Assessment of Neonatal Nurses’ Performance Regarding Early Detection of Neurological Dysfunction among Neonates Having Hyperbilirubinemia

Document Type : Original Article

Authors

Pediatric Nursing department -Faculty of Nursing- Ain shams University.

Abstract

Background: Neonatal hyperbilirubinemia is the most common health hazard of neonates
which have toxic effects on the brain and cause serious complications Nurses’ apply the bilirubin
induced neurological dysfunction for early detection of neurological dysfunction have decrease
incidence of neurological dysfunction among neonate having hyperbilirubinemia. Aim of The
study was to assess nurse's’ performance regarding early detection of neurological dysfunction
among neonates having hyper-bilirubinemia. Research design: descriptive study was utilized.
Research settings the study was conducted in neonatal intensive care units at Benha University
Hospitals and Specialized Children Hospital in Benha City. Subjects: (50) nurses who work in the
previous mentioned settings and (100) neonates were selected Tools of data collection: 1
st
tool
Interview questionnaire sheets were used to collect the participants' characteristic data and
knowledge of the studied nurse regarding hyperbilirubinemia, 2
nd
tool: observational checklist about
bilirubin induced neurological dysfunction tool to assess nurses’ performance for early detection of
neurological dysfunction. Results: The present study indicated that nurses’ knowledge about
bilirubin induced neurological dysfunction and application of bilirubin induced neurological
dysfunction tool was unsatisfactory and there was a statistically significant difference between mean
scores of nurses’ skills Conclusion: It was concluded that, the highest percentage of nurses had
unsatisfactory knowledge, while minority of nurses’ had satisfactory score regarding early detection
of neurological dysfunction among Neonates Having Hyperbilirubinemia. Recommendation: It
was recommended that, neonatal intensive care units should provide training courses for nurses
about hyperbilirubinemia and application of bilirubin induced neurological dysfunction tool

Keywords