Improving The Quality Of Care For The Sick Newborn: Focusing on Kangaroo Mother Care and Breastfeeding

2.50
Hdl Handle:
http://hdl.handle.net/10755/621182
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
Qualitative Research
Title:
Improving The Quality Of Care For The Sick Newborn: Focusing on Kangaroo Mother Care and Breastfeeding
Author(s):
Namutebi, Mariam; Nankumbi, Joyce; Nalwadda, Gorrette
Lead Author STTI Affiliation:
Tau Lambda-at-Large
Author Details:
Mariam Namutebi, RN, BSN, MSN; Joyce Nankumbi, RN, BSN, MSc; Gorrette Nalwadda, PhD, RN
Abstract:

The project aimed at improving the knowledge and practices of KMC and breastfeeding for the neonates in Stanfield ward. 

Approximately 90-150 neonates are admitted in Mulago Hospital/month. Fears and misconceptions about having a sick neonate are common leading to distress. This project strengthened the leadership capabilities of the first author to navigate/implement change in newborn care clinical practice/teaching and mentorship with support from team members, Maternal and Child Health Nurse Leadership Academy in Africa/Sigma Theta Tau International

A baseline qualitative study was conducted among mothers and nurses. In depth interviews were conducted and data analyzed thematically. We adapted and disseminated instructional/ educational materials on KMC and exclusive breastfeeding, trained two nurses, and 18 undergraduate students. Mothers were also trained in essential care/needs of the sick newborn and how to offer continued peer support. We evaluated the effect of training/support on the newborn outcomes, KMC and exclusive breastfeeding practices of the mothers.

Baseline data from the nurses revealed staff shortages, limited knowledge and poor support as challenges to provide support to women with sick newborns in regard to KMC and exclusive breastfeeding. After the training, nurses/midwives and student nurses all reported great improvement in their care and experience in supporting the mothers. There is an increase in the number of mothers trained in breastfeeding and KMC, an observed reduction in newborn deaths and shortened hospital stay. During this leadership journey, I have learnt to challenge the norm, inspire a shared vision, model the way while enabling others to act.

Improving the skill set of the nurses/midwives and mothers caring for the sick newborn in regard to Kangaroo Mother Care (KMC) and exclusive breastfeeding improves the quality of care for the sick newborn. The trained nurses/midwives are training others to cascade the improvement initiative. The approach used will be adopted and replicated other neonatal units in Mulago Hospital. 

Keywords:
Maternal Child Health; Leadership Development; Kangaroo mother care; Exclusive Breastfeeding
CINAHL Headings:
Maternal-Child Health; Maternal-Child Health--South Africa; Leadership; Kangaroo Care; Kangaroo Care--South Africa; Breast Feeding; Breast Feeding-South Africa
Repository Posting Date:
10-Jan-2017
Date of Publication:
10-Jan-2017
Conference Date:
2015
Conference Name:
Tau Lambda Conference 2015
Conference Host:
Tau Lambda Chapter of Sigma Theta Tau Interntational
Conference Location:
Sunnyside Park Hotel, Johannesburg, South Africa
Sponsors:
Johnson & Johnson

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachQualitative Researchen
dc.titleImproving The Quality Of Care For The Sick Newborn: Focusing on Kangaroo Mother Care and Breastfeedingen_US
dc.contributor.authorNamutebi, Mariamen
dc.contributor.authorNankumbi, Joyceen
dc.contributor.authorNalwadda, Gorretteen
dc.contributor.departmentTau Lambda-at-Largeen
dc.author.detailsMariam Namutebi, RN, BSN, MSN; Joyce Nankumbi, RN, BSN, MSc; Gorrette Nalwadda, PhD, RNen
dc.identifier.urihttp://hdl.handle.net/10755/621182-
dc.description.abstract<p>The project aimed at improving the knowledge and practices of KMC and breastfeeding for the neonates in Stanfield ward. </p> <p>Approximately 90-150 neonates are admitted in Mulago Hospital/month. Fears and misconceptions about having a sick neonate are common leading to distress. This project strengthened the leadership capabilities of the first author to navigate/implement change in newborn care clinical practice/teaching and mentorship with support from team members, Maternal and Child Health Nurse Leadership Academy in Africa/Sigma Theta Tau International</p> <p>A baseline qualitative study was conducted among mothers and nurses. In depth interviews were conducted and data analyzed thematically. We adapted and disseminated instructional/ educational materials on KMC and exclusive breastfeeding, trained two nurses, and 18 undergraduate students. Mothers were also trained in essential care/needs of the sick newborn and how to offer continued peer support. We evaluated the effect of training/support on the newborn outcomes, KMC and exclusive breastfeeding practices of the mothers.</p> <p>Baseline data from the nurses revealed staff shortages, limited knowledge and poor support as challenges to provide support to women with sick newborns in regard to KMC and exclusive breastfeeding. After the training, nurses/midwives and student nurses all reported great improvement in their care and experience in supporting the mothers. There is an increase in the number of mothers trained in breastfeeding and KMC, an observed reduction in newborn deaths and shortened hospital stay. During this leadership journey, I have learnt to challenge the norm, inspire a shared vision, model the way while enabling others to act.</p> <p>Improving the skill set of the nurses/midwives and mothers caring for the sick newborn in regard to Kangaroo Mother Care (KMC) and exclusive breastfeeding improves the quality of care for the sick newborn. The trained nurses/midwives are training others to cascade the improvement initiative. The approach used will be adopted and replicated other neonatal units in Mulago Hospital. </p>en
dc.subjectMaternal Child Healthen
dc.subjectLeadership Developmenten
dc.subjectKangaroo mother careen
dc.subjectExclusive Breastfeedingen
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Health--South Africaen
dc.subject.cinahlLeadershipen
dc.subject.cinahlKangaroo Careen
dc.subject.cinahlKangaroo Care--South Africaen
dc.subject.cinahlBreast Feedingen
dc.subject.cinahlBreast Feeding-South Africaen
dc.date.available2017-01-10T20:57:21Z-
dc.date.issued2017-01-10-
dc.date.accessioned2017-01-10T20:57:21Z-
dc.conference.date2015en
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda Chapter of Sigma Theta Tau Interntationalen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.description.sponsorshipJohnson & Johnsonen
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