Assessment of Quality of Immediate Care after Birth for Babies with Gastroschisis at the Korle-Bu Teaching Hospital, Ghana
Keywords:Quality, immediate nursing care, Gastroschisis babies
Background: Quality nursing care continues to be a subject of intense criticism and debate although it is vital to patient outcomes and safety. The provision of quality nursing care for babies with gastroschisis immediately after birth is no exception. Gastroschisis is one of the commonest congenital anomalies increasing worldwide and Ghana is not excluded. Ghana records a high rate of newborn deaths from congenital anomalies such as gastroschisis. Studies revealed that proper nursing care immediately after birth is essential for the survival of babies with gastroschisis.
Objective: To assess the quality of immediate care after birth for babies with gastroschisis at the Korle-Bu Teaching Hospital (KBTH).
Methodology: A descriptive cross-sectional survey was employed using a quantitative research approach. The study employed the census method to collect data from eighty-four (84) midwives working at the two labour wards of the KBTH. Data was captured in Epi data version 3.5 and analyzed using descriptive statistics. The quality of immediate nursing care after birth was determined by calculating the total mean values from the responses of the midwives and compared with the American College of Healthcare Sciences grading policy.
Results: The findings from this study showed that only 38% of the midwives provided immediate nursing care for babies delivered with gastroschisis that was rated high in quality care.
Conclusion: The quality of immediate care after birth for babies with gastroschisis at the Korle-Bu Teaching Hospital was low since the overall quality mean score was below the expected threshold of 60%.
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