ArticleJournal of clinical nursing2019
Nursing knowledge of essential maternal and newborn care in a high-mortality urban African setting: A cross-sectional study.
Article in Journal of clinical nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 37 citations in OpenAlex.
- Nurses experiences with an intervention enhancing skill-mix in Kenyan neonatal units with severe workforce deficits: A qualitative study.International journal of nursing studies · 2025Article
- Delays in accessing high-quality care for newborns in East Africa: An analysis of survey data in Malawi, Mozambique, and Tanzania.Journal of global health · 2024Article
- Health care providers' knowledge of clinical protocols for postpartum hemorrhage care in Kenya: a cross-sectional study.BMC pregnancy and childbirth · 2022Article
- Knowledge, Practice, and Associated Factors of Essential Newborn Care among Sudanese Women in Eastern Sudan.Children (Basel, Switzerland) · 2022Article
- Exploring the knowledge of community-based nurses in supporting parents of preterm babies at home: A survey-based study.Nursing open · 2022Article
- Nurses in NICUs' views on nosocomial infection prevention.Journal of education and health promotion · 2022Article
- Burden of disease and risk factors for mortality amongst hospitalized newborns in Nigeria and Kenya.PloS one · 2021Article
- Characterizing health care provider knowledge: Evidence from HIV services in Kenya, Rwanda, South Africa, and Zambia.PloS one · 2021Article
- Article
- Variation in competent and respectful delivery care in Kenya and Malawi: a retrospective analysis of national facility surveys.Tropical medicine & international health : TM & IH · 2020Article
- Knowledge on Prevention and Management of Preeclampsia and Eclampsia among Nurses in Primary Health Settings: Baseline Findings from an Interventional Study in Dodoma Region, Tanzania.The East African health research journal · 2020Article
- Lessons from a Health Policy and Systems Research programme exploring the quality and coverage of newborn care in Kenya.BMJ global health · 2020Review
- Health providers´ knowledge on maternal and newborn care: implications on health systems strengthening in Vihiga County, Kenya.The Pan African medical journal · 2020Article
- Nursing knowledge of essential maternal and newborn care in a high-mortality urban African setting: A cross-sectional study.Journal of clinical nursing · 2019Article
- Effective coverage and budget implications of skill-mix change to improve neonatal nursing care: an explorative simulation study in Kenya.BMJ global health · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
Abstract
aimsTo assess the knowledge of nurses of national guidelines for emergency maternity, routine newborn and small and sick newborn care in Nairobi County, Kenya.
backgroundThe vast majority of women deliver in a health facility in Nairobi. Yet, maternal and neonatal mortality remain high. Ensuring competency of health workers, in providing essential maternal and newborn interventions in health facilities will be key if further progress is to be made in reducing maternal and neonatal mortality in low-resource settings.
designCross-sectional survey.
methodsQuestionnaires comprised of clinical vignettes and direct questions and were administered in 2015-2016 to nurses (n = 125 in 31 facilities) on duty in maternity and newborn units in public and private facilities providing 24/7 inpatient neonatal services. Composite knowledge scores were calculated and presented as weighted means. Associations were explored using regression. STROBE guidelines were followed.
resultsNurses scored best for knowledge on active management of the mother after birth and immediate routine newborn care. Performance was worst for questions on infant resuscitation, checking signs and symptoms of sick newborns, and managing hypertension in pregnancy. Overall knowledge of care for sick newborns was particularly low (score 0.62 of 1). Across all areas assessed, nurses who had received training since qualifying performed better than those who had not. Poorly resourced and low case-load facilities had lower average knowledge scores compared with better-resourced and busier facilities.
conclusionOverall, we estimate that 31% of maternity patients, 3% of newborns and 39% of small and sick newborns are being cared for in an environment where nursing knowledge is very low (score <0.6). RELEVANCE TO CLINICAL PRACTICE: Focus on periodic training, ensuring retention of knowledge and skills among health workers in low-case load setting, and bridging the know-do gap may help to improve the quality of care delivered to mothers and newborns in Kenya.
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Registered trials
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