Knowledge Levels of Neonatal Intensive Care Unit Nurses Regarding Retinopathy and Examination Process

Year 2024, Volume: 13 Issue: 2, 368 - 374, 28.08.2024

Semra Köse , Gizem Kıvrak

https://doi.org/10.53424/balikesirsbd.1383038

Abstract

Aim: This study aimed to determine the knowledge levels of neonatal nurses in managing ROP (Retinopathy of Prematurity) and the examination process. Method: The descriptive research model was conducted between August-September 2023. A total of 171 nurses who met the inclusion criteria were included in the study during the specified dates. Data were collected using the 'Nurse Profile Form' and the 'ROP Knowledge Form.' Results: The average age of the participating neonatal nurses was 34.26 ± 7.16 years. It was found that 74.3% of them had a bachelor's degree, 23.4% had been working in neonatal clinics for 7-10 years, 62% followed current publications related to neonatology, and 95.3% had participated in ROP examinations. Among the descriptive characteristics of the nurses, it was found that the knowledge levels of those with postgraduate education were higher than those with bachelor's degrees. Additionally, those who followed current publications related to neonatal intensive care had higher ROP knowledge levels than those who did not (p <0.05). Conclusion: In the study, it was determined that the knowledge levels of neonatal nurses regarding ROP and the examination process were at a good level, and some descriptive characteristics were significant according to the ROP knowledge form.

Keywords

Knowledge level, Nurse, Retinopathy, Neonate.

References

• Bilgeç, G. H., & Erol N. (2018). Epidemiology, prevalence, and incidence of premature retinopathy. Current Retina Journal, 2 (1), 2 - 4.
• Darlow, B. A., & Husain, S. (2019). Primary prevention of rop and the oxygen saturation targeting trials. Seminars in Perinatology, 43 (6), 333–340. https://doi.org/10.1053/J.SEMPERI.2019.05.004
• Das, A., Mhanna, M., Sears, J., Houdek, J. W., Kumar, N., Gunzler, D., et al. (2018). Effect of fluctuation of oxygenation and time spent in the target range on retinopathy of prematurity in extremely low birth weight infants. Journal of Neonatal-Perinatal Medicine, 11 (3), 305–310. https://doi.org/10.3233/NPM-1757.
• Demir Acar, M., & Alparslan, Ö. (2021). Newborn Screening and Nurse's Roles. Bayat M, editör. Neonatal Nursing. 1. Baskı. Ankara: Türkiye Klinikleri, 8-13.
• Dolgun, G. (2017). Retinopathy of prematurity and nursing approaches. Ege University Faculty of Nursing Journal. 33 (1), 158-167.
• Dolgun, G., & Bozlak, Ş. (2017). Effect of nonpharmacologic pain control during examination for retinopathy of prematurity. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46 (5), 709–715. https://doi.org/10.1016/J.JOGN.2017.06.008
• Erdim, L., & İnal, S. (2018). Taking samples and sending in newborn screening tests and responsibilities of nurses. Journal of Health Science and Profession, 5 (1), 102-106. https://doi.org/10.17681/hsp.323082
• Finer, N., & Leone, T. (2009). The role of oxygen in health and disease-a series of reviews oxygen saturation monitoring for the preterm infant: the evidence basis for current practice. Pediatric Research, 65 (4), 375-380.
• Fingerhut, R., & Olgemöller, B. (2009). Newborn screening for inborn errors of metabolism and endocrinopathies: an update. Analytical and Bioanalytical Chemistry Research, 393 (5), 1481-1497. https://doi.org/10.1007/s00216-008-2505-y.
• Ginovart, G., Gich, I., & Verd, S. (2016). Human milk feeding protects very low-birth-weight infants from retinopathy of prematurity: A pre–post cohort analysis. Journal of Maternal-Fetal and Neonatal Medicine, 29 (23), 3790–3795. https://doi.org/10.3109/14767058.2016.1145648.
• Hakmal, H., Karadağ, M., & Demir, C. (2012). Investigation of factors affecting the motivation levels of nurses: A study in gülhane military medical faculty training hospital. Journal of Anatolia Nursing and Health Sciences, 15(3), 181-187.
• Kalyan, G., & Moxon, S. (2016). The role of neonatal nurse in the prevention of retinopathy of prematurity. Community Eye Health Journal, 53 (2), 143-151.
• Koç, E., Yağmur, B.A., Özdek, Ş., & Ovalı, F. (2021). Turkish neonatal and turkish ophthalmology societies consensus guideline on the retinopathy of prematurity. Turkish Archives of Pediatrics, 53 (1), 151-160. https://doi.org/10.5152/TurkPediatriArs.2018.01815
• Lloyd-Puryear, M.A., Tonniges, T., Van Dyck, P.C., Mann, M.Y., Brin, A., Johnson, K., et al. (2006). American academy of pediatrics newborn screening task force recommendations: How far have we come? Pediatrics, 117 (5), 194-211. https://doi.org/10.1542/peds.2005-2633B
• Manzoni, P., Stolfi, I., Pedicino, R., Vagnarelli, F., Mosca, F., Pugni, L., et al. (2013). Human milk feeding prevents retinopathy of prematurity (ROP) in preterm VLBW neonates. Early Human Development, 89 (1), 64-68. https://doi.org/10.1016/S0378-3782(13)70019-7.
• Metreş, Ö. (2014). Premature retinopathy from a nursing perspective. Okmeydanı Medical Journal, 30 (2), 63-67. https://doi.org/10.5222/otd.2014.063
• Metres, O., Aykanat Girgin, B., & Gozen, D. (2019). What do neonatal nurses know and feel about pain management during retinopathy of prematurity examination: A qualitative research. Florence Nightingale Journal of Nursing, 27 (2), 133–142. https://doi.org/10.26650/FNJN18009
• Muneer, A., Bari, A., Naveed, S., & Ali, A. S. (2018). Is human milk feeding protective for retinopathy of prematurity? Pakistan Journal of Medical Sciences, 34 (6), 1534–1538. https://doi.org/10.12669/pjms.346.15799
• Müstakim, H., Şatırtav, G., Oltulu, R., Kerimoğlu, H., Özkağnıcı, A., & Altunhan, H. (2017). Results of screening and treatment for retinopathy of prematurity. Selcuk Medicine Journal, 33 (2), 26-28. https://doi.org/10.1109/5.771073.
• Olsson, E., & Eriksson, M. (2011). Oral glucose for pain relief during eye examinations for retinopathy of prematurity. Journal of Clinical Nursing, 20 (7–8), 1054–1059. https://doi.org/10.1111/j.1365-2702.2010.03529.x
• Sancak, S., Topçuoğlu, S., Çelik, G., Günay, M., & Karatekin, G. (2019). Evaluation of the frequency and risk factors of retinopathy of prematurity. Zeynep Kamil Medical Bulletin, 50 (1), 63-68. https://doi.org/10.16948/zktipb.474762
• Sankar, B., Marakkar, R., & Varghese, S. (2022). Effectiveness of developmentally supportive education program on nursing knowledge of retinopathy of prematurity in neonatal intensive care unit. Iranian Journal of Nursing and Midwifery Research, 27 (1), 67–70. https://doi.org/10.4103/ijnmr.IJNMR_279_20
• Srivatsa, B., Malcolm, K., Clark, R. H., & Kupke, K. G. (2021). Effect of a novel oxygen saturation targeting strategy on mortality, retinopathy. The Journal of Pediatrics, 234, 33-37e. https://doi.org/10.1016/j.jpeds.2021.03.007
• Taplak, A.Ş., & Erdem, E. (2018). Pain management in retinopathy of prematurity examination. Journal of Health Sciences, 27 (2), 170-175.
• Thuileiphy, T., Joshi, P., Dolma, Y., Paul, J., Joshi, M., Gudiya, et al. (2021). A descriptive survey on knowledge gap related to retinopathy of prematurity and its prevention and management among nurses in a tertiary care hospital. Indian Journal of Ophthalmology, 69 (8), 2122–2125. https://doi.org/10.4103/ijo.IJO_2950_20.