A Protocol for Improving Nursing Performance Towards Placental Examination among Staff Nurses at the Labor Room in Selected Hospitals of Pune City

Abstract

Objective: The placenta is derived from both maternal and fetal tissue with approximately one fifth derived from fetal tissue patterm. The placenta should be examined, as it reflects disease in the mother and the fetus. Aim: The aimis to implement protocol for improving nursing performance. Objective: 1) To assess the knowledge regarding the placenta and placental examination.2) To assess the effectiveness of teaching program on protocols to be implemented in labour unit regarding Placental examination. Methods: Design: A quasi experimental design was adopted. Setting: The current study was conducted at the labor unit at selcted hospitals of Pune city. Sample: 42 nurses who were affiliated to labor units. Tools: Two tools were used for data collection; structured interview questionnaire and an observation checklist. Results: There was no significant difference between both groups in general characteristics. The majority of the studied nurses from selcted hospitals of Pune city, respectively, did not attend any training related to placental examination before conducting the study. Mean while, there was asignificant improvement in nurses'performance towards placental examination after implementing the program. Conclusions: The placental examination program was effective inimproving the nurse's performance at labor units. Recommendation: Policy makers should formulate an actional plan of continuing education to help nurses already in the labor force to retainand update their knowledge and clinical skills especially in such topic placental examination and encourage nurses to participate in programs in order to maintain a high level of health care in maternity hospitals.