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The Impact of an Educational Program Regarding Total Parenteral Nutrition on Infection Indicators in Neonates
Maryam Marofi1, Nahid Bijani2, Zahra Abdeyazdan1
1Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Continuing medical education for neonatal intensive care unit nurses on total parenteral nutrition (TPN) significantly reduced infection rates in newborns. This nursing education improved infant safety by lowering infection indicators during TPN.
Area of Science:
- Neonatal Intensive Care
- Medical Education
- Infectious Disease Prevention
Background:
- Total parenteral nutrition (TPN) is a critical nutritional support for preterm infants.
- Infection is a significant complication associated with TPN in neonates.
- Preventing nosocomial infections is vital for neonate safety in NICUs.
Purpose of the Study:
- To evaluate the impact of a continuing medical education (CME) course on TPN for NICU nurses.
- To assess the effect of this education on infection indicators in newborns receiving TPN.
Main Methods:
- A quasi-experimental study involving 127 neonates before and after a CME program.
- Inclusion criteria: physician-prescribed TPN, no pre-existing infection; Exclusion criteria: infant death.
- Data collected via record sheets on clinical infection signs and demographics; analyzed using Chi-square, Fisher's exact, and t-tests.
Main Results:
- The frequency of clinical infection markers in newborns was significantly lower post-intervention (46.90%) compared to pre-intervention (65.10%) (p=0.04).
- The study demonstrated a reduction in infection indicators following the nursing educational program.
Conclusions:
- Nursing educational programs focused on TPN are effective in reducing infection rates among neonates in NICUs.
- Implementing such educational initiatives can enhance patient safety and improve outcomes for vulnerable infants.
Background:
One of the basic care measures for preterm infants is providing nutrition through total parenteral nutrition (TPN) and one of the most important complications of it is infection. Because prevention of nosocomial infections is an important issue for neonate's safety, this study aimed to determine the effects of a continuing medical education (CME) course on TPN for neonatal intensive care unit (NICU) nurses on indicators of infection in newborns.
Materials And Methods:
This quasi-experimental study was conducted on 127 neonates who fulfilled the inclusion criteria. They were selected through simple convenience sampling method at two stages of before and after the CME program. The inclusion criteria were prescription of TPN by the physician and lack of clinical evidences for infection in newborns before the beginning of TPN. Death of the infant during each stage of the study was considered as the exclusion criteria. The data gathering tool was a data record sheet including clinical signs of infection in the infants and their demographic characteristics. Data were analyzed using Chi-square test, Fisher's exact test, and student's t-test in SPSS software.
Results:
The results showed the frequency of clinical markers for infection in newborns at the pre-intervention stage (n = 41; 65.10%) was significantly less than at the post-intervention stage (n = 30; 46.90%) (p = 0.04).
Conclusions:
Nursing educational programs on TPN reduce infection rates among neonates in NICUs.
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