EFFECT OF INSTRUCTIONAL MODULE ON KNOWLEDGE AND ITS MANAGEMENT OF NEONATAL JAUNDICE AMONG NURSES IN PEDIATRIC UNIT OF TWO SELECTED TERTIARY HOSPITALS, OGUN STATE

EFFECT OF INSTRUCTIONAL MODULE ON KNOWLEDGE AND ITS MANAGEMENT OF NEONATAL JAUNDICE AMONG NURSES IN PEDIATRIC UNIT OF TWO SELECTED TERTIARY HOSPITALS, OGUN STATE

Author by Prof. Christiana Sowunmi

Journal/Publisher: African Journal Of Health, Nursing And Midwifery

Volume/Edition: 3

Language: English

Pages: 1 - 12

Abstract

The neonatal period is crucial to the survival of any newborn. In the absence

of adequate and prompt management, neonatal jaundice (NNJ) can lead to acute or moderate

bilirubin encephalopathy, physical impairments, mental retardation and even death. Nurses

play crucial roles in the care of neonates and thus will be in advantage position to curb many

death in neonates, continuing education is paramount in rendering nursing care, hence this

study aimed to evaluate the effect of an instructional module on knowledge and its

management of NNJ among Nurses working in two selected tertiary hospitals in Ogun State.

The study utilized a one-group pre-test post-test quasi experimental design. Total

enumeration of 76 nurses working in the two hospitals constituted the sample size. Two

instruments were used to collect data. A Self-Develop Questionnaire (SDQ) was used to

collect demographic data while a Test Paper on Knowledge and Management of Neonatal

Jaundice (TP-KMNNJ) was used to collect pre and post intervention data from the

participants. Instructional module on knowledge and management of neonatal jaundice was

implemented after pre intervention data collection. Content validity of the instruments was

ascertained by presenting it to experts in the field. Reliability of the questionnaire was

determined using Cronbach Alpha which yielded a co-efficient alpha of 0.71. Data were

processed using Statistical Package of Social Science (SPSS) version 23. Descriptive

statistics was used to provide answers to the two research questions while inferential statistics

of t-test was used to provide answers for the four hypotheses of the study at 0.05 level of

significance. Findings showed that majority of the participants 40(60%) were between the

ages of 26-30 years, 50(72.5%) were Registered Nurses and Midwives, only 12(17.4%) were

Registered Pediatric Nurses. The pre and post intervention mean score of the participants on

knowledge of NNJ were (14.83±5.81) and (20.43±4.23) with a mean gain of 5.60. The pre

and post intervention mean scores on management of NNJ were (15.79±4.99) and

(22.01±3.88) with a mean gain of 6.22. There were significant differences between pre and

post intervention mean scores on knowledge of NNJ (p=0.00); pre and post mean scores on

management of NNJ among participants (p=0.00). There were no significant differences

between pre intervention mean score of the participants on knowledge of NNJ in the two

hospitals (p=0.14); post intervention mean score of the participants on management of NNJ

in the two hospitals (p=0.11). In conclusion, the instructional module enhanced the

knowledge and management of NNJ among participants of the study. There were significant

differences in the pre and post mean scores of knowledge and management among

participants in the two hospitals. Therefore, it was recommended that Nursing Departments

should regularly expose nurses to training programs on NNJ, its prevention, risk factors and

management through continuing education to improve the quality of nursing care for

neonates.


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