Copyright (c) 2020 Lehulu Tilahun
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Assessment of Knowledge and Practice of Nurses Working in Gynecology Emergency Room Towards Pregnancy Induced Hypertension in Selected Government Public Hospitals Found in Addis Ababa, Ethiopia
Corresponding Author(s) : Lehulu Tilahun
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 2 (2020): 2020 Volume 8- Issue -2
Abstract
Background
Pregnancy induced hypertension is one of the most common causes of both maternal and neonatal morbidity.
Objective
To assess knowledge and practice of nurses working in gynecology emergency room towards Pregnancy Induced Hypertension and association of having training and work experience to their knowledge and practice in selected government public hospitals of Addis Ababa, Ethiopia.
Methods
Institution based descriptive cross sectional study was conducted. Hospitals were selected by simple random sampling using lottery method with sample size determination of all nurses found in Gynecology emergency Room.
Result
A total of 78 study participants were included in the study. The mean age of the respondents was 25.62 years. Out of the total study participants, 54(67.9%) of them found to have adequate knowledge towards pregnancy induced hypertension. However, among the total 78 charts reviewed, 39(50%) of the charts had showed good practice towards pregnancy induced hypertension. Only training was significantly associated with knowledge towards pregnancy induced hypertension at p<0.003 but none of the variables were significantly associated with practice towards pregnancy induced hypertension.
Conclusion
Based on the findings of this study, the level of knowledge and practice was found to be low.
Keywords
Chronic hypertension
Eclampsia
Gestational hypertension
Knowledge and practice of nurses
Pre-eclampsia
Superimposed pre-eclampsia
References
-
[1]. Cathrine M. Norman (R: 118433). An investigation into pregnancy induced the hypertension: a case study for unpublished. Nyadire Methodist Hospital. 2013.
[2]. Moodley J. Maternal deaths due to hypertensive disorders in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology. 22(3), 2008, 559-67.
[3]. Magee LA, Abalos E, von Dadelszen P, Sibai B, Walkinshaw SA. Control of hypertension in pregnancy. Current hypertension reports. 11(6), 2009, 429.
[4]. World Health Organization. Maternal mortality: to improve maternal health, barriers that limit access to quality maternal health services must be identified and addressed at all levels of the health system: fact sheet.
[5]. Hailu A, Kebede D. High-risk pregnancies in urban and rural communities in central part of Ethiopia. East African medical journal. 71(10), 1994, 661-6.
[6]. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 367(9516), 2006, 1066-74.
[7]. Ronsmans C, Campbell O. Quantifying the fall in mortality associated with interventions related to hypertensive diseases of pregnancy. BMC Public Health. 11(3), 2011, S8.
[8]. Bhutta ZA, Ali S, Cousens S, Ali TM, Haider BA, Rizvi A, Okong P, Bhutta SZ, Black RE. Alma-Ata: rebirth and revision 6: interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? The Lancet. 372(9642), 2008, 972.
[9]. Duley L. Pre-eclampsia and the hypertensive disorders of pregnancy. British Medical Bulletin. 67(1), 2003, 161-76.
[10]. Hofmeyr GJ, Duley L, Atallah A. Dietary calcium supplementation for prevention of pre?eclampsia and related problems: a systematic review and commentary. BJOG: An International Journal of Obstetrics & Gynaecology. 114(8), 2007, 933-43.
[11]. Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy and Childbirth. 8(1), 2008, 10.
[12]. Rööst M, Altamirano VC, Liljestrand J, Essén B. Priorities in emergency obstetric care in Bolivia––maternal mortality and near?miss morbidity in metropolitan La Paz. BJOG: An International Journal of Obstetrics & Gynaecology. 116(9), 2009, 1210-7.
[13]. Sally Sami Abed El., NahedFikry Hassan Kh, SamiaIbarhim Osman Ha. Investigate Evidence Based Nursing Practices in Preeclampsia among Pregnant Woman. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 5, 2016, 25-31.
[14]. P.kavitha, Asmerom tesfaye, R.Aroun Prasath, Luwam habtegiorgis, Selam Girmay, Yohana serke BSN. To asses level of knowledge of staff nurses on emergency obstetric management at orota national referral maternity hospital.International jouornal of Allid medical sciences and clinical research (IJAMSCR). 2, 2014.
[15]. Maembe LE. Management of preeclampsia/eclampsia in Dar es Salaam public health facilities: availability of supplies and knowledge of healthcare workers (Doctoral dissertation, Muhimbili University of Health and Allied Sciences.).
[16]. Stellenberg EL, Ngwekazi NL. Knowledge of midwives about hypertensive disorders during pregnancy in primary healthcare. African journal of primary health care & family medicine. 8(1), 2016, 1-6.
[17]. AI-Dharrab, S. A., Mangoud, A. M., & Mohsen, M. F. A. Knowledge, attitude and practice (KAP) of primary health care physicians and nurses towards hypertension: A study from Dammam, SAUDI Arabia. Journal of Family & Community Medicine. 3(2), 1996, 57–63.
[18]. M. Munirathnamma, T.Lakshmamma: Knowledge of Staff Nurses Regarding Management of Pregnancy Induced Hypertension (PIH): International Journal of Humanities and Social Science Invention: 2(11), 2013.
[19]. Assessing level of knowledge and management practices of pre eclampsia in pregnant among nurses in Omdurman military hospital at Sudan. 2015.
[20]. Bergel E, Carroli G, Athabe F. Ambulatory versus conventional methods for monitoring blood pressure during pregnancy (review). The Cochrane Collaboration 1, 2009.
References
[1]. Cathrine M. Norman (R: 118433). An investigation into pregnancy induced the hypertension: a case study for unpublished. Nyadire Methodist Hospital. 2013.
[2]. Moodley J. Maternal deaths due to hypertensive disorders in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology. 22(3), 2008, 559-67.
[3]. Magee LA, Abalos E, von Dadelszen P, Sibai B, Walkinshaw SA. Control of hypertension in pregnancy. Current hypertension reports. 11(6), 2009, 429.
[4]. World Health Organization. Maternal mortality: to improve maternal health, barriers that limit access to quality maternal health services must be identified and addressed at all levels of the health system: fact sheet.
[5]. Hailu A, Kebede D. High-risk pregnancies in urban and rural communities in central part of Ethiopia. East African medical journal. 71(10), 1994, 661-6.
[6]. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 367(9516), 2006, 1066-74.
[7]. Ronsmans C, Campbell O. Quantifying the fall in mortality associated with interventions related to hypertensive diseases of pregnancy. BMC Public Health. 11(3), 2011, S8.
[8]. Bhutta ZA, Ali S, Cousens S, Ali TM, Haider BA, Rizvi A, Okong P, Bhutta SZ, Black RE. Alma-Ata: rebirth and revision 6: interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? The Lancet. 372(9642), 2008, 972.
[9]. Duley L. Pre-eclampsia and the hypertensive disorders of pregnancy. British Medical Bulletin. 67(1), 2003, 161-76.
[10]. Hofmeyr GJ, Duley L, Atallah A. Dietary calcium supplementation for prevention of pre?eclampsia and related problems: a systematic review and commentary. BJOG: An International Journal of Obstetrics & Gynaecology. 114(8), 2007, 933-43.
[11]. Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy and Childbirth. 8(1), 2008, 10.
[12]. Rööst M, Altamirano VC, Liljestrand J, Essén B. Priorities in emergency obstetric care in Bolivia––maternal mortality and near?miss morbidity in metropolitan La Paz. BJOG: An International Journal of Obstetrics & Gynaecology. 116(9), 2009, 1210-7.
[13]. Sally Sami Abed El., NahedFikry Hassan Kh, SamiaIbarhim Osman Ha. Investigate Evidence Based Nursing Practices in Preeclampsia among Pregnant Woman. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 5, 2016, 25-31.
[14]. P.kavitha, Asmerom tesfaye, R.Aroun Prasath, Luwam habtegiorgis, Selam Girmay, Yohana serke BSN. To asses level of knowledge of staff nurses on emergency obstetric management at orota national referral maternity hospital.International jouornal of Allid medical sciences and clinical research (IJAMSCR). 2, 2014.
[15]. Maembe LE. Management of preeclampsia/eclampsia in Dar es Salaam public health facilities: availability of supplies and knowledge of healthcare workers (Doctoral dissertation, Muhimbili University of Health and Allied Sciences.).
[16]. Stellenberg EL, Ngwekazi NL. Knowledge of midwives about hypertensive disorders during pregnancy in primary healthcare. African journal of primary health care & family medicine. 8(1), 2016, 1-6.
[17]. AI-Dharrab, S. A., Mangoud, A. M., & Mohsen, M. F. A. Knowledge, attitude and practice (KAP) of primary health care physicians and nurses towards hypertension: A study from Dammam, SAUDI Arabia. Journal of Family & Community Medicine. 3(2), 1996, 57–63.
[18]. M. Munirathnamma, T.Lakshmamma: Knowledge of Staff Nurses Regarding Management of Pregnancy Induced Hypertension (PIH): International Journal of Humanities and Social Science Invention: 2(11), 2013.
[19]. Assessing level of knowledge and management practices of pre eclampsia in pregnant among nurses in Omdurman military hospital at Sudan. 2015.
[20]. Bergel E, Carroli G, Athabe F. Ambulatory versus conventional methods for monitoring blood pressure during pregnancy (review). The Cochrane Collaboration 1, 2009.
[2]. Moodley J. Maternal deaths due to hypertensive disorders in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology. 22(3), 2008, 559-67.
[3]. Magee LA, Abalos E, von Dadelszen P, Sibai B, Walkinshaw SA. Control of hypertension in pregnancy. Current hypertension reports. 11(6), 2009, 429.
[4]. World Health Organization. Maternal mortality: to improve maternal health, barriers that limit access to quality maternal health services must be identified and addressed at all levels of the health system: fact sheet.
[5]. Hailu A, Kebede D. High-risk pregnancies in urban and rural communities in central part of Ethiopia. East African medical journal. 71(10), 1994, 661-6.
[6]. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 367(9516), 2006, 1066-74.
[7]. Ronsmans C, Campbell O. Quantifying the fall in mortality associated with interventions related to hypertensive diseases of pregnancy. BMC Public Health. 11(3), 2011, S8.
[8]. Bhutta ZA, Ali S, Cousens S, Ali TM, Haider BA, Rizvi A, Okong P, Bhutta SZ, Black RE. Alma-Ata: rebirth and revision 6: interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? The Lancet. 372(9642), 2008, 972.
[9]. Duley L. Pre-eclampsia and the hypertensive disorders of pregnancy. British Medical Bulletin. 67(1), 2003, 161-76.
[10]. Hofmeyr GJ, Duley L, Atallah A. Dietary calcium supplementation for prevention of pre?eclampsia and related problems: a systematic review and commentary. BJOG: An International Journal of Obstetrics & Gynaecology. 114(8), 2007, 933-43.
[11]. Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy and Childbirth. 8(1), 2008, 10.
[12]. Rööst M, Altamirano VC, Liljestrand J, Essén B. Priorities in emergency obstetric care in Bolivia––maternal mortality and near?miss morbidity in metropolitan La Paz. BJOG: An International Journal of Obstetrics & Gynaecology. 116(9), 2009, 1210-7.
[13]. Sally Sami Abed El., NahedFikry Hassan Kh, SamiaIbarhim Osman Ha. Investigate Evidence Based Nursing Practices in Preeclampsia among Pregnant Woman. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 5, 2016, 25-31.
[14]. P.kavitha, Asmerom tesfaye, R.Aroun Prasath, Luwam habtegiorgis, Selam Girmay, Yohana serke BSN. To asses level of knowledge of staff nurses on emergency obstetric management at orota national referral maternity hospital.International jouornal of Allid medical sciences and clinical research (IJAMSCR). 2, 2014.
[15]. Maembe LE. Management of preeclampsia/eclampsia in Dar es Salaam public health facilities: availability of supplies and knowledge of healthcare workers (Doctoral dissertation, Muhimbili University of Health and Allied Sciences.).
[16]. Stellenberg EL, Ngwekazi NL. Knowledge of midwives about hypertensive disorders during pregnancy in primary healthcare. African journal of primary health care & family medicine. 8(1), 2016, 1-6.
[17]. AI-Dharrab, S. A., Mangoud, A. M., & Mohsen, M. F. A. Knowledge, attitude and practice (KAP) of primary health care physicians and nurses towards hypertension: A study from Dammam, SAUDI Arabia. Journal of Family & Community Medicine. 3(2), 1996, 57–63.
[18]. M. Munirathnamma, T.Lakshmamma: Knowledge of Staff Nurses Regarding Management of Pregnancy Induced Hypertension (PIH): International Journal of Humanities and Social Science Invention: 2(11), 2013.
[19]. Assessing level of knowledge and management practices of pre eclampsia in pregnant among nurses in Omdurman military hospital at Sudan. 2015.
[20]. Bergel E, Carroli G, Athabe F. Ambulatory versus conventional methods for monitoring blood pressure during pregnancy (review). The Cochrane Collaboration 1, 2009.