Diaphragmatic Hernia in Neonatal Intensiv Care Unit

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Ayaat Abbass Husieen, Suad Hassoon Khudhair

Abstract

When it comes to providing care for neonates diagnosed with diaphragmatic hernia, the expertise and experience of nurses play a vital role. They need to be able to recognize the indicators of distress, offer the required interventions, and carefully monitor the status of the neonates to ensure the best outcome possible. It is essential to maintain open lines of communication and work closely with the multidisciplinary team in order to deliver the highest level of care possible for these neonates. The result displays that the assessment of nurses’ practices about diaphragmatic hernia in neonatal intensiv care unit the findings are poor level .


Objective(s): This study aims to evaluate nurses' practices about care  neonates with Diaphragmatic Hernia in neonatal intensiv care unit and find out the relationship between Nurses' Practices and their demographic characteristic.


Methodology: A descriptive study design was conducted in  march 22h ,2023 to May 23th, 2023,for (30) nurses who works in neonatal intensive care units(10) from Children Welfare Teaching hospital,(10) from Al-Yarmouk Teaching Hospital and(10) from Baghdad Teaching Hospital at Baghdad city. The nurses were selected from morning and night shift. The study questioner was consisting to tow parts. demographic data, nurses' knowledge about care of neonates with diaphragmatic hernia. The reliability of questioner was determined through a pilot study consist from (10) nurses they  work in the neonatal intensive care unit at the Central Children's Teaching Hospital at the City of Baghdad,(5)from morning shift and (5) from night shift  and the validity of the questionnaire consists of (10) experts (8)  from  College of Nursing /University of Baghdad and (2) from Children Welfare Teaching Hospital .


Results: The result of this study show that the age group (25- 30 yares) takes the highest percentage (f=16)(53‎%‎( most of the study sample (f=20)(66.6% )was females, more of nurses are married (f=20)(72%) the years of experience (f=  18)(60%) of them seen with"6-  11"(year) in  neonatal itensive care unit the highest percentage, (f=18)(60%) regarding level of education refer to "diploma" in the of nurses, only( 33%)(f=10) of  nurses reported they participated in the trending courses about diaphragmatic hernia, Most participant in the sample of study they haven’t information(f=16)(55%) of them reported they have in which they got their information from internet the study show that the  nurses’ practices about care of neonates with diaphragmatic hernia in neonatal intensiv care unit are poor level Conclusion: the age for nurses refers to “25- 30” years. The gender refers to that  more half are  female, most of the nurses are married, more than half of them seen with “6-11” years of experience. Only 3 of nurses are participated in training courses about diaphragmatic hernia. The study show that the nurses practices are poor level .


Recommendations: Adopted the program in continuing nursing education to raise nurses’ Practice about Congenital Diaphragmatic Hernia.Hold courses every 6 months for nurses on caring for neonates with Congenital Diaphragmatic Hernia.Preparing illustrated guidebooks and pictures on caring for neonates with Congenital Diaphragmatic Hernia.

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