الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Postpartum hemorrhage (PPH) remains the leading cause of maternal morbidity and mortality worldwide. Nurses play a critical role in prevention, early recognition and adequate management of PPH in the early postpartum period. Aim: to assess nurses’ performance regarding the guidelines for prevention of postpartum hemorrhage. Design: A descriptive design was utilized to conduct the current study. Settings: labor and postpartum units at Suez Canal University Hospitals, Ismailia, Egypt. Sample: A convenient sample of 75 nurses who provide direct care for laboring and postpartum women. Tools of data collection: Three tools were utilized: 1) structured self-administered questionnaire about the nurses’ personal characteristics and knowledge, 2) Observational checklist and 3) Nurse’s attitude Likert Scale. Results: More than half (54.7%) of the studied nurses had an average level of total knowledge regarding PPH in which about half (50.7%) of them had correct knowledge regarding nurses’ role in third stage of labor to prevent postpartum hemorrhage. The majority (86.7%) of the studied nurses had poor level of total practice regarding guidelines for prevention of postpartum hemorrhage. Most (84%) of the studied nurses showed a positive attitude. There was a statistically significant positive correlation between nurses’ practice, and their attitude (r=0.251; P= 0.03*). Conclusion: The studied nurses had an average level of knowledge and a poor level of practice regarding the prevention of PPH, while the great majority of them had a positive attitude towards the prevention of PPH. Recommendations: Providing periodic training programs and workshops about prevention of PPH to improve the performance of nurses working in labor and postpartum units along with periodic evaluation of nurses’ knowledge, practice and attitude. |