Strategies used by Nurses in Paediatric Critical Nursing Practice at the Bamenda Health District
Abstract
Background: This study titled: “Strategies used by nurses for paediatric critical nursing practice” was conducted in selected hospitals in the Bamenda Health district in the North West Region of Cameroon. There is a great burden on critically ill children in developing countries. (7) Greater than 80% of the global 6.64 million annual deaths in children and adolescents in 2017 occurred Low-and middle-income countries LMICs. (19)
The major objective: To assess strategies used by nurses in paediatric critical and emergency care at the Bamenda health district.
Methods: The study population included nurses of the Bamenda health district. This study made use of a descriptive and analytical cross-sectional method that employed both the survey and the observational methods of data collection. Purposive convenience and sampling techniques were used to select the study sites and the study population respectively. The instrument for data collection was a well-structured questionnaire and an observational/interview guide. Pretesting was done to validate these instruments in Kumbo. Data were analysed using SPSS version 21.0 and presented using frequency tables and charts.
Results: A relative majority 42 (39.25 %) of nurses were within the age range of 18-28, and 79 (73.83%) were females. Findings on the first steps in an emergency revealed that 64.49% of the respondents said they will first assess the airway. The majority 84(78.5%) of the nurses had no training in critical care while 23(21.50%) had in-service training in critical/emergency care and not in paediatric critical /emergency care. Training of paediatric critical and emergency nurses and building separate ICUs and EDs for critically ill children was identified by 78 (72.90%) as a major area that needs improvement. Chi-square statistical analysis on in-service training in critical/emergency care and successes of care registered showed a significant relationship between in-service training and non-invasive airway management(p= 0.002) and invasive airway management (p= 0.026)at 95% CI.
Conclusion: From the findings, it can be deduced that most of the nursing strategies used by nurses for paediatric critical care are not adequate as many nurses do not have formal training in paediatric critical and emergency care.
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References
2. Rakesh Lodha&Sushil Kumar Kabra Protocol Based Treatment in Pediatric Intensive Care Units. Indian J Pediatr (2010) 77:1277 1278 –DOI 10.1007/s12098-010-0269-9
3. Saini N, Sharma V, Arora S et al. Roy’s Adaptation Model: Effect of Care on Pediatric Patients. Int J NursMidwif Res 2017; 4(1): 52-60.© ADR Journals 2017.
4. Almeida Valera, Ingrid Mayara; Soares de Souza, et al., Online Brazilian Journal of Nursing E-ISSN: 1676-4285 objn@enf.uff.brUniversidade Federal FluminenseBrasil.Available in: http://www.redalyc.org/articulo.oa?id=36145
5. WHO Library Cataloguing-in-Publication Data Guideline: updates on paediatric emergency triage, assessment and treatment: care of critically-ill children. I.World Health Organization.ISBN 978 92 4 151021 9 (NLM classification: WA 320)
6. Ro YS, Shin SD, Jeong J, et al. Evaluation of demands, usage and unmet needs for emergency care in Yaoundé, Cameroon: acrosssectional study. BMJ Open 2017;7:e014573. doi:10.1136/bmjopen-2016- 014573
7. Akindolire AE Tongo OO Paediatric critical care needs assessment in a tertiary facility in a developing country Department of Paediatrics, University College Hospital, Ibadan. Niger J Paediatr 2018; 45 (1): 10 – 14
8. Bechard LJ, Duggan C, Touger-Decker R, et al. Nutritional status based on body mass index is associated with morbidity and mortality in mechanically ventilated critically ill children in the PICU. Critical Care Med. 2016;44:1530-1537.
9. The Global ICU: Challenges in Critical Care in Africa: Perspectives and Solutions. ICU Volume 12 - Issue 4 - Winter 2012/2013 – Cover Story:
10. Tina M. Slusher, Andrew W. Kiragu, and Scott A. Hagen. Pediatric Critical Care in Resource-Limited Settings—Overview and Lessons Learned.
11. Ministry of the Public Health.Health Analytical Profile 2016 Cameroon. Website: http:/www.afro.who.int/fr/cameroun/
12. Alain Chichom-Mefire , Nicole Therese M. Martin Ekeke M, MarcelinNgowe N. (2014) Compliance of District Hospitals in the Center Region of Cameroon with WHO/IATSIC Guidelines for the Care of the Injured: A Cross-Sectional Analysis.SocieteInternationale de Chirurgie 2014 (World J Surg) DOI 10.1007/s00268-014-2609-9
13. Susan Fuchs, Mark Terry, Kathleen Adelgais et al. Definitions and Assessment Approaches for Emergency Medical Services for Children.
14. Triage and emergency (WHO pocket book of Hospital care for children; guidelines for the management of common childhood illnesses second edition. 2013 edition.
15 20. Academy of Pediatrics. When Your Child Needs Emergency Medical Services (Copyright © 2006 American Academy of Pediatrics, Updated 12/2015) Last Updated 9/24/2019
16.21. Paediatric Emergency Medicine Special Interest Group: Standards of Care for Children in Emergency Department. Version 3.0. International Federation of Emergency Medicine. 2019
17. Razzak JA, Kellermann AL. Emergency medical care in developing countries: is it worthwhile? Bull World Health Organ. 2002; 80(11):900–5. PMID: 12481213; PubMed Central PMCID: PMCPMC2567674.
18. Chu-Chuan Lin, Kai-Sheng Hsieh. Pediatric Critical Care—A New Frontier * Department of Pediatrics, Veterans General Hospital, Kaohsiung, Taiwan.
19. Kortz TB, Nielsen KR, Mediratta RP, Reeves H, O'Brien NF, Lee JH, et al., (2022) The Burden of Critical Illness in Hospitalized Children in Low- and Middle-Income Countries: Protocol for a Systematic Review and Meta-Analysis. Front. Pediatr. 10:756643. doi: 10.3389/fped.2022.756643.
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