Competency of Level 4 Nursing Students on Immediate Newborn Care

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Chapter 1

Background of the Study


A nurse’s responsibility requires safe and effective care within constantly evolving health care systems (“Patient safety and nursing,” One such area to be checked is neonatal nursing in which a nurse is to provide immediate newborn care. Such care is critical at this stage for it may distinguish whether the wellness of the care given can improve the condition of the newborn or further worsen the condition of the newborn.

Immediate newborn care is a step by step procedure in caring for a newborn to ensure comfort and security while providing their needs. Basically focuses on certain procedures done on a newborn upon delivery from the mother. Such procedures include clearing of their airways upon delivery, providing warmth and attachment to mother, cord care, APGAR scoring, temperature taking, anthropometric measurements, eye prophylaxis, Vitamin K administration, immunization, bathing, initial feeding and proper documentation. It is important that nurses should do the procedure accurately and with confidence.

Since skills and knowledge are learned through experience, constant practice and good instructions, the practice of this procedure should be started as early as possible, especially during the internship of student nurses in the hospitals in DR and NICU areas.

The researchers came up with this study to know the level of competency of level IV nursing students on immediate newborn care. Knowing the level of competency of the student nurses on this procedure may give good insights on how well does the students perform the procedures and may suggest any possible reforms in their learning process.

Theoretical Framework

According to Bandura, people learn from one another through observation, imitation, and modeling. People learn through observing others’ behavior, attitudes, and outcomes of those behaviors. “Most human behavior is learned...
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