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Assessment of Nurses’ Knowledge of the Management of Pre-Eclampsia in a Hospital Setting: The Case of the Van Norman Clinic. Bujumbura-Burundi

DOI: 10.4236/ojn.2023.135020, PP. 294-313

Keywords: Pre-Eclampsia, Eclampsia, Nursing Theories, Nurse, Management, Hypertension, Nursing

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Abstract:

Background: Pre-eclampsia is one of the pathologies of pregnancy that causes serious maternal and fetal complications. Good nursing management of pre-eclampsia could stabilize and limit possible maternal and fetal complication. Aim: This study aims to assess nurses’ knowledge of the management of pre-eclampsia. This is a descriptive prospective study conducted at the Van Norman Clinic over three-month period from November 1st, 2020 to January 31st, 2021 to assess the knowledge of nurses assigned to the Patient reception service, Emergency service, Gynecological-Obstetrics service and Community Medicine department on the management of pre-eclampsia. Data were treated using Microsoft Word and analyzed by Statistical Package for Social Scientists version 16 (SPSS). During the period of our study, we collected 40 nurses out of 44 nurses, which represents 90.9% (n = 40) of the nurses assigned to the Patient reception service, Emergency service, Gynecological-Obstetrics service and Community Medicine department. Among the 40 cases collected, 30% respondents did not give the true definition of pre-eclampsia. Our study also showed that 70% of nurses had not been trained on the management of pre-eclampsia and 90% had not used nursing theories in their practice while the Inquiry-Based Practice (IBP) and Evidence-Based Practice (EBP) applications were known in 7.5% of cases. With regard to the nursing management of pre-eclampsia, 62.5% of cases knew the first gestures of management while 90% of cases did not know the overall nursing management of pre-eclampsia. Last of continuing education, use of nursing theories and lack of resuscitation were the main obstacles observed in the nursing management of pre-eclampsia. For better nursing management of pre-eclampsia, emphasis should be placed on building staff capacity and executing the care plan by applying nursing theories.

References

[1]  Helewa, M.E, Burrows, R.F., Smith, J., Williams, K., Brain, P. and Rabkin, S.W. (1997) Report of the Canadian Hypertension Society Consensus Conference: 1. Definitions, Evaluation and Classification of Hypertensive Disorders in Pregnancy. Canadian Medical Association Journal, 157, 715-725.
https://pubmed.ncbi.nlm.nih.gov/9307560/
[2]  Sibai, B.M. (1991) Diagnosis and Management of Chronic Hypertension in Pregnancy. Obstetrics & Gynecology, 78, 451-461.
https://europepmc.org/article/med/1876383
[3]  Doumia, F., Sarosh, R, Elisabeth, L., Joey, P. and Ananth, S.K. (2019) Preeclampsia. Pathophysiology, Challenges, and Perspectives. Circulation Research, 124, 1094-1112.
https://pubmed.ncbi.nlm.nih.gov/30920918/
https://doi.org/10.1161/CIRCRESAHA.118.313276
[4]  Khan, K.., Daniel, W., Lale, S., Metin, A.G. and Paul, F.V.L. (2006) WHO Analysis of Causes of Maternal Death: A Systematic Review. The Lancet, 367, 1066-1074.
https://doi.org/10.1016/S0140-6736(06)68397-9
[5]  Olié, V., et al. (2021) Prevalence of Hypertensive Disorders during Pregnancy in France (2010-2018): The Nationwide CONCEPTION Study. The Journal of Clinical Hypertension, 23, 1344-1353. https://pubmed.ncbi.nlm.nih.gov/34042277
https://doi.org/10.1111/jch.14254
[6]  Ferrazzani, P.S., Rita, L., Serafina, G., Vito, A., Sara, C., Maria, P.C., Valentina, P., Costantino, R. and Alessandro, C. (2011) Neonatal Outcome in Hypertensive Disorders of Pregnancy. Early Human Development, 87, 445-449.
https://pubmed.ncbi.nlm.nih.gov/21497462/
https://doi.org/10.1016/j.earlhumdev.2011.03.005
[7]  Magee, L.A., Anouk, P., Michael, H., Evelyne, R. and Peter, V.D. (2014) Diagnosis, Evaluation and Management of the Hypertensive Disorders of Pregnancy. Canada Journal of Obstetrics and Gynecology: CJOG, 36, 416-441.
https://pubmed.ncbi.nlm.nih.gov/26104418
https://doi.org/10.1016/j.preghy.2014.01.003
[8]  Minani, P.G. (2011) High Blood Pressure and Pregnancy at the University Hospital Center of Kamenge. Bujumbura-Burundi.
[9]  Lassina, G., Dhakal, G., Subedi, M. and Poudel, K. (2012) Magnesium Sulfate in Management of Severe Pre-Eclampsia and Eclampsia. Nepal Health Research Council, 10, 113-117. https://pubmed.ncbi.nkm.nih.gov/23034372/
[10]  Duley, L. (2003) Pre-Eclampsia and the Hypertensive Disorders of Pregnancy. British Medical Bulletin, 67, 161-176. https://doi.org/10.1093/bmb/ldg005
[11]  Betty, May, E.T., Anita, N., Fermann, T. and Elisabeth, S. (2018) Strategies for Teaching Evidence-Based Practice in Nursing Education: A Thematic Literature Review. BNC Medical Education, 18, Article No. 172.
https://doi.org/10.1186/s12909-018-1278-z
[12]  Ingersoll, G.L. (2000) Evidence-Based Nursing: What It Is and What It Isn’t. Nursing Outlook, 48, 151-152. https://doi.org/10.1067/mno.2000.107690
[13]  Dicenso, A., Gordon, G. and Donna, C. (2014) Evidence-Based Practice in Nursing. A Guide to Clinical Practice. Elsevier Mosby, Amsterdam, 98-216.
[14]  Melnyk, R.N., Bernadette, M. and Ellen, F.O. (2014) Evidence-Based Practice in Nursing and Health Care: A Guide to Best Practice. 2nd Edition, Lippincott Williams and Wilkins, Philadelphia, 66-157.
[15]  Roy, S.C. (1995) Extending the Roy Adaptation Model to Meet Changing Global Needs. Nursing Science Quarterly, 24, 170-330.
[16]  King, I.M. (1995) A System Framework for Nursing. In: McEwen, M. and Wills, E., Eds., Theoretical Basis for Nursing, Lippincott Williams and Wilkins, Philadelphia.
[17]  Aliuane, N. and Djidda, N. 2017) The Continuous of Staff of Public Health Institution in Algeria: An Inventory of the EPH of DRAA EL MIZAN. Mouloud Mammeri-Tizi Ouzou University, Tizi Ouzou.
[18]  Sandrine, B. (2011) First Trimester Prenatal Consultation: Evaluation of Professional Practices at Port-Royal Maternity. University of Paris Descartes. School of Midwives of Baudelone Hospital Group Cochin-Saint-Vincent De Paul, 52-60.
https://dumas.ccsd.cnrs.fr/dumas-00617821
[19]  Bah, A., Diallo, A., Omou, H., Ibrahima, K., Souleymane, T., Monique, L., Boubacar, P.D., Mamy, E.L., Namoy, K. and Mamadou, D. (2020) Management of Pre-Eclampsia and Its Complications in the Department of Gynecology and Obstetrics at Donka National Hospital Conakry, Guinea.
https://www.ijrcog.org/index.php/ijrcog/article/view/7909
[20]  Agnidé, M., Tidiani, T., Cheickna, S., Kassoum, S., Babou, T., Sylvain, G., Adama, C., et al. (2020) Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali.
https://www.scrirp.org/journal/paperinformation.aspx?paperid=103487
[21]  Samake, M., Yattara, H., Touré, A., Diallo, D., Simaga, S., Coulibaly, H., et al. (2020) Prevalence and Complications of Malignant Arterial in the Nephrology Department of the Point G University Hospital Center.
https://www.hsd-fmsb.org/index.php/hsd/article/view/1863
[22]  Gentizon, J., et al. (2016) Evidence Based Practice of Nurses Working in University Hospitals in the French Speaking Part of Switzerland: A Descriptive and Correlational Study. Recherche en Soins Infirmiers, No. 127, 28-42.
https://pubmed.ncbi.nlm.nih.gov/28186480
[23]  Mathieson, A., Grande, G. and Luker, K. (2019) Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Studies Review and Qualitative Synthesis. Primary Health Care Research & Development, 20, e6.
https://www.ncbi.nih.gov/pmc/articles/PMC6476399/
[24]  Muhayimana, D., Arakaza, D., Ndayegamiye, D., Bamboneyeho, J., Anna, T. and Niyongabo, E. (2020) Pediatric Nursing Care and Its Practices in Three Health Care Facilities. Open Journal of Nursing, 10, 1275-1293.
[25]  Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B. and Taleghani, F. (2015) Effective Factors in Providing Holistic Care: A Qualitative Study. Indian Journal of Palliative, 21, 214-224. https://doi.org/10.4103/0973-1075.156506
[26]  Koitan, M. (2011) Quality of Prenatal Monitoring in Public and Community Health Facilities in Communes V and VI of the District of Bamako. Medical Thesis, Bamako, 66-72.

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