Vous êtes sur la page 1sur 24

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE, KARNATAKA

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

Mrs. DEEPTHI KAMATH I YEAR M. Sc NURSING CHILD HEALTH NURSING (20 0 ! 2 BATCH"

SRI SHANTHINI COLLEGE OF NURSING # $$%B, PARVATHI NAGAR, OPP& SUB REGISTRAR OFFICE, LAGGERE MAIN ROAD, LAGGERE, BANGALORE '()00($

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA PROFORMA SYNOPSIS FOR REGISTRATION OF SUBJECT FOR DISSERTATION. NAME OF THE CANDIDATE AND ADDRESS Mrs. DEEPTHI KAMATH
s+

01

YEAR M.SC NURSING,

SRI SHANTHINI COLLEGE OF NURSING # $$%B,PARVATHI NAGAR, OPP&SUB REGISTRAR OFFICE, LAGGERE MAIN ROAD, LAGGERE, BANGALORE '()00($.
02

NAME OF THE INSTITUTION

SRI SHANTHINI COLLEGE OF NURSING , # $$%B,PARVATHI NAGAR, OPP&SUB REGISTRAR OFFICE,LAGGERE MAIN ROAD, LAGGERE, BANGALORE '()00($.

03

COURSE OF THE STUDY AND SUBJECT

MASTER DEGREE IN NURSING CHILD HEALTH NURSING ,0%0)%20 0


THE EFFECTIVENESS OF SELF INSTRUCTIONAL MODULE FOR STAFF NURSES REGARDING MANAGEMENT OF PRETERM BABIES

DATE OF ADMISSION TO 04 COURSE TITLE OF THE TOPIC

05

). BRIEF RESUME OF THE INTENDED *ORK

INTRODUCTION

Those who fear the Lord are always ready to serve him.

All expectant parents hope that their babies will be healthy. Most pregnancies last around 40 weeks. Babies born between 3 and 42 weeks o! pregnancy are called !ull ter". A preter" baby is one born be!ore 3 co"pleted weeks o! gestation. #ere

pre"ature or preter" re!ers to the inability o! the in!ant who is born be!ore the usual gestation period to "ake and adoption to extra uterine existence in co"parison to sur$i$al rate in "ature in!ants. %re"aturity along with low birth weight usually carry a high rate o! "orbidity and "ortality unless opti"al care is gi$en to "aintain li!e. &n &ndia' about ( to ) "illion *ow Birth +eight babies are born annually. ,ut o! which about 10 to 12 - o! &ndian babies are born preter" as co"pared to 5 to -

incidence in the +est. .he high incidence o! %reter" babies in our country is accounted !or poor socio/econo"ic status' low "aternal weight' chronic and acute syste"ic "aternal disease' ante partu" he"orrhage' cer$ical inco"petence' "aternal genital coloni0ation and in!ections' cigarette s"oking during pregnancy' threatened abortion' acute e"otional stress' physical exertion' sexual acti$ity' trau"a' bicornuate uterus' "ultiple pregnancy and congenital "al!or"ations.2

%reter" in!ants born between 32 to 35 weeks gestation ha$e a 1)- sur$i$al rate and co"prise )4- o! all preter" in!ants in the 2nited 3tates. .hese in!ants "ay ha$e a relati$ely benign hospital course and "ay be considered by so"e to be a healthy

pre"ature in!ant. At the ti"e o! discharge !ro" the neonatal intensi$e care unit' in!ants will be gaining weight' !eeding by "outh' and "aintaining te"perature ho"eostasis. 3upport o! growth' !eeding choices' "anage"ent o! gastro esophageal re!lux' de$elop"ental issues' "onitoring at ho"e and reco""ended special $accinations are issues that pri"ary care nurse practitioners will !ace in caring !or preter" in!ants., .he birth o! a baby is a wonder!ul co"plex process. Most babies ad"itted to the 4&52 ha$e low birth weight or ha$e a "edical condition that re6uires special care. .here are special needs o! preter" baby. %reter" babies lack the body !at necessary to "aintain their body te"perature' e$en when swaddled with blankets. .here!ore' incubators or radiant war"ers are used to keep the babies war". &ncubators are "ade o! transparent plastic' and they co"pletely surround an in!ant to keep hi" or her war"' decrease the chance o! in!ection' li"it water loss. 7adiant war"ers are electrically war"ed beds open to the air. .hese are used when the "edical sta!! needs !re6uent access to the baby !or care. .he recent trend in care o! hypother"ia is 8angaroo Mother 5are. &t is one o! the cheapest "ethod and e!!ecti$e "ethod to pre$ent hypother"ia.%re"ature babies ha$e special nutritional needs because they grow at a !aster rate than !ull ter" babies and their digesti$e syste"s are i""ature. 9eontologists "easure their weight in gra"s. Breast "ilk is an excellent source o! nutrition' but they are too i""ature to !eed directly !ro" the breast or bottle until they are 32 /34 weeks gestational age. .here!ore they ha$e to be !ed on nasogastric !eeding. 3o"e preter" babies also recei$e additional $ita"in supple"ents. .he blood che"icals and "inerals such as blood sugar' potassiu"' calciu"' phosphate and "agnesiu" are "onitored regularly and the diet is ad:usted to keep these substances within a nor"al range.(

3ta!! de$elop"ent progra""e is the key to 6uality nursing care that helps to !acilitate the co"petence o! nurse in practice. 5ontinuing education pro$ides "eans by which nurses can re"ain up to date with current de$elop"ents "aintain their co"petence and "eet the standards o! nursing practice. .he role o! pediatric nurse is also changing due to ad$ances in science and technology and disco$eries in the !ield o! pediatrics to sa$e the precious li!e and health o! neonate.) .he study is intended to identi!y learning needs o! sta!! nurses working in 4&52' on $arious aspects o! care o! preter" babies and to test the e!!ecti$eness o! sel! instructional "odule.

). NEED FOR THE STUDY


.he +orld #ealth ,rgani0ation had set the targets o! #ealth !or all by the year 2000. &n particular' i"pro$e"ents were sought in "aternity care pro$ision and a reduction in perinatal "ortality rates. .he incidence o! preter" labors has not reduced but owing to i"pro$ed neonatal "anage"ent' increasing nu"ber o! s"all babies is sur$i$ing..

Babies born be!ore 3

co"pleted weeks o! pregnancy are called preter" or

pre"ature. All babies born preter" are at risk !or serious health proble"s' but those born earliest are at greater risk o! "edical co"plications' long ter" disabilities death. ;ortunately' ad$ances in obstetrics and neonatology ha$e i"pro$ed the chances o! sur$i$al !or e$en these s"allest babies.$ Babies born preter" !ace a greater risk !or serious health proble"s !or se$eral reasons. .he earlier a child is born' the less it will weigh' the less de$eloped the organs will be' and "ore co"plications it is likely to !ace. .hese babies "ay re6uire care in a neonatal intensi$e care unit' which has speciali0ed "edical sta!! and e6uip"ent that can deal with "ultiple proble"s !aced by preter" in!ants. <ery preter" babies also ha$e the highest risk o! death and lasting disabilities' such as "ental retardation' cerebral palsy' lung and gastrointestinal proble"s' $ision and hearing loss. 4ot only are preter" babies o!ten s"all and sick' but they "ay look $ery di!!erently than !ull ter" babies' but these look the way they should at their stage o! de$elop"ent and will begin to appear and act "ore like !ull ter" babies as they continue to de$elop and grow. %reter" in!ants ha$e special needs that "ake their care di!!erent !ro" that o! !ull ter" in!ants' which is why they o!ten begin their li$es a!ter deli$ery in a neonatal intensi$e care unit which is designed to pro$ide an at"osphere that li"it stress to the in!ants and "eet basic needs o! war"th' nutrition and protection to assure proper growth and de$elop"ent./

&n!ants born pre"aturely with congenital or ac6uired "edical conditions or who ha$e extended stays in the neonatal intensi$e care unit are at risk o! de$eloping !eeding and nutritional proble"s than are !ull ter"' healthy newborns. Because o! the co"plex

nature o! !eeding' it is necessary to ha$e a thorough understanding o! the de$elop"ental nature !or this skill. &nter$ention strategies to pro"ote stability leading to success!ul !eeding are also described. 0 .he preter" in!ant !aces "any challenges during the early stages o! li!e. %oor control o! body te"perature is due to the large a"ount o! skin sur!ace in proportion to body weight' the lack o! insulation o! subcutaneous !at' i""ature ner$ous syste" and poor "uscular de$elop"ent. .he latest trend o! care o! hypother"ia is kangaroo care. Around )0- o! preter" in!ants de$elop hyperbilirunae"ia characteri0ed by :aundice. .his condition is "ost co""only treated with phototherapy and exchange trans!usion. .Although phototherapy appears to e!!ecti$ely treat preter" :aundice' aspects o! its use re"ain contro$ersial and its apparent success is not e$idence based. 7esearch "ust continue to !acilitate the de$elop"ent o! e!!ecti$e treat"ent and establish"ent o! e$idence based guidelines. 2 %atient care is seen as a tea" acti$ity and nurse will play an i"portant role. 3tudies re$ealed that nurse did not ha$e ade6uate knowledge or desired skills in their pro!essional !ield' and knowledge can be i"pro$ed by !or"al training progra""e. .he o$erload o! responsibilities auto"atically reduce the interest to ac6uire upto date knowledge. , 2se o! a training progra" to enhance 4&52 nurses= cogniti$e abilities !or assessing preter" in!ant beha$iors and o!!ering supporti$e inter$entions was conducted in .ri/3er$ice >eneral #ospital' .aiwan. .he results support the hypothesis that nurses= cogniti$e abilities were enhanced a!ter the training progra""e. ;urther' as the cogniti$e

abilities are increased' it would be possible that nurse beha$iors in taking care o! these preter" in!ants "ight change.
-

.he abo$e studies suggest that preter" babies are the "ost $ulnerable !or ac6uiring in!ection and de$eloping co"plications. 4urses play an i"portant role in planning inter$ention !or reduction o! "ortality and "orbidity a"ong preter" babies. ;urther' the studies show that nurses need to be updated on "anage"ent o! preter" babies by training and other strategies to i"pro$e the 6uality o! care. .he abo$e "entioned studies also shows that the utili0ation o! sel! learning "aterials were e!!ecti$e in i"pro$ing the cogniti$e beha$ior o! nurses. #ence' the in$estigator !eels that there is a need !or this study.

).2 REVIE* OF LITERATURE&


7e$iew o! literature is an essential step in the de$elop"ent o! a research pro:ect. &t helps to de$elop an insight into the area o! in$estigation and directs the researcher to de$elop a plan.

.he re$iew o! literature is presented under the !ollowing headings/ (.2.1 (.2.2 *iterature related to pre$ention o! in!ection *iterature related to pre$ention o! hypother"ia

(.2.3 (.2.4 (.2.5

*iterature related to nutritional "anage"ent *iterature related to "anage"ent o! :aundice *iterature related to sel! instructional "odule

).2. LITERATURE RELATED TO PREVENTION OF INFECTION&


A0s+12 NC 3+45 conducted a study on prophylactic oral anti!ungal agents to pre$ent syste"ic 5andida in!ection in preter" in!ants. .he study was conducted in 4&52 o! 5hristchurch +o"en=s hospital' 4ew ?ealand. .he study re$ealed that there is no signi!icant e$idence to support the use o! prophylactic oral anti!ungal agents in preter" in!ants. 7ando"i0ed controlled trials in current neonatal practice settings are needed in order to deter"ine whether oral anti!ungal agents ha$e a role in pre$enting syste"ic !ungal in!ections in preter" in!ants. ( J061+7 D 3+45 conducted a study on i"pact o! unit based procedures on the incidence o! nosoco"ial in!ections in neonatal intensi$e care unit. .he study was conducted to assess the e!!ects o! co""on procedures on the incidence o! nosoco"ial in!ections. .he procedures were $isitation' hand washing' nail care' skin and cord care' "aintenance o! hubs in peripheral and central lines' gowning and isolation procedures' use and "isuse o! antibiotics' and unit design and sta!!ing. .he study re$ealed that i"pro$ing hand hygiene@ care!ul use o! antibiotics' skin antisepsis' !ollow o! guidelines in isolation' use o! "axi"u" sterile barriers' appropriate unit design and increasing nursing hours can control in!ection.
)

).2.2 LITERATURE RELATED TO PREVENTION OF HYPOTHERMIA&


*8r90 B 3+45 conducted a study on e!!ecti$eness o! early 8angaroo "other care !or low birth weight and preter" in!ants. A rando"i0ed trial was conducted in Addis Ababa #ospital' Athiopia. .here were 123 low birth weight and preter" babies were included in the study. (4 in!ants were enrolled as kangaroo "other care B8M5C and the re"aining (1 were con$entional "ethod o! care B5M5C cases. .he study showed that 14D(2 B22.5-C o! 8M5 <s 24D(3 B3)-C 5M5 babies died during the study BpE0.05 and 5& o! 15-C. 3ur$i$al o! preter" low birth weight in!ants was re"arkably better !or the early kangaroo "other care group than the babies in the con$entional "ethod care. &t was reco""ended to study the !easibility and e!!ecti$eness o! kangaroo "other care at the co""unity le$el. . N3: K 3+45 conducted a study on trans!er o! preter" in!ants !ro" incubator to open cot are lower $ersus higher body weight. .he study was conducted in >rantley 3table 4eonatal 2nit' 7oyal +o"en=s #ospital' Australia. .he study in$ol$ed (0 preter" in!ants which co"pared the trans!er o! in!ants to open cots at 1 00 <s 1)00g. .he outco"e o! the study re$ealed that there was no signi!icant di!!erence !or either return to incubator or daily weight gain. $

).2., LITERATURE RELATED TO NUTRITION FOR PRETERM BABIES&

*71+3'Tr40+ RC 3+45 conducted a study on !eeding readiness in preter" in!antsF the relationship between preter" beha$ioral state and !eeding readiness beha$iors and e!!iciency during transition !ro" ga$age to oral !eeding. .he data was collected as part o! a larger study designed to co"pare the !re6uency o! ;eeding 7eadiness Beha$ior and !eeding e!!iciency between control experi"ental groups. .he data was collected !ro" 21 stable preter" in!ants. &n!ants were $ideotaped i""ediately prior to each o! the !irst three oral !eedings' !ro" which in!ant beha$ioral state and !eeding readiness beha$iors were assessed. .he nu"ber o! !eeding readiness beha$iors was predicti$e o! !eeding e!!iciency BpE0.10C. .he study re$ealed that !eeding e!!iciency "ay be predicted by the increased nu"ber o! ;eeding 7eadiness Beha$iors i""ediately prior to !eeding.
/

McGr4+7 IM 3+45 conducted a study on !eeding readiness in the preter" in!ant. .he study re$ealed that !inding ways to consistently prepare preter" in!ants and their !a"ilies !or "ore ti"ely discharge "ust continue as a !ocus !or e$eryone in$ol$ed in the care o! these in!ants in neonatal intensi$e care unit. 3uccess!ul bottle !eeding is considered the "ost co"plex task o! in!ancy. ;ostering success!ul oral !eeding in preter" in!ants re6uires consistently high le$els o! skilled nursing care' which "ust begin with accurate assess"ent o! !eeding readiness and thought!ul progression to !ull oral !eeding. .his co"prehensi$e re$iew o! literature pro$ides an o$er$iew o! the state o! the science related to !eeding readiness and progression in the preter" in!ant.20

).2.- LITERATURE RELATED TO MANAGEMENT OF JAUNDICE&

M3rc42+1 3+45 conducted a study on transcutaneous bilirubin "easure"ent BB.C in preter" in!ants in 4eonatal centre in Brules' ;rance. A prospecti$e study was carried out on 4 preter" in!ants in a neonatal intensi$e care unit. ;ro" birth' a transcutaneous bilirubin "easure"ent using the Bili5heck was "ade on the !orehead o! each newborn e$ery ) hour and blood sa"pling !or deter"ination o! total seru" bilirubin BB3C was co"bined with B.. .he "ean gestational age was 30 weeks and "ean birth weight was 1411g. .he "ean $alues obtained by B. and B3 were respecti$ely 1(0.(G50"u"olD* and 110.(G(1.4"u"olD*. A signi!icant correlation between B. and B3 was !ound. .he B. is reliable when its $alue is under the li"its !or phototherapy. &t was suggested that with a $ery high incidence o! neonatal :aundice B) -C in the cohort' a $alue o! B. under the li"its !or phototherapy has a good negati$e predicti$e $alue in preter" in!ants.2 D3 C4r;4578 ( ///" conducted a study at 4orway hospital about intensi!ied phototherapy using day light !luorescent la"ps. #e !ound out that narrow spectru" blue light is superior to while light. ;i!ty in!ants sa"ple out o! which all o! the" were breast !ed on de"and. 3eru" bilirubin le$els were deter"ined at 0' 12' and 24 hours. .he decre"ent in seru" bilirubin concentration was signi!icantly greater in in!ants undergoing phototherapy with special blue la"ps co"pared to con$entional o$erhead daylight la"ps BpE0.001 both at 12 and 24 hourC.22

).2.( LITERATURE RELATED TO SELF INSTRUCTIONAL MODULE&

V45s4 (200 " conducted a study to e$aluate the e!!ecti$eness o! a 3el! &nstructional Module !or sta!! nurses prepared on phototherapy !or neonatal :aundice. .he sa"ple consisted o! 50 3ta!! nurses !ro" $arious hospitals in Mangalore. ,ne group pre test post test design was used. .he "ean post test knowledge scores were higher than pre test scores indicating the e!!ecti$eness o! sel! instructional "odule.2, Gr4c3<85 GS (200 " conducted a study on e!!ecti$eness o! 3&M on pregnancy related highrisk conduction a"ong antenatal "others in selected "aternity hospital in Mangalore. .he sa"ple co"prised o! 50 antenatal "others selected by using purposi$e sa"pling techni6ue. ,ne group pre test post test design was adopted. .he !indings re$ealed that the 3&M was $ery e!!ecti$e BpE0.05C. .he "ean post test score B5(-C was higher than the "ean pre test score B) -C.2-

STATEMENT OF THE PROBLEM&


A S+06= +8 E;4504+3 T73 E>>3c+1;323ss 8> S35> I2s+r0c+18245 M86053 >8r S+4>> N0rs3s R3?4r612? M424?3<32+ 8> Pr3+3r< B4@13s 12 S353c+36 Pr1;4+3 H8sA1+45s 12 B42?458r3.

)., OBJECTIVES OF THE STUDY&

1. .o assess the knowledge o! sta!! nurses in "anage"ent o! preter" babies. 2. .o assess the practice o! sta!! nurses in "anage"ent o! preter" babies. 3. .o de$elop and ad"inister a sel! instructional "odule !or sta!! nurses in "anage"ent o! preter" babies. 4. .o e$aluate the e!!ecti$eness o! the sel! instructional "odule in "anage"ent o! preter" babies. 5. .o know the i"pact o! the de"ographic $ariables on the pre and post test results on knowledge and practice aspects.

).- HYPOTHESIS
#1 .here will be no signi!icant di!!erence between the pre test and post test knowledge and practice scores regarding "anage"ent o! preter" babies a"ong sta!! nurses. #2 .here will be no signi!icant i"pact o! selected de"ographic $ariables on post test knowledge and practice scores regarding "anage"ent o! preter" babies a"ong sta!! nurses.

).( VARIABLES INDEPENDENT VARIABLE


3el! instructional "odule

DEPENDENT VARIABLE

9ependent $ariables which includes age' sex' education' designation' inco"e' general education' "arital status' work experience and in/ser$ice training.

).) OPERATIONAL DEFINITIONS& EFFECTIVENESS&


&t re!ers to the extent to which the sel! instructional "odule has achie$ed the desired e!!ect as assessed by gain in scores in post test.

SELF INSTRUCTIONAL MODULE&


&t re!ers to a sel! learning guide designed !or sta!! nurses on "anage"ent o! preter" babies.

STAFF NURSES&
A trained registered nurse who is working in a 4&52' who has co"pleted either general nursing and "idwi!ery course or Bachelor o! 3cience in nursing Bpost certi!icate courseC or Basic B.3c. B4ursingC course.

PRETERM BABIES&
&t re!ers to a li$e born baby whose gestation period is less than 3 regardless o! the birth weight. weeks

HOSPITAL&

&t re!ers to an institution which pro$ides care ' diagnosis and treat"ent o! the sick' in:ured and those persons who need nursing and "edical care.

).. ASSUMPTIONS
1. 3ta!! nurses working in 4eonatal &ntensi$e 5are 2nit possess so"e knowledge regarding "anage"ent o! preter" babies. 2. 3ta!! nurses working in 4&52 "ight practice correct "ethod o! "anage"ent o! preter" babies. 3. 3el! &nstructional Module will enhance the knowledge and practice o! sta!! nurses regarding "anage"ent o! preter" babies with recent trends.

).$ DELIMITATIONS
.he study is d li"ited to sta!! nurses in selected %ri$ate #ospitals.

.. MATERIALS AND METHODS .. SOURCE OF DATA


.he data will be collected !ro" sta!! nurses working in 4eonatal &ntensi$e 5are 2nit o! selected pri$ate hospitals in bangalore.

..2 METHOD OF COLLECTION OF DATA ..2. RESEARCH DESIGN


.he research design will be adopted !or the study is 6uasi experi"ental with one group pre test post test design.

..2.2 RESEARCH APPROACH


Axperi"ental approach will be used to carry out the study.

..2., SETTING
.he setting o! the study is 4eonatal &ntensi$e care unit o! selected %ri$ate hospitals in bangalore.

..2.- POPULATION
.he population o! present study consists o! sta!! nurses working in 4eonatal &ntensi$e 5are 2nit o! selected pri$ate hospitals

..2.( SAMPLE SIBE


.he proposed sa"ple si0e o! the study is 50.

..2.) SAMPLING TECHNICUE


.he sa"pling techni6ue adopted !or the study is non probability purposi$e sa"pling techni6ue.

..2.. SAMPLING CRITERIA

INCLUSION CRITERIA
aC 3ta!! nurses who ha$e undergone >eneral 4ursing and Midwi!ery 5ourse. Bachelors 9egree in 4ursing. bC %resently working in 4eonatal &ntensi$e 5are 2nit o! selected pri$ate hospitals. cC .hose who are present at the ti"e o! data collection. dC .hose who are willing to participate in the study.

EDCLUSION CRITERIA
aC 3ta!! nurses who are not willing to participate in the study. bC .hose who are on lea$e at the ti"e o! data collection.

..2.$ DATA COLLECTION TOOL&


A structured 6uestionnaire and obser$ation checklist will be prepared to assess the knowledge and practice respecti$ely o! the sta!! nurses regarding "anage"ent o! preter" babies. S3c+182 A& &t consists o! de"ographic characteristics o! sta!! nurses seeking in!or"ation like age' sex' education' designation' inco"e' general education' "arital status' work experience and in/ser$ice training.

S3c+182 B& &t consists o! total )0 6uestions prepared to assess the knowledge o! sta!! nurses regarding "anage"ent o! preter" babies. .he 6uestions were categori0ed into parts' pertaining to the introduction to preter" baby@ pre$ention o! in!ection@ physical care@ pre$ention o! hypother"ia@ nutrition@ "anage"ent o! :aundice and "anage"ent o! co"plications.

..2./ DATA ANALYSIS


.he data obtained can be analy0ed in ter"s o! the achie$ing the ob:ecti$e o! the study by using descripti$e and in!erential statistics. 3tatistical analysis o! dataF ,rgani0ation o! data in "aster sheet. ;re6uencies and percentages to be used !or analysis o! de"ographic data. 5alculation o! "ean' standard de$iation o! pre/test and post/test scores. Application o! pairedHt= test to test whether there is signi!icant di!!erence in the "ean knowledge score o! pre/test and post/test $alues. Application o! ;/test to !ind the i"pact o! de"ographic $ariables with pre test' post test scores o! knowledge and practice.

.., DOES THE STUDY RECUIRE ANY INVESTIGATIONS OR INTERVENTION TO BE CONDUCTED ON PATIENTS OR OTHER HUMAN OR ANIMALSE
'Y3s'

..- HAS ETHICAL CLEARANCE BEEN OBTAINEDE


%er"ission will be obtained !ro"F .he research co""ittee o! 3ri 3hanthini 5ollege o! 4ursing.

$. LIST OF REFERENCE&

1.

*i"a >' 5attaneo A. 5o""on diagnoses in the 4&52. 4e"ours ;oundation. 200 Mar@ 21B1CF 1/13.

2.

3ingh Meherban. 5are o! the newborn. ( th ed. 4ew 9elhiF 3agar %ublication@ 2004. p. 211/230.

3.

8elly MM. %ri"ary care issues !or the healthy pre"ature in!ant. Iournal o! %ediatric #ealth 5are 200( 3ep/,ct@ 20B5CF 213/1.

4.

+ong. Assentials o! pediatric nursing. 231.

th

ed. 4ew 9elhiF Mosby@ 2005. p. 23(/

5.

8ada" 3' Binoy 3' 8anbur +' Mondkar IA' ;ernande0 A.

;easibility o!

kangaroo "other care in Mu"bai. &ndian I %ediatr. 2005 Ian@ 2B1CF 35/). (. 5harpak 4' ;igueroa de 5?. %ri"er on pree"ies. Ann .rop %aediatr. 2004 3ep@ 24B3CF 245/51. . +elles/4ystro" B' Bystro$a 8. 3pecial needs o! preter" in!ants. 4 Angl I Med. 2000 ;eb 3@ 30)B5CF 23 /41. ). Best I+' 8ahn I<. 7esearch in education. 1 st ed. 4ew 9elhiF %rentice #all o! &ndia@ 1115. p. 42. 1. 4eera:a 8%. .ext book o! nursing education. 5 th ed. 4ew 9elhiF Iaypee Brothers@ 2003. p. 111/123. 10. Basa$anthappa B.. 4ursing education. 1st ed. 4ew 9elhiF Iaypee Brothers@ 2003. p. 230. 11. Myles. .ext book !or "idwi$es. 13th ed. 4ew JorkF 5hurchill *i$ingstone@ 1111. p. 31/ 33.

12.

Bell 7%' Mc>rath IM. March o! di"es birth de!ects !oundation. %reter" birth. 200 @ 1/5.

13.

#odges 5' <incent %A. March o! di"es birth de!ects !oundation. 7isks in preter" in!ants. 200(@ 3/4.

14.

*inden' %aroli. A.' 9oron M+. %ree"ies. 1 st ed. 4ew JorkF %ocket Books o! A"erican A"erican 5ollege o! ,bstetrics and >ynecologists@ 2000. p. 12.

15.

Me!!ord *5. A theory o! health pro"otion !or preter" in!ants based on *e$ine=s 5onser$ation Model. 4ursing 3cience 2004 Iul@ 1 B3CF 2(0/(.

1(.

3iddell A%' ;ro"an 79. %erinatal care at the threshold o! $iability. A5,> %ractice Bulletin 2002 3ep@ 4u"ber 3).

1 .

5onde/Agudelo A' 9ia0/7ossello I*' Beli0a" IM. 8angaroo "other care. *atin A"erican 5enter !or %erinatology and #u"an 9e$elop"ent' +#,' #ospital 9e 5linicas' 5ochrane 9atabase 3yst. 7e$ 2003@ B2CF 59002 1.

1).

3har"a 3' 3aigal 78' *al #. #yperbilirunae"ia in preter" in!ants. %ediatric 4ursing 200( Iun@ 1)B5CF 20/2.

11.

>ailen .8%. 3el! instructional "odule. Manila. Module Bank. 5oncordia 5ollege. 11)2.

20.

*iaw II. 2se o! a training progra" to enhance 4&52 nurses= cogniti$e abilities !or assessing preter" in!ant beha$iors and o!!ering supporti$e inter$entions. Iournal o! 4ursing 7esearch 2003 Iun@ 11B2CF )2/12.

/.

SIGNATURE OF THE STUDENT

&

0.

REMARKS OF THE GUIDE

&

.he study will help the sta!! nurses to i"pro$e their knowledge about the "anage"ent o! preter" babies.

. .

NAME AND DESIGNATION OF GUIDE & Mrs. <asantaku"ari Associate %ro!essor'

.2

SIGNATURE

.,

HEAD OF THE DEPARTMENT

Mrs. <asantaku"ari Associate %ro!essor'

.-

SIGNATURE

2.

REMARKS OF PRINCIPAL

&

.he researcher selected a good topic to increase the knowledge o! sta!! nurse about the "anage"ent o! preter" babies

2. .

SIGNATURE

Vous aimerez peut-être aussi