Effectiveness of In-service Education to Enhance the Knowledge of Newborn Pain and Nonpharmacological Management in the Mother-Baby Unit

EFFECTIVENESS OF IN-SERVICE EDUCATION 3

Abstract

The need to enhance the effectiveness of in-service education of the nurses in the Mother and Baby Unit (MBU) on neonatal pain assessment and in providing comfort measures is an expected obligation. In-service education of nurses plays an essential role in improving the quality of newborn care, promotes empowerment, competency, professional skills development, best practices, and active participation at the unit level. The purpose of this project is to determine the effectiveness of the education of nurses in the MBU and their ability to assess neonatal pain and offer comfort measures (nonpharmacological). With a better understanding of Watson's comfort theory model, nurses will better recognize the effects of pain on the neonate and provide adequate comfort measures during a heel stick. The project was a quality improvement project. A pre-educational questionnaire was presented to the nurses on the MBU before the presentation of in-service education on newborn pain assessment and the provision of comfort measures during a heel stick. After the power-point presentation, a post-educational questionnaire was given to the nurses on the MBU. The knowledge level on pain assessment and the provision of comfort measures was assessed by analyzing the data, i.e., the comparison of the pre and post educational questionnaire findings using a descriptive method. The results of the project indicated that in-service education made a difference in the improvement in nurses’ knowledge in newborn pain assessment and the provision of comfort measures during a heel stick.

EFFECTIVENESS OF IN-SERVICE EDUCATION

4 Table of Contents Acknowledgements.......................................................................................................................2 Abstract.........................................................................................................................................3 I. Introduction...............................................................................................................................6 a. Background and Significance............................................................................................7 b. Needs Assessment .............................................................................................................7 c. ProblemStatement...............................................................................................................8 d. Project Purpose..................................................................................................................9 e. Project Objectives...............................................................................................................9 f. Clinical Question..............................................................................................................10 g. Congruence with the Organizational Strategic Plan........................................................10 h. Search Strategy................................................................................................................11 i. Synthesis of Evidence....................................................................................................12 j. Conceptual Framework..................................................................................................15 II. Methodology a. Project Design................................................................................................................17 b. Setting............................................................................................................................17 c. Population......................................................................................................................18 d. Data collection Instrument..............................................................................................18 e. Project Plan.....................................................................................................................18 EFFECTIVENESS OF IN-SERVICE EDUCATION 5 f. Data Analysis...................................................................................................................19 g. Institutional Review Board..............................................................................................20 III. Organizational Assessment and Cost-Effectiveness Analysis a. Organizational Assessment.............................................................................................21 b. Cost Factors....................................................................................................................23 IV. Results a. Analysis of implementation Process................................................................................24 b. Analysis of Project Outcome Data.................................................................................