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COMPARATIVE STUDY OF OLD AND NEW PROTOCOL IN IMMEDIATE NEWBORN CARE

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A Thesis Presented to The Faculty of College of Nursing Pamantasan ng Lungsod ng Marikina Concepcion Uno, Marikina City

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In Partial Fulfillment of the Requirements for the Degree Bachelor of Science in Nursing

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By:

JACOB JOHN B. MACARILAY GLORIE FEI N. MAGTANGOB ANNA KARIZZA T. MALANA RHODORA T. MALIG GIAN REI A. MANGCUCANG DARLING GRACE B. MANUEL LORAINE P. MANUEL RACHELLE M. MAYUYU MACRINE MAE D. MENDOZA DONATO M. MIANO KATRYN RAY M. MONTAOS ANICA MICHELLE B. NATIVIDAD August 2011

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APPROVAL SHEET

In partial fulfillment of the requirement, for the degree, Bachelor of Science in Nursing, this thesis entitled COMPARATIVE STUDY OF OLD AND NEW PROTOCOL IN IMMEDIATE NEWBORN CARE has been prepared and submitted by: Group 3, BSN IV-2, who is hereby recommended for this coming oral examination.

____________________ Date

__________________________________ MAE MUNAH M. TOLOSA, RM, RN, MAN Adviser

Approved in partial fulfillment of the requirements, for the degree, Bachelor of Science in Nursing, by:

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JACQUELINE M. CALAYCAY, RN, MSN

Chairman ________________________
VILMA S. CORDOVA, RN, MAN

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MARISSA S. TOLENTINO, RN, MAN

Member

Member

Accepted in partial fulfillment of the degree, Bachelor of Science in Nursing.

_____________________________ MADELENE T. AQUINO, RN, MAN Dean, College of Nursing

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ABSTRACT

Before, all the hospitals and the lying-ins in the Philippines were using the old protocol of immediate newborn care. However, increasing number of mortality and morbidity rate was noted. The World Health Organization (WHO) and the Department of Health (DOH) of the Philippines put into consideration that the immediate newborn care being done was one of the reasons behind this. So they revised and developed the new protocol in immediate newborn care or what is called as The Unang Yakap hoping that by recommending the four immediate steps of newborn care, the mortality and morbidity rate among newborns would at least be lessened.

This research is about the comparison of old and new protocol in immediate newborn care. This study discusses how the different procedures done in old and new protocol affect the health status of the newborn.

The

participants

of

this

research

are

the

following:

physicians

(obstetrician/ pediatrician), nurses, and midwives. To qualify as participants, physician, nurses, and midwives should have background about the old and new protocol in immediate newborn care and have experienced it.

This research also aims to find out the significant difference between the old and new protocol in immediate newborn care. The researchers would also like to bind out the rationale behind each revision and how these procedures affect the condition of the newborns. The researchers are interested in studying

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the two protocols and be able to understand the principles and procedures promoted by the Unang Yakap campaign, since the goal originated from the World Health Organization (WHO).

This study will help the health practitioners and health institutions in deciding which of the two protocols is more effective in preventing the occurrence of complications and therefore must be used universally. This will not only contribute to the health of the newborn but would also be a big help in educating the medical team about immediate newborn care.

Type of methods used on this research is the descriptive method. The researchers gathered all the necessary information about the present existing condition. The emphasis on the study was on describing rather than on judging or interpreting. The aim of descriptive research was to verify formulated hypothesis that referred to the present situation in order to elucidate it.

This study is backed up by a survey in the form of completed questionnaires that was circulated in private hospitals which use old protocol in immediate newborn care and in a government hospital and in a lying-in which already implement Unang Yakap. The respondents are limited to skilled birth attendants since they are the ones who understand and are able to rationalize the procedures done in an immediate newborn care. This study does not cover the perception of the mothers and pregnant women. The survey was conducted within a 2-month period, February to March 2011.

Based on the result of this research, there is no significant difference between the old and new protocol. The both of them have their own advantages and disadvantages. So, the researchers conclude that as long as the WHO and the DOH would not make a policy on about this matter, only the health institutions have the right to decide on which of the two is to be used.

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ACKNOWLEDGEMENT

The researchers would like to extend their gratitude to the following:

Mae Munah M. Tolosa, R.M., R.N., their adviser for helping them accomplish this thesis.

Rae Bell Charisse M. Sandoval, their critic for correcting their grammar and the technical format of their thesis.

Eva Kate Salas, CPA, their statistician for computing and interpreting their statistical treatment.

Antonio S. Valdez, MBA, their subject adviser in Nursing Research II for his guidance, knowledge, and ideas to improve the thesis.

Nestor D. Mores, Jr., R.L., the library head of Pamantasan ng Lungsod ng Marikina for mediating to other university libraries for the permission to utilize their library.

Vilma S. Cordova, R.N., the Level III Coordinator of the College of Nursing of Pamantasan ng Lungsod ng Marikina for permitting the researchers to conduct their research.

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DEDICATION

The researchers would like to dedicate this thesis to their parents, Mr. and Mrs. Joe Macarilay, Mr. and Mrs. Adonis Magtangob, Mr. Patrick Malana, Mr. and Mrs. Danilo Malig, Mr. and Mrs. Reynaldo Mangcucang, Mr. and Mrs. Franklin Manuel, Mr. and Mrs. Anastacio Manuel, Mr. and Mrs. Lamberto Mayuyu, Mr. and Mrs. Gerardo Mendoza, Mr. and Mrs. Orlando Miano, Mr. and Mrs. Raymond Montaos, Mr. and Mrs. Manuel Natividad.

To their fellow students BSN IV-2, friends, and to the future researchers.

And above everything else, to the Almighty God.

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TABLE OF CONTENTS Page TITLE PAGE ... APPROVAL SHEET .. ABSTRACT ... ACKNOWLEDGMENT .. DEDICATION .. TABLE OF CONTENTS ........ LIST OF TABLES ....... LIST OF FIGURES ... CHAPTER I INTRODUCTION ... 1 3 4 5 7 i ii iii vi vii viii x xi

Background of the Study

Statement of the Problem ... Significance of the Study Scope and Limitations ... ... .

Conceptual Model of the Study CHAPTER II

CONCEPTUAL FRAMEWORK .. 10 21 23

Review of the Related Literature and Studies Research Hypothesis

Definition of Terms Used . CHAPTER III RESEARCH DESIGN .

Research Method Used Source of Data

25 26 26 27

.... ....

Data Gathering Instrument Data Gathering Procedure

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Statistical Treatment of Data

27 31 32

Gantt Chart . Budget ...

CHAPTER IV

PRESENTATION, ANALYSIS, & INTERPRETATION OF DATA 33 33 33

Presentation . Analysis .

Interpretation of the Data . CHAPTER V Summary Conclusion

SUMMARY, CONCLUSION, & RECOMMENDATIONS . . 40 42 45

Recommendations . BIBLIOGRAPHY APPENDICES

LIST OF TABLES Table 1.1 Table 1.2 Table 1.3 Table 1.4 Profession Average Time of Practiced Profession Educational Attainments Average Length of Experience in Practiced Protocol in Immediate Newborn Care Perception of Respondents Regarding the New Protocol in Immediate Newborn Care Perception of the Respondents Regarding the Old Protocol in Immediate Newborn Care Normal Spontaneous Delivery Cases in Hospitals using Old Protocol of Immediate Newborn Care on January 2011 Neonatal Intensive Care Unit Cases in Hospitals using Old Protocol of Immediate Newborn Care Normal Spontaneous Delivery Cases in Hospitals using New P rotocol of Immediate Newborn Care on January 2011 Neonatal Intensive Care Unit Cases in a Hospital and a Lying-in using New Protocol of Immediate Newborn Care

Table 2.1

Table 2.2

Table 3.

Table 4.

Table 5.

Table 6.

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LIST OF FIGURES

Figure 1.

Conceptual Model of the Study

Figure 2.

Protocol of Immediate Newborn Care

Figure 3.

Methodology