PARTOGRAF EĞİTİMİ VERİLEN EBE VE HEMŞİRELERDE BİLGİ SEVİYESİNİN BELİRLENMESİ

Yıl 2021, Cilt: 24 Sayı: 2, 148 - 155, 25.06.2021

Hülya Türkmen , Selda Yörük

https://doi.org/10.17049/ataunihem.611598

Cited By: 1

Öz

Amaç: Bu çalışmanın amacı partograf eğitimi alan ebe ve hemşirelerin eğitim öncesi ve sonrası partograf konusundaki bilgi ve becerilerini değerlendirmektir.

Yöntem: Kesitsel olarak planlanan bu araştırma Balıkesir ilinde partograf eğitimi alan 45 ebe ve hemşirede gerçekleştirilmiştir. Araştırmanın yürütülmesi için etik kuruldan ve kişilerden onam alınmıştır. Yetişkin eğitim ilkelerine göre partograf eğitimi verilmiştir. Eğitimden önce ve sonra partograf bilgisini ölçen anket uygulanmış ve katılımcılardan partograf kullanma becerilerini ölçmek için olgu örneği verilerek partograf üzerinde işaretlemesi istenmiştir. Araştırmanın verileri partograf konusundaki bilgiyi ölçmeye yönelik hazırlanan sorular çok maddeli önermeler şeklinde hazırlanmıştır. Partograf bilgi sorularına ve kaydetme bölümlerine; doğru yanıt veren ya da işaretleyenlere “2” puan, eksik olanlara “1” puan, yanlış yanıt veren ya da boş bırakanlara “0” puan verilmiştir.

Bulgular: Partograf Bilgi puan ortalamaları doğum kliniklerinde çalışan, daha önce partograf kullanan ve partograf eğitimi alan ebe ve hemşirelerde anlamlı olarak yüksektir(p<0.05). Partografa kaydetme beceri puan ortalamaları çalışma yılı 10 yılın altında olan, üniversite eğitimi alan, daha önce partograf kullanan ve partograf eğitimi alan ebe ve hemşirelerde anlamlı olarak yüksektir(p<0.05). Eğitim öncesi toplam partograf bilgi puan ortalaması ile eğitim sonrası toplam bilgi puan ortalaması karşılaştırıldığında, eğitim sonrası toplam bilgi puan ortalaması anlamlı olarak daha yüksek bulunmuştur(p<0.0001).

Sonuç: Ebe ve hemşirelerin partograf eğitim öncesi düşük olan bilgi ve beceri puan ortalamaları eğitimden sonra puan ortalarında anlamlı bir artış olmuştur. Türkiye'de güncel partografın kullanılması yeni olduğu için bu konuda doğumla ilgili kliniklerde çalışan ebe ve hemşirelerin bilgileri güncellenmeli ve eksiklikleri giderilmelidir.

Anahtar Kelimeler

Bilgi, ebe, hemşire, partograf

DETERMINATION OF MIDWIVES AND NURSES' KNOWLEDGE LEVEL WHO WERE GIVEN PARTOGRAPH TRAINING

Öz

Aim: The aim of this study is to assess midwives and nurses' knowledge and skills of the partograph before and after the training.

Methods: This cross-sectional study was conducted in Balikesir in Turkey. This study was 45 midwifes and nurses who were given partograph training. A scale measuring the partograph knowledge before and after the training was administered and participants were asked to mark on the partograph by giving a case sample to measure skills of using partograph. The questions prepared to measure knowledge of the partograph were multi-item propositions. Correct answers to the partograph knowledge questions were scored "2", missing answers were scored "1" and wrong answers or unanswered questions were scored "0".

Results: Partograph knowledge score averages were meaningfully higher in midwives and nurses who worked in obstetrics clinics, who used partograph and who received partograph training previously (p<0.05). Partograph recording skill score averages were meaningfully higher in midwives and nurses who worked less than 10 years, who had university education, who used partograph previously, and who received partograph training (p<0.05). Post-training score average of total knowledge was meaningfully higher (p<0.0001).

Conclusions: There was a meaningful increase in knowledge and skill score averages in midwives and nurses after the training. Since use of current partograph is a new thing, knowledge of midwives and nurses in working obstetrics clinics should be updated and deficiencies should be made up.

Anahtar Kelimeler

Knowledge, midwifery, nurse, partograph

Kaynakça

• 1. World Health Organization. Maternal Mortality. 19 September 2019. Date of access: 12.04.2021. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
• 2. Kitila SB, Gmariam A, Molla A, Nemera G. Utilization of partograph during labour and birth outcomes at Jimma University. Journal of Pregnancy and Child Health 2014;1:2-6.
• 3. Mandiwa C, Zamawe C. Documentation of the partograph in assessing the progress of labour by health care providers in Malawi’s South-West zone. Mandiwa and Zamawe Reproductive Health 2017;14(134):2-7.
• 4. Kayiga H, Ajeani J, Kiondo P, Kaye DK. Improving the quality of obstetric care for women with obstructed labour in the national referral hospital in Uganda: lessons learnt from criteria based audit. BMC Pregnancy Childbirth. 2016;16(1):2-11.
• 5. Kabakyenga JK, Östergren PO, Turyakira E, Mukasa PK, Pettersson KO. Individual and health facility factors and the risk for obstructed labour and its adverse outcomes in south-western Uganda. BMC Pregnancy Childbirth. 2011;11(1):2-10.
• 6. World Health Organization Recommendations. Intrapartum care for a positive childbirth experience. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO.
• 7. World Health Organization. Recommendations for augmentation of labour. 5-6. 2014, ISBN 978 92 4 150736 3 https://apps.who.int/iris/bitstream/handle/10665/112825/9789241507363_eng.pdf;jsessionid=540C13B2B7D925C25DAE721523E2296A?sequence=1
• 8. Lavender T, Cuthbert A, Smyth RMD. Effect of partograph use on outcomes for women in spontaneous labour at term and their babies. Cochrane Database of Systematic Reviews. No.: CD005461. 2018;8(8):1-115.
• 9. The Republic of Turkey, Ministry of Health. Public Health Agency of Turkey. Women and Reproductive Health Department, Emergency Obstetric Care Midwife-Nurse Training Book. Ankara, 2014;85-97.
• 10. The Republic of Turkey, Cesarean and Labor Management Guide, Maternal and Child Health and Family Planning General Directorate, Ankara 2010. https://dosyamerkez.saglik.gov.tr/Eklenti/6407,dogum-ve-sezaryen-eylemi-yonetim-rehberipdf.pdf?0
• 11. Beydağ KD, Merih YD, Esencan TY. Opinion of delivery room nurse and midwives about using partograhm and effectiveness of partograhms. Gümüşhane University Journal of Health Sciences. 2013;2(2):193-205.
• 12. Souza JP, Oladapo OT, Bohren MA, Mugerwa K, Fawole B, Moscovici L, et al. The development of a simplified, effective, labour monitoring-to-action (SELMA) tool for better outcomes in labour difficulty (BOLD): study protocol. Reproductive Health. 2015;12(1):2-14.
• 13. Modares M, Mirmolaee ST, Mirmohammadalie M, Valizadeh MA, Ziyaee M, Hashemi FA. The effect of education on the use of partogram to control the quality of care offered by midwives. Romanian Journal of Building Services 2009;4:152-6. ISSN:1815-8846
• 14. The Republic of Turkey, Ministry of Health. Public Health Agency of Turkey. Partograph Use Circular. 2015; 2. http://kadinureme.thsk.saglik.gov.tr/Dosya/partografgenelgesi.pdf
• 15. Ahbari FR, Andarieh MG, Ledari FM, Ahmady S. A Study to Assess the Effectiveness of Planned Teaching Programon Knowledge Regarding PartogramAmong Fourth Year B.Sc. Nursing Students of Karnataka College of Nursing at Bangalore. Bulletin of Environment Pharmacology and Life Sciences 2014;3:24-36.
• 16. Andarieh MG, Abhari FR, Shabani M, Mirabi P. Comparing the Pre - and Post - Test Level of Knowledge on Partogram among Fourth Year B.Sc. Nursing Students. Journal of Applied Environmental and Biological Sciences 2014;4:30-8. https://www.textroad.com/pdf/JAEBS/J.%20Appl.%20Environ.%20Biol.%20Sci.,%204(3)30-38,%202014.pdf
• 17. Nyamtema A, Urassa D, Massawe S, Massawe A, Lindmark G, Van Roosmalen J. Partogram use in the Dar es salaam perinatal care study. International Journal of Gynecology and Obstetetrics 2008;100(1):37–40.
• 18. Ogwang S, Karyabakabo Z, Rutebemberwa E. Assessment of partogram use during labour in rujumbura health sub district, Rukungiri district, Uganda. African Health Sciences 2009;9(Suppl 1):27–34.
• 19. Masika MA, Katongole SP, Govule P. Improving Partograph Documentation and Use by Health Workers of Bwera Hospital: A Process Improvement Research. International Journal of Nursing & Health Sciences 2015;2,37-45. http://www.openscienceonline.com/journal/ijnhs
• 20. Abebe F, Birhanu D, Awoke W, Ejigu T. Assessment of knowledge and utilization of the partograph among health professionals in Amhara region, Ethiopia. Science Journal of Clinical Medicine 2013;2,26-42.
• 21. Opiah MM, Ofi AB, Essien EJ, Monjok E. Knowledge and utilization of the partograph among midwives in the Niger Delta Region of Nigeria. African Journal of Reproductive Health 2012;16:125-32.
• 22. Yisma E, Dessalegn B, Astatkie A, Fesseha N. Completion of the modified World Health Organization (WHO) partograph during labour in public health institutions of Addis Ababa, Ethiopia. Reproductive Health 2013;10:2-7.
• 23. Agan TU, Akpan U, Okokon IB, Oku AO, Asibong UE, Opiah MM. Assessment of the Knowledge and Utilization of the Partograph among Non-physician Obstetric Care Givers in the University of Calabar Teaching Hospital, Calabar, Nigeria. British Journal of Medicine and Medical Research 2014;4:5741-55.
• 24. Chaturvedi S, Upadhyay S, De Costa A, Raven J. Implementation of the partograph in India’s JSY cash transfer programme for facility births: a mixed methods study in Madhya Pradesh province. British Medical Journal 2015;5:1-11.