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Effect of education program regarding pathological jaundice on nurses' performance and neonates' bilirubin-induced

Nora Abd El-Alim Ebrahim1, Madiha Hassan Bayoumi2, Hanan El-Sayed Metwally2

  • 1Pediatric Nursing, Faculty of Nursing Affiliated to Benha University, Benha, Egypt. noura.ibrahim@fnur.bu.edu.eg.

European Journal of Pediatrics
|January 8, 2025
PubMed

Insights

An education program improved nurses' performance in managing pathological jaundice and bilisphere phototherapy, leading to better outcomes for neonates. This highlights the crucial role of nurses in neonatal intensive care units.

Area of Science:

  • Neonatal Medicine
  • Pediatric Nursing
  • Bilirubin Metabolism

Background:

  • Pathological jaundice in neonates can lead to severe neurological damage due to bilirubin accumulation.
  • Bilirubin-induced neurological dysfunction (BIND) score is critical for assessing acute bilirubin encephalopathy.
  • Bilisphere phototherapy offers a novel treatment for indirect hyperbilirubinemia, comparable to exchange transfusions.

Purpose of the Study:

  • To evaluate the effectiveness of an education program on nurses' performance in managing pathological jaundice.
  • To assess the impact of improved nursing care on neonatal outcomes during bilisphere phototherapy.
  • To correlate nurses' performance with neonatal outcomes in pathological jaundice management.

Main Methods:

  • A quasi-experimental design was used in a Neonatal Intensive Care Unit.
  • Sixty nurses and 90 neonates with pathological jaundice participated.
  • Data collected using questionnaires, observational checklists, and neonatal outcome assessments.

Main Results:

  • A positive correlation was found between nurses' performance and bilisphere phototherapy post-education.
  • Improved nursing performance significantly correlated with better neonatal outcomes in the study group.
  • The education program demonstrated effectiveness in enhancing nurses' skills and improving neonatal health.

Conclusions:

  • Education programs are vital for improving medical team performance in neonatal care.
  • Effective nursing practice is essential for optimizing outcomes with bilisphere phototherapy.
  • Integrated management using bilisphere phototherapy and BIND score assessment ensures optimal neonatal care.

Keywords:
Bilisphere phototherapyEducation programNurses’ performanceOutcomes of neonatesPathological jaundice

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