Sheeba Priyadharshini, R (2018) Effectiveness of virtual newborn care upon knowledge and practice among primipara mothers. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study to Assess the Effectiveness of Virtual Newborn Care upon Knowledge and Practice among Primipara Mothers at Selected Hospitals, Chennai. OBJECTIVES: 1. To assess the level of knowledge and practice on newborn care among primipara mothers. 2. To determine the effectiveness of virtual newborn care upon knowledge and practice among primipara mothers. 3. To determine the association between selected demographic variables and level of knowledge and practice before and after virtual newborn care among primipara mothers. 4. To determine the association between selected obstetric variables and level of knowledge and practice before and after virtual newborn care among primipara mothers. 5. To assess the level of satisfaction on virtual newborn care among the experimental group of primipara mothers. The conceptual framework set up for the study was based on modified model of Jean Ball Deck Chair Theory (1987) to assess knowledge and practice among primipara mothers upon virtual newborn care. An experimental study of pre-test and post-test design was used. The present study was conducted at Andhra Mahila Sabha Hospital, Chennai. The study included 60 primipara mothers who were selected by simple random sampling. The variables of the study were virtual newborn care, knowledge and practice. Null hypothesis were formulated. An extensive review of literature and guidance by experts laid to the foundation of development of demographic variable proforma, obstetric variable proforma, structured interview schedule, observational checklist for Newborn care practice and satisfaction rating scale on Virtual newborn care. The validity was obtained from various experts and reliability was established. The main study was conducted after the pilot study. The level of knowledge and practice of virtual newborn care were assessed for the control and experimental group of primipara mothers. The Virtual newborn care of ten minutes duration was provided for the experimental group. Then the level of knowledge and practice of virtual newborn care were assessed again after 7 days for both the groups. The level of satisfaction on Virtual newborn care among the experimental group of primipara mothers was assessed after one week from intervention. The data obtained was analyzed using Descriptive and Inferential statistics. MAJOR FINDINGS: 1. Majority of primipara mothers were aged 21 -25years (67%, 67%), Hindus (70%, 77%), having secondary education (67%, 56.6%), belonging to joint family (77%, 70%) and their source of information regarding newborn care was from family members (53%, 63.3%). Most of the mothers had a family income < 15000 rupees (70%, 66.6%) in control and experimental group respectively. 2. Majority of primipara mothers had undergone regular antenatal check-up (100%, 100%), delivered through normal vaginal delivery (87%, 73.3%) male and female newborns in control group with (63%, 37%) whereas in experimental group it was (37%, 43%). All the mothers breast fed their newborns (100%, 100%) and they had good sucking behaviour (100%, 100%) in control and experimental group of mothers. Breast feeding was initiated immediately after birth in (10%) of newborns and after half an hour in (90%).Most of the mothers did not develop any post natal complications (100%, 100%). 3. Majority of the primipara mothers had inadequate knowledge (100%, 90%) before intervention in the control and experimental group and all of them had adequate knowledge (100%) after intervention in the experimental group. Hence null hypothesis Ho1 was rejected. 4. The mean knowledge level was slightly high in the post test (M=5.06, SD=1.59) when compared to pretest (M=4, SD=1.22) in the control group where as the mean level of knowledge was significantly high in post test (M=19.00, SD=0.826) when compared to pretest (M=4.8, SD=1.67) in the experimental group. 5. Majority of the primipara mothers in pretest had poor practice with regard to newborn care practice (100%, 100%) in the control and experimental group. After the intervention, the newborn care practice was good (100%) in experimental group. Hence null hypothesis Ho1 was rejected. 6. The mean score of practice in the experimental group was high after intervention (M=23.1, SD=0.932) in comparison with before intervention (M=2.7, SD=1.208). Whereas in the control group there was only a minimal increase in the score of newborn care practice (M=4.0, SD=1.28) after intervention in comparison with before intervention (M=2.43, SD=0). 7. There was a significant association between age in years, religion, occupation and source of information with level of knowledge of virtual newborn care among the control group of primipara mothers. Hence null hypothesis H02 was rejected. 8. There was a significant association between age in years, religion, occupation and source of information with level of knowledge of virtual newborn care in experimental group of primipara mothers. Hence the null hypothesis H02 was rejected. 9. There was a significant association between age in years, religion, occupation and source of information and practice in control group of primi para mothers. Hence null hypothesis Ho2 was rejected. 10. There was no significant association between age in years, religion, occupation and source of information and practice in experimental group of primipara mothers. Hence null hypothesis Ho2was retained. 11. There was no significant association between birth weight, mode of delivery, any complication during labour, initiation of breast feeding and sex of the baby with level of knowledge of virtual newborn care in control group of primipara mothers. Hence null hypothesis H03 was retained. 12. There was a significant association between birth weight, mode of delivery, any complication during labour, initiation of breast feeding and sex of the baby with level of knowledge of virtual newborn care in experimental group of primipara mothers. Hence null hypothesis H03 was rejected. 13. There is no significant association between birth weight, mode of delivery, any complication during labour, initiation of breast feeding and sex of the baby and practice in control group of primipara mothers. Hence null hypothesis Ho3 was retained. 14. There was a significant association between birth weight, mode of delivery, any complication during labour, initiation of breast feeding and sex of the baby and practice in experimental group of primipara mothers. Hence null hypothesis Ho3 was rejected. 15. All the participants in the experimental group were satisfied (100%) with virtual newborn care intervention. RECOMMENDATIONS: 1. The same study can be conducted with large number of samples. 2. A comparison can be made between primi and multi gravida. 3. A comparison can be made with different states. 4. The same study can be conducted in different settings. 5. A comparison can be made between different types of educational programmes.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness ; virtual newborn care ; knowledge ; practice ; primipara mothers. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Aug 2018 01:50 |
| Last Modified: | 22 Dec 2018 13:30 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/9105 |
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