Clinical Audit for Immediate Nursing Intervention During Obstetrical Emergency

Document Type : Original Article

Authors

1 Clinical Instructor of Maternal and Newborn Health Nursing, Faculty of Nursing, Assiut University, Egypt.

2 Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Assuit University, Egypt.

3 Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Assuit University, Egypt.

Abstract

Background: Obstetrical emergency result in significant morbidity and mortality in mothers and fetus worldwide. Aim of the study was to Apply clinical audit for immediate nursing intervention during obstetrical emergency. Subjects and methods: Descriptive cross sectional research design was applied. A convenient sample of 53 nurses who offering emergency obstetric care. The study conducted at emergency unit , ICU and high risk unit at Women's Health Hospital, Assiut University, for data collection, two tools were used: structured self-reported questionnaire for nurses and Clinical Audit chart (observational checklist) Results: More than three quarters of studied nurses had satisfactory practices regarding obstetrical hemorrhage, preeclampsia and infection control measures as collect blood sample and urinary catheterization . While around 60 % of nurses had satisfactory practices regarding emergency cesarean section and eclampsia. In addition the time consuming for immediate nursing intervention related to obstetrical hemorrhage, preeclampsia, eclampsia and emergency cesarean section was 5-10 min. Conclusion: Nearly one-third of studied nurses had unsatisfactory immediate nursing intervention during obstetrical emergency. Recommendations: Developing nursing protocols and guidelines regarding emergency obstetric care. Developing periodical awareness programs, courses, seminars and workshops for nurses regarding emergency obstetric care. Further research studies are needed to identify the gap in practices and fulfilling it.

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