Nurses' Compliance with Neonatal Care Protocol Regarding Mechanical Ventilator

Abstract

Intubation and Mechanical ventilation are frequently necessary to treat critically ill neonate who develop hypoxemia and respiratory failure. The purpose of compliance with neonatal care protocol regarding mechanical ventilator is to improve the quality of care for neonates. The aim of the current study was to assess nurses’ compliance with neonatal care protocol regarding mechanical ventilator. Research design: A descriptive analytical design. Settings: this study was conducted in Neonatal Intensive Care Units at Maternity and Gynecological Hospital & Children Hospital affiliated to Ain Shams University Hospitals and Abo El-Reash Hospital affiliated to Cairo University. Subjects: A purposive sample was comprised eighty nine neonatal nurses under the following criteria: Working in the previously mentioned setting, from different categories and regardless their age, education and experience. Tools: A structure questionnaire format to assessment of nurses’ knowledge as regard care of neonates on mechanical ventilators and observational checklist to assess nurses’ compliance toward care of neonates on mechanical ventilator. The result revealed that, more than half of the studied nurses had satisfactory total knowledge regarding care of neonate on mechanical ventilation. The study also clarified that the majority of studied nurses were compliance regarding care of neonate on mechanical ventilation. According to the results of the current study, the researcher. Conclusion: More than half of studied nurses in neonatal intensive care unit were complied with Neonatal Care Protocol. Where, more than half of studied nurses had satisfactory total knowledge and the majority of them had compliance total performance regarding care of neonate on mechanical ventilation. Regarding the relation between nurses' total knowledge and nurses total practice concerning the care of neonatal on mechanical ventilation; it was notice that there was statistical significant differences between nurses' knowledge; and their performance, where the great majority of studied nurses who had satisfactory knowledge done procedure in a compliance way, while less than half of the studied nurses who had unsatisfactory knowledge done procedure in an non compliance way. Recommendations: The study recommend that, periodical educational program for nurses working at neonatal intensive care unit is mandatory, for the purpose of raising and updating the knowledge of nurses regarding care of ventilated neonates to reach the highest possible degree of competency with neonatal care protocols.