Effect of Designing and Implementing Nursing Guidelines on Nurses' Performance in Caring Women with Ectopic Pregnancy

Hanan A. F. Mohamed; Mahmoud R. Fayed; Somaya O. Abd El Meneam; Ola M. El-Sayed

doi:10.47104/ebnrojs3.v1i3.62

Hanan A. F. Mohamed Faculty of Nursing, Almagmaah University, KSA
Mahmoud R. Fayed Faculty of Medicine, Benha University
Somaya O. Abd El Meneam Faculty of Nursing, Benha University
Ola M. El-Sayed Head Nurse, Menouf General Hospital, Menoufia

DOI: https://doi.org/10.47104/ebnrojs3.v1i3.62

Keywords: Ectopic pregnancy, Nursing guidelines, and maternity nurses' performance.

Abstract

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality.

Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy.

Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines.

Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4% of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001).

Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.