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Effectiveness of Nurse led structured teaching programme on knowledge and practice of postnatal mothers on low birth weight care
Authors:Harshita Prabhakaran  Judie Arulappan
Institution:1. Department of Nursing Science, University of Pretoria, South Africa;2. School of Nursing Science, North- West University (Potchefstroom Campus), South Africa;3. Department of Nursing Science, University of Stellenbosch, Stellenbosch, South Africa;4. Maternal Child and Woman''s Health, KwaZulu Natal, Department of Health, 330 Langalabalile Street, Pietermaritzburg, 3200, KZN, South Africa;5. Neonatal Nurse Practitioner, Kibogora Hospital, Rwanda;6. Learning Centre Manager, Life College of Learning (Pretoria Learning Centre), Life Healthcare, Ilovo, Johannesburg, South Africa;7. Neonatal Consultant (Self-employed), Pretoria, South Africa
Abstract:BackgroundLow birth weight (LBW) in infants is a critical issue worldwide. If the issue is not recognized early, it can lead to high mortality and morbidity rates. Mothers and caregivers of LBW newborns holds a great responsibility and need appropriate information and expertise in caring for the LBW newborns. This study aimed to evaluate the effectiveness of a Nurse led structured teaching program (NLSTP) on the knowledge and practice of mothers of LBW infants.MethodsA quantitative pre-experimental one group pre-test post-test research study was conducted. A sample of 30 postnatal mothers of LBW babies meeting the inclusion criteria were selected. The knowledge and practices of postnatal mothers on the care of LBW babies was tested using a structured interview schedule and a checklist before the administration of NLSTP. Thereafter, the NLSTP was conducted using an educational booklet. After the NLSTP, the knowledge and practice were assessed on the 7th day.ResultsThe findings of the study reflected poor knowledge and practice scores before the intervention in the pre-test. However, the mothers gained a good level of knowledge showing marked improvement in their practices after the NLSTP was implemented. The mean post-test knowledge score (17.6) was significantly higher than the mean pre-test knowledge score (10.8) with a SD of +1.33. Likewise, the mean post-test practice score (15.6) was significantly higher than the mean pre-test practice score (8.23) with a SD of +7.5. The paired ‘t’ test computed between pre-test and post-test knowledge scores (t = 67.6) and practice scores (t = 5.28) were highly significant at p ≤ 0.05 level. A significant association was found between the pre-test knowledge scores and monthly family income (p < 0.05 level).ConclusionThis study highlights that post-natal mothers have a lack of expertise in caring for their LBW babies. The NLSTP targeted at improving the knowledge and practices of post-natal mothers regarding the care of their LBW babies can help reduce the morbidity and mortality rates of LBW babies.
Keywords:Low birth weight  Babies  Practice  Knowledge  Postnatal mothers  Education  Nurse led teaching
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