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    Evaluation of an educational program to increase neonatal nurses’ knowledge and confidence to support kangaroo care within a neonatal units in Malaysia
    (Maltepe Üniversitesi, 2019) Samsudin, Sharmiza; Abdullah, Khatijah Lim; Lei, Chui Peng; Kamar, Azanna
    INTRODUCTION: Kangaroo care (KC) is a wellestablished feasible intervention in NICUs for neonatal care. Although KC has routinely practiced in other countries for 30 over years, it is a new occurrence in Malaysia. Research has reported a need for evidence-based training for nurses so that they can support mothers with this practice. Therefore, it is essential to increase nurses’ knowledge and confidence in KC. Donabedian Quality of Care model was used as a framework. OBJECTIVE: The aim is to evaluate neonatal nurse’s knowledge and confidence in KC using the Staff Advocate Program in Kangaroo Care (SApKc). METHOD: A pretest-posttest one group a quasiexperimental quantitative study was conducted at a Neonatal Intensive Care Unit in a major teaching hospital. The modified ‘Kangaroo Care Questionnaire Tool’ was administered to 47(100%) RNs after they have participated in one course about KC evidence-based practices and skills. The SApKc was designed as a structured teaching program to further explore the effect of the intervention on neonatal nurse’s knowledge. Measures of central tendency, dispersion, paired t-tests, and Wilcoxon signed-ranks test were conducted on 86 questionnaires. Data were analyzed using SPSSV 21.0. RESULTS: The nurses’ characteristics were varied. The mean post-test Knowledge score (M= 46.81, SD = 3.21) was significantly increased than pretest score (M = 32.13, SD = 3.99), t [46] = 24.1, p =< .001), as Confidence skills in general practice showed lack of confidence skill score (M = 29.87, SD = 7.38) after intervention program (M = 24.81, SD = 6.27), t [46] = 4.34, p = .000). Confidence skills score in ventilator practice improved as showed by pre- test median score (Median = 28.00, IQR = 6.00), compared with post-test median score (M=29.90, IQR = 2.00), Z =-2.52, p=0.012 though p-value not significant. However, the post-test barriers median score significantly higher (Median=59.19) than the pre-test score (Median=57.34). CONCLUSION: The nurses’ knowledge and confidence of KC improved after the intervention, suggesting a need for continuing education. Focused intervention can lead to positive changes in barriers and practice in supporting mothers to undertake kangaroo care in neonatal units.