The Effect of Education on Oral Feeding Supporting Practices in Preterm Babies on Health Professionals in NICU: A quasi-experimental study

Yıl 2022, Cilt: 32 Sayı: 2, 108 - 113, 29.04.2022

Raziye Çelen , Fatma Taş Arslan , Hanifi Soylu

https://doi.org/10.54005/geneltip.982304

Cited By: 1

Öz

Objective: The aim of this study was to determine the effect education on oral feeding supporting practices in preterm infants on healthcare professionals.
Material and Methods: The study was a single group with pretest-posttest quasi-experimental design conducted at a medical faculty hospital in Turkey. A sample of 44 NICU healthcare professionals (nurse and physician) participated in an education programme. Data were collected using the Demographic Characteristics and Preterm Infant Feeding Qestionnaire Form. Participants were split into groups of 8 to 10 person and the education course was completed in average 45 minutes per day for five days. Prior to the education program, participants completed the pretest. The posttest was completed two weeks after completion of the education course. Data were analyzed using McNemar test and paired t test.
Results: The average age of the participants is 26.14±4.81. Of the 44 participants, 86.4% were nurse, 13.6% physicians and 88.6% were female. While 63.6% of the healthcare professionals had NRP certification, 70.5% of them did not have the neonatal intensive care nursing certificate. It was determined that 40.9% of the participants were not educated about preterm infant feeding, while those who participated in the training were found to receive breast milk training in the context of in-service training. The mean rate of correct pretest answers was 58.69%, whereas the mean rate of correct posttest answers was 78% (p<0.001)
Conclusion: It has been determined that the education given on oral feeding supporting practices in preterm infants improves knowledge the healthcare professionals’.

Anahtar Kelimeler

: Education, evidence-based interventions, NICU, oral feeding, preterm infants;

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Preterm Bebeklerde Oral Beslenmeyi Destekleyici Uygulamalara Yönelik Verilen Eğitimin YYBÜ’ndeki Sağlık Profesyonelleri Üzerine Etkisi: Yarı Deneysel Çalışma

Öz

Amaç: Çalışma, preterm bebeklerde oral beslenmeyi destekleyici uygulamalara yönelik verilen eğitimin yenidoğan yoğun bakım ünitesinde çalışan sağlık profesyonelleri üzerine etkisini belirlemeyi amaçlamaktadır.
Gereç ve Yöntem: Çalışma, tek grup öntest-sontest yarı deneysel tasarımdır. 44 sağlık profesyonelinden (hemşire ve hekim) oluşan örneklem eğitim programına katıldı. Veriler “Demografik Özellikler” ve “Preterm Bebek Beslenme Anket Formu” kullanılarak toplandı. Eğitimler 8-10 kişilik gruplar halinde ortalama 45 dakika süren tek oturumda beş günde yapıldı. Eğitim öncesinde öntest ve eğitim tamamlandıktan iki hafta sonra sontest uygulandı. Veriler, McNemar test ve paired t testi ile analiz edildi.
Bulgular: Katılımcıların yaş ortalaması 26,14±4,81’dir. Katılımcıların %86,4‘ü hemşire, %13,6’sı hekim ve %88,6’sı kadındır. Sağlık profesyonellerinin %63,6’sının NRP sertifikası varken, %70,5’i yenidoğan yoğun bakım hemşireliği sertifikasına sahip değildir. Katılımcıların %40,9’unun preterm bebek beslenmesi hakkında eğitim almadığı, eğitim alanların ise hizmet içi eğitim kapsamında emzirme eğitimi aldıkları belirlendi. Doğru yanıtların öntest ortalaması %58,69 iken, sontest ortalaması %78 dir (p <0,001).
Sonuç: Preterm bebeklerde oral beslenmeyi destekleyici uygulamalar konusunda verilen eğitimin sağlık profesyonellerinin bilgi düzeyini artırdığı saptandı.

Anahtar Kelimeler

Eğitim, kanıta-dayalı uygulamalar, oral beslenme, preterm bebek, YYBÜ

Proje Numarası

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Kaynakça

• 1. Standley JM, Cassidy J, Grant R, et al. The effect of music reinforcement for non-nutritive sucking on nipple feeding of premature infants. Pediatr Nurs 2010;36(3):138.
• 2. Girgin BA, Gözen D. Turkish neonatal nurses' knowledge and practices regarding the transition to oral feeding in preterm infants: A descriptive, cross-sectional study. J Pediatr Nurs 2020;53:e179-e85.
• 3. Shaker C. Feed me only when I'm cueing: Moving away from a volume-driven culture in the NICU. Neonatal Intensive Care 2012;25(3):27-32.
• 4. Cormier DME. Impact of cue-based feeding protocol on premature infants' outcomes and hospital length of stay. Doctoral Project. California State University, 2014.
• 5. Crosson DD, Pickler RH. An integrated review of the literature on demand feedings for preterm infants. Adv Neonatal Care 2004;4(4):216-25.
• 6. Başbakkal Z. Yenidoğan yoğun bakım ünitesindeki bebeklerin beslenme yönetimi. In: Tüfekci FG, Alemdar DK, Özdemir FK, eds. Yenidoğan yoğun bakım hemşireliği. Second ed. Ankara: Nobel Akademik Yayıncılık, 2016;279-96.
• 7. Watson J, McGuire W. Responsive versus scheduled feeding for preterm infants. Cochrane Database Syst Rev 2016;8:CD005255.
• 8. Dalgleish SR, Kostecky LL, Blachly N. Eating in "SINC": Safe individualized nipple-feeding competence, a quality improvement project to explore infant-driven oral feeding for very premature infants requiring noninvasive respiratory support. Neonatal Netw 2016;35(4):217-27.
• 9. Girgin BA, Gözen D, Karatekin G. Effects of two different feeding positions on physiological characteristics and feeding performance of preterm infants: A randomized controlled trial. J Spec Pediatr Nurs 2018;23(2):e12214.
• 10. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175-91.
• 11. Gözen D, Girgin BA. Preterm bebeklerde oral beslenmeyi destekleyici kanıta dayalı girişimler. Clin Exp Health Sci 2017;7(4):171-4.
• 12. Girgin BA, Gözen D. Preterm bebeklerde oral beslenmeye hazır oluşluğun değerlendirilmesi. Turkiye Klinikleri J Nurs Sci 2017;9(4):329-36.
• 13. Mosqueda-Peña R, Lora-Pablos D, Pavón-Muñoz A, et al. Impact of a developmental care training course on the knowledge and satisfaction of health care professionals in neonatal units: A multicenter study. Pediatr Neonatol 2016;57(2):97-104.
• 14. Kim H, Chang SJ. Implementing an educational program to improve critical care nurses' enteral nutritional support. Aust Crit Care 2019;32(3):218-22.
• 15. El-Morsy HAS, El-Sayed RE-SH, Abd El Aziz MA. The effect of implementing a guideline protocol on nurses' knowledge about the nutritional requirements of low birth-weight infants. Am J Nurs Res 2020;8(1):9-17.
• 16. Charafeddine L, Masri S, Sharafeddin SF, Badr LK. Implementing NIDCAP training in a low-middle-income country: Comparing nurses and physicians' attitudes. Early Hum Dev 2020:105092.
• 17. Thoyre SM, Pados BF, Shaker CS, Fuller K, Park J. Psychometric properties of the early feeding skills assessment tool. Adv Neonatal Care 2018;18(5):E13-23.
• 18. Kish MZ. Improving preterm infant outcomes: implementing an evidence-based oral feeding advancement protocol in the neonatal intensive care unit. Adv Neonatal Care 2014;14(5):346-53.
• 19. Lyu T, Zhang Y, Hu X, et al. Management of oral feeding challenges in neonatal intensive care units (NICUs): A national survey in China. Front Pediatr 2020;8:336.
• 20. Ludwig SM, Waitzman KA. Changing feeding documentation to reflect infant-driven feeding practice. Newborn Infant Nurs Rev 2007;7(3):155-60.
• 21. New American Academy of Pediatrics recommendations aim to ensure safe donor human milk available for high risk infants who need it. Available at: https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/New-American-Academy-of-Pediatrics-Recommendations-Aim-to-Ensure-Safe-Donor-Human-Milk-Available-for-High-Risk-Infants-Who.aspx. Accessed August 15, 2020.
• 22. Labiner-Wolfe J, Fein SB. How US mothers store and handle their expressed breast milk. J Hum Lact 2013;29(1):54-8.