Nurses’ compliance in using Modified Neonatal Fall Risk Assessment Scale for Newborns

Reema Miriam Uthup, - (2017) Nurses’ compliance in using Modified Neonatal Fall Risk Assessment Scale for Newborns. Masters thesis, Apollo College of Nursing, Chennai.

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Abstract

STATEMENT OF THE PROBLEM : A Study to Assess the Nurses Compliance in Using Modified Neonatal Fall Risk Assessment Scale for Newborns in Selected Hospitals, Chennai. OBJECTIVES OF THIS STUDY : 1. To assess the compliance of nurses in using Modified Neonatal Fall Risk Assessment Scale. 2. To determine the incidence of fall after the implementation of Modified Neonatal Fall Risk Assessment Scale. 3. To find out the association between the compliance of nurses in using Modified Neonatal Fall Risk Assessment Scale and selected demographic variables of Nurses. The conceptual framework for the study was developed on the basis of Wiedenbach’s Helping Art of Clinical Nursing Theory (1964), which was modified for the present study. An intensive review of literature and experts guidance laid the foundation to the development of tools such as demographic variable proforma, obstetrical variable for postnatal mothers, nurses practice compliance check list and nurses attitude rating scale. In this study a descriptive co-relational research design has been adopted. The present study was conducted in Apollo Cradle Hospital, Chennai among 30 nurses who satisfied the inclusion criteria. The researcher used the demographic variable proforma to get the baseline information about the nurses. An obstetrical variable proforma for postnatal mothers to get the baseline information about postnatal mothers. An observational checklist was used to assess the practice of nurses and a rating scale was used to assess the attitude of nurses towards the newborn fall risk assessment scale. The data collection tools were validated and reliability was established. After the pilot study, the data collection for the main study was conducted for a period of six weeks. The collected data was tabulated and analyzed using appropriate descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY : • More than half of the nurses were aged 23 – 25 years (53.3%), qualified with BSc (N) (98.3%), majority of them had not attended any in-service education on fall risk prevention or had undergone newborn related certified speciality training (86.6%). • More than half of the mothers were aged 21 - 30 years (60%), Primipara (70%). Majority of mothers had a pain score of 4 – 7 on day 1, day 2 and day 3 (80%, 70%, 50 %). Majority of mothers (90%) got analgesics through intravenous route. • The compliance of nurses who used modified neonatal fall risk assessment scale for newborns was found to higher on day 3 (80%) among the nurses working in labor ward, OT and postnatal ward and in NICU and nursery all the nurses (100%) were compliant on day 2 and 3. • The mean and standard deviation on the compliance of nurses taking care of the newborn was found to be higher on the third day of implementation of modified neonatal fall risk assessment scale for newborns (M =50.1 & SD = 7.68) in comparison with day 1 (M = 34.2 & SD = 9) and day 2 (M = 40 & SD = 7.53) for nurses in labor ward, OT and postnatal ward and it also depicts that for nurses working in NICU and nursery it was higher on day 3 (M = 29.1 & SD = 1.95 ) in comparison with day 1 (M = 23.3 & SD = 3.7) and day 2 (M = 28.2 & SD = 2.8). • Findings reveal that there is no incidence of falls after implementation of Modified Neonatal Fall Risk Assessment Scale for Newborns. • Chi square test was used for finding out the association between the selected demographic variables and the compliance of nurses in using Modified Neonatal Fall Risk Assessment Scale, it showed no significant association between the nurses compliance and the selected demographic variables on day1, 2, 3. Hence the null hypothesis H01; There will be no significant association between compliance of nurses using Modified Neonatal Fall Risk Assessment Scale and selected demographic variables of nurses was retained. RECOMMENDATIONS : • A similar study could be undertaken on a larger scale for a more valid generalization. • The present study could be replicated in different settings. • A comparative study may be done using different fall risk assessment scales. • A study can be conducted to find out the risk factors of newborn fall in the hospital.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Nurses’ compliance ; Modified Neonatal Fall Risk Assessment Scale ; Newborns.
Subjects: NURSING > Paediatric Nursing
Depositing User: Kambaraman B
Date Deposited: 26 Feb 2018 16:34
Last Modified: 26 Feb 2018 16:34
URI: http://repository-tnmgrmu.ac.in/id/eprint/5873

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