The overview of nurses' performance in low-birth-weight care in agricultural areas
Abstract
Low birth weight (LBW) infants represent the second leading cause of neonatal mortality in Indonesia. These infants require intensive care after hospital discharge but are often readmitted due to dehydration, fever, respiratory distress, diarrhea, and vomiting conditions linked to families' inadequate preparedness for home care. Nurses play a critical role in LBW care, delivering promotive, preventive, curative, and rehabilitative services through a nursing process that addresses individuals, families, and groups. Enhancing nursing performance in LBW care necessitates the support of health workers and cadres. This support is best implemented through maternal and child health programs focused on preparation, implementation, assistance, monitoring, and evaluation for families managing low birth weight infants. Method: This study employed a descriptive quantitative design, targeting nurses who had managed low birth weight (LBW) infants in the Agricultural Health Center (Puskesmas) Ajung, Sumbersari, Rambipuji, Panti, and Kalisat. A total of 68 nurses were sampled using total sampling with a cross-sectional approach, utilizing a modified Multisource Feedback (MSF) Questionnaire as the research instrument. Results Respondents were aged 20-30 years (13.2%), 31-40 years (42.6%), 41-50 years (33.8%), and >51 years (10.3%). Most held a diploma (69.1%), while 30.9% had a bachelor's degree in nursing (News). Nurse performance in managing LBW infants and home visits was rated good in 63.2% of cases, low in 19.1%, and moderate in 17.6%. Most respondents were aged 31-40 years and held a diploma in nursing. Based on frequency and percentage distribution, 63.2% of nurses performed well.
References
Aagaard, H., Hall, E., Audulv, Å., Ludvigsen, M. S., Westergren, T., & Fegran, L. (2023). Parents’ experiences of transitioning to home with a very-low-birthweight infant: A meta-ethnography. Journal of Neonatal Nursing, 29(3), 444-452. https://doi.org/10.1016/j.jnn.2022.11.012
AlOmari, F. (2021). How to improve patient satisfaction behavioral compliance and hospital image through nurse caring: Strategizing for healthcare during COVID-19. Health Marketing Quarterly, 38(2–3), 52–69. https://doi.org/10.1080/07359683.2021.1980658
Antar Amir Said, M., Nabawy ELaasar, H., & Abdel-Ghany Abdel-fatah, Y. (2024). Effect of an Educational Program on Nurses' Performance Regarding Care Provided for Neonates with Hypoglycemia at Neonatal Intensive Care Units. Journal of Nursing Science Benha University, 5(1), 210-232. https://dx.doi.org/10.21608/jnsbu.2024.335776
Arsyi, M. (2021). Maternal Factors Affecting the Incidence of Low Birth Weight (LBW) in Indonesia. International Journal of Pharmaceutical Research, 13(1), 4197-4203. https://doi.org/10.31838/ijpr/2021.13.01.557
Aziz, P. M. (2024). Experience and expression of postnatal mothers practicing kangaroo mother care: A qualitative study. SAGE Open Medicine. https://doi.org/10.1177/20503121241266493
Baek, H., Han, K., Cho, H., & Ju, J. (2023). Nursing teamwork is essential in promoting patient-centered care: a cross-sectional study. BMC nursing, 22(1), 433. https://doi.org/10.1186/s12912-023-01592-3
Baker, C., Cary, A. H., & Da Conceicao Bento, M. (2020). Global standards for professional nursing education: The time is now. Journal of Professional Nursing, 37(1), 86-92. https://doi.org/10.1016/j.profnurs.2020.10.001
Bolan, N., Cowgill, K. D., Walker, K., Kak, L., Shaver, T., Moxon, S., & Lincetto, O. (2021). Human resources for health-related challenges to ensuring quality newborn care in low-and middle-income countries: a scoping review. Global Health: Science and Practice, 9(1), 160-176. https://doi.org/10.9745/GHSP-D-20-00362
Bright, K. S., Mannion, C., White, D., & Bouchal, S. R. (2020). Transitioning into the role of mother following the birth of a very low-birth-weight infant: a grounded theory pilot study. The Journal of Perinatal & Neonatal Nursing, 34(2), 125-133. https://doi.org/10.1097/jpn.0000000000000466
Brooks, S., Weston, D., & Greenberg, N. (2020). Psychological impact of infectious disease outbreaks on pregnant women: Rapid evidence review. Public Health, 189, 26-36. https://doi.org/10.1016/j.puhe.2020.09.006
Changiz, T., & Namnabati, M. (2021). Management of Comprehensive Care of multiple-birth infants from fetal to infancy period: challenges, training, strategies. Bmc Pediatrics, 21, 1-9. https://doi.org/10.1186/s12887-021-02613-3
de Ocampo, F. S., & Villanueva-Uy, M. E. T. (2021). A Randomized Controlled Trial of Intermittent Kangaroo Mother Care versus Conventional Care in Increasing the Rate of Weight Gain among Low-Birth-Weight Neonates. Acta Medica Philippina, 55(9). https://doi.org/10.47895/amp.v55i9.3757
Durmaz, A., Sezici, E., & Akkaya, D. D. (2023). The effect of kangaroo mother care or skin-to-skin contact on infant vital signs: A systematic review and meta-analysis. Midwifery, 125, 103771. https://doi.org/10.1016/j.midw.2023.103771
Fernández-Medina, I. M., Jiménez-Fernández, L., Solaz-García, Á. J., Llorca-Porcar, A., Martínez-Miguel, E., & Collados-Gómez, L. (2024). Consensus document for the kangaroo mother care method. Anales de Pediatría (English Edition), 101(3), 208-216. https://doi.org/10.1016/j.anpede.2024.08.005
George, C. R. R., Jeffery, H. E., & Lahra, M. M. (2022). Infection of mother and baby. Keeling's Fetal and Neonatal Pathology, 207-245. https://doi.org/10.1007/978-3-030-84168-3_9
Gomes, M. P., Saráty, S. B., Pereira, A. A., Parente, A. T., Santana, M. E. D., Cruz, M. D. N. D. S., & Figueira, A. D. M. (2021). Mothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home. Revista Brasileira de Enfermagem, 74, e20200717.
Halawani, A. Z., Alharbi, M. A., Alkhuraym, Y. Y., Alharthi, A. H., Alqahtani, S. F. M., Al-Qahtani, M. M. A., ... & Alghamd, A. S. (2023). Low Birth Weight and Preterm Infants Nursing Care: an Updated Review. International journal of health sciences, 7(S1), 3779-3794. https://doi.org/10.53730/ijhs.v7nS1.15387
Hariati, S., Febriani, A. D. B., Sutomo, R., Lusmilasari, L., & McKenna, L. (2022). Exploring Indonesian nurses’ perspectives on preparing parents of preterm infants for hospital discharge: A qualitative study. Journal of Neonatal Nursing, 28(1), 59-66. https://doi.org/10.1016/j.jnn.2021.07.002
Khaira, S., Pert, A., Farrell, E., Sibley, C., Nielsen, H. C., & Volpe, M. V. (2022). Expressed Breast Milk Analysis: Role of Individualized Protein Fortification to Avoid Protein Deficit After Preterm Birth and Improve Infant Outcomes. Frontiers in Pediatrics, 9, 652038. https://doi.org/10.3389/fped.2021.652038
Kono, Y. (2020). Neurodevelopmental outcomes of very low birth weight infants in the Neonatal Research Network of Japan: Importance of neonatal intensive care unit graduate follow-up. Clinical and Experimental Pediatrics, 64(7), 313. https://doi.org/10.3345/cep.2020.01312
Lockyer, J., & Sargeant, J. (2022). Multisource feedback: An overview of its use and application as a formative assessment. Canadian Medical Education Journal, 1, 30–35. https://doi.org/10.36834/cmej.73775
Maleki, M., Mardani, A., Harding, C., Basirinezhad, M. H., & Vaismoradi, M. (2022). Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis. Women's Health. https://doi.org/10.1177/17455057221104674
Mansourian, M., Ziapour, A., Kazemian, M., Damanabad, Z. H., Rastegarimehr, B., Mirzaei, A., ... & Arani, M. M. (2020). Assessment of educational performance of nurses in neonatal intensive care unit from parents’ perspective. Journal of education and health promotion, 9(1), 8. https://doi.org/10.4103/jehp.jehp_371_19
Mbachu, C., Etiaba, E., Ebenso, B., Ogu, U., Onwujekwe, O., Uzochukwu, B., Manzano, A., & Mirzoev, T. (2022). Village health worker motivation for better performance in a maternal and child health programme in Nigeria: A realist evaluation. Journal of Health Services Research & Policy. https://doi.org/10.1177_13558196211055323
Novayelinda, R., Rustina, Y., & Haryanti, R. T. S. (2024). Various interventions during follow-up care of low birth weight infants: a scoping review. Healthcare in Low-resource Settings. https://doi.org/10.4081/hls.2024.13012
Padila, P., Andrianto, M. B., & Andri, J. (2023). Mother's Experience in Caring for Premature Infants. JOSING: Journal of Nursing and Health, 3(2), 204-212. https://doi.org/10.31539/josing.v3i2.6672
Schuler, C., Waldboth, V., Ntow, G. E., & Agbozo, F. (2023). Experiences of families and health professionals along the care continuum for low-birth weight neonates: A constructivist grounded theory study. Journal of Advanced Nursing, 79(5), 1840-1855. https://doi.org/10.1111/jan.15566
Sentika, R., Setiawan, T., Rattu, D. J., Yunita, I., Masita, B. M., & Basrowi, R. W. (2023). The Importance of Interprofessional Collaboration (IPC) Guidelines in Stunting Management in Indonesia: A Systematic Review. Healthcare, 12(22), 2226. https://doi.org/10.3390/healthcare12222226
Smith, B. (2024). Thermoregulation of the extremely low birth weight neonate. Neonatal Network, 43(1), 12-18. https://doi.org/10.1891/nn-2023-0020
Tomori, C., Gribble, K., Palmquist, E. L., Ververs, T., & Gross, M. S. (2020). When separation is not the answer: Breastfeeding mothers and infants affected by COVID-19. Maternal & Child Nutrition, 16(4), e13033. https://doi.org/10.1111/mcn.13033
