TOPIC: ASSESSING THE KNOWLEDGE,

ATTITUDES AND PRACTICES OF

NURSES REGARDING NEONATAL
JAUNDICE AT THE MBOPPI BAPTIST
HOSPITAL (MBHD) DOUALA .

BY: AWAFOR SYDONIE

Supervisor: Mme SAAHKEM PETOLA
 OUTLINE
INTRODUCTION
• Statement of the problem
• Research questions
• Research objectives
• Research hypothesis
RESEARCH METHODOLOGY
RESULTS AND DISCUSSION
CONCLUSION
SUGGESTIONS 2
 I- INTRODUCTION (1/6)
• Neonatal jaundice (NNJ) is a condition where there is yellowing of the skin and sclera in

newborns, due to increased levels of bilirubin in blood (hyperbilirubinemia) which

subsequently causes an increase in bilirubin in the fluid outside the cell (extracellular fluid).

• It occurs in up to 60-80% of preterm and term, as well as 10% of breastfeeding neonates

• NNJ is a significant cause of neonatal morbidity worldwide and accounts for 75% of hospital

readmissions in the first week of life.

• Nurses are expected to recognize risk factors and early signs and symptoms for jaundice in the

early days of life

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 I-INTRODUCTION (2/6)

• In low income countries such as Cameroon, health personnel are faced with

challenges during the management and prevention of NNJ

• Poor knowledge and lack of better appreciation of NNJ is a precursor for

poor clinical decisions

• Consequently, this study was conducted in the Mboppi Baptist Hospital

Douala in order to assess the knowledge, attitudes and practices of nurses

on neonatal jaundice. 4
 I-INTRODUCTION (3/6)

• STATEMENT OF THE PROBLEM

Globally, Neonatal Jaundice has been one of the most leading factors for poor maternal and fetal

outcomes. In Cameroon, the prevalence of neonatal Jaundice was reported at 31% in 2011

(Mungyeh et al, 2014). This could be prevented if good practical approaches were implemented

following the WHO clinical guidelines on the prevention and management of neonatal Jaundice .

In order to determine if the Pediatric care givers have the knowledge, and practice provided by

the WHO in the prevention and management of Neonatal Jaundice we decided to carry out this
5
study
 I-INTRODUCTION (4/6)

• RESEARCH QUESTION

What is the knowledge, attitudes and practices regarding neonatal

jaundice among nurses of the mboppi baptist hospital Douala?

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 I-INTRODUCTION (5/6)

• RESEARCH OBJECTIVES
1. General objective: To assess the knowledge, attitude and practices regarding
neonatal jaundice (NNJ) among nurses of the mboppi baptist hospital Douala

2. Specific objectives:
 To assess the knowledge of nurses on neonatal jaundice..

 To assess the attitude of nurses towards neonatal jaundice.

 To determine the practices of nurses towards neonatal jaundice. 7

 I-INTRODUCTION (6/6)

• RESEARCH HYPOTHESIS
1. Alternative hypothesis: Nurses of the MBHD have good
knowledge, attitude and practices regarding neonatal
jaundice.

2. Null hypothesis: Nurses of the MBHD do not have good

knowledge, attitude and practices regarding neonatal
jaundice.

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 II-RESEARCH METHODOLOGY (1/4)

• STUDY AREA: This study was carried out at MBBOPI Baptist

Hospital Douala (MBHD)

• STUDY DESIGN: This was a hospital based descriptive cross-

sectional study design where nurses were given questionnaires

• STUDY PERIOD: This study was carried out during a period of

seven from September 2023 to March 2024

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 II-RESEARCH METHODOLOGY (2/4)

• STUDY POPULATION: The study population was nurses of the pediatric unit of
MBHD.

• DATA COLLECTION: The instrument for data collection was a structured

questionnaire with closed ended question, divided in 4 sections:

• Section A: Demographic data of the participants

• Section B: Deals with the knowledge of nurses concerning neonatal jaundice,

• Section C: Deals with the attitude of nurses concerning neonatal jaundice,

• Section D: Deals with the practices of nurses concerning neonatal jaundice.

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 II-RESEARCH METHODOLOGY (3/4)

• SELECTION CRITERIA

1. Inclusion criteria: Nurses in MBHD who were willing to participate

in the research.

2. Exclusion criteria:

a. Nurses in MBHD who were not willing to participate in the research.

b. Nurses out of the study area

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 II-RESEARCH METHODOLOGY (4/4)

• SAMPLE SIZE
• The Daniel’s formula was used in order to estimate the
approximate sample size; the minimum sample obtained
for this study was 60 nurses of the pediatric unit of MBHD

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 III-RESULTS AND DISCUSSION (1/5)
Data analysis was done using SSPS Software 22.0 and Microsoft
Excel 2016.

1. Sociodemographic data distribution of participants

Duration of work 53% of nurses had a
working experience
17% of a year and above,
while 17 % had for
less than 6 months.
53%
<6month 6 to 12month One year and above
30%

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 III-RESULTS AND DISCUSSION (2/5)
Level of education

15%
67% were HND or SRN hold-

ers, 15% had other certific-

5%
ates , 13% were bachelor

degree holders, and only 5%

13%
HND or SRN Bachelor's degree Master's Others had a master’s degree .

67% This might be an indication

that years of working experi-

ence influenced knowledge

more than level of education.

However further studies

needs to be done on this.

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 III-RESULTS AND DISCUSSION (3/5)

2. Assessing the Knowledge of Nurses Concerning Neonatal

Jaundice Knowledge on NNJ
Percentage correct Percentage Incorrect

From this chat,

overall, we would 78.30%

say that majority

of the nurses had 61.70%

a good knowledge 56.70%

53.30%
51.70%
on NNJ. This could 46.70%
48.30%

be due to years of
43.30%
38.30%
working
experience during
which they might 21.70%

experienced cases
of NNJ
What is neonatal jaundice Jaundice is classified into? What is pathological jaundice? What are the major signs of Neonatal jaundice is treated
neonatal jaundice? through? 15
 III-RESULTS AND DISCUSSION (4/5)

3. Assessing the Attitude of Nurses Regarding Neonatal Jaundice

Attitude towards NNJ

Percentage Positive Percentage Negative Overall, we see that a majority of the
68.30% nurses at MBHD had a positive attitude
61.70%
55.00%
towards NNJ. This is contrary to the
50.00% 50.00% 51.70%
48.30%
45.00% study of Andersen (2004) where a
38.30%
31.70%
majority had negative attitude. This
could be due to strict work ethics and
internal trainings at MBHD, for which it
is known
Frequency of screening If treatment is needed Challenges in treatment Enough support communicating with
parents
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 III-RESULTS AND DISCUSSION (5/5)
4. Practices of nurses regarding neonatal jaundice 61.6% felt confident in their
ability identify NNJ , and
60 90%
83.3%
83.3% participants were
50

61.6%
willing to participate in a
40
53.3%

30
46.7% program to prevent
26.7%
20 neonatal jaundice in the
16.7%
11.7% 10%
10 community. This shows that
0
nurses at MBHD had good
practices regarding NNJ

frequency 1 frequency 2 frequency3

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 IV-CONCLUSION
• Majority of the participants had a good knowledge on what neonatal jaundice is,
its causes ,its types and the treatment options

• Majority of the participants had a good attitude toward neonatal jaundice and
knew when to screen for NNJ, they knew the criteria for the treatments of
neonatal jaundice, and they do not also face challenges in managing neonatal.

• Lastly the participants showed good Practices towards neonatal jaundice as they
knew how to treat the diseases, had received training and were this willing to
undergo training to improve on their practices. Most of them were also ready to
participate in a community sensibilisation on NNJ. 18
 V- RECOMMENDATIONS
• At the level of the ministry.
The government and policy makers should continue to initiate necessary measures to
support health personnel’s and health care.
• At the level of health institutes
Seminars, training and health talks should be frequently organized to improve on the
knowledge, attitudes and practices of nurses and other health personnel’s on neonatal
jaundice.
• To nurses
Nurses should put in more effort in knowing more about NNJ and improve on their practices
in its treatment.
• At the level of the community
Community health workers should develop educative programs which can help in promoting
and utilisation of ANC and PNC. This will ease easy detection and early and propel
treatment of NNJ 19
THANK YOU FOR YOUR
KIND ATTENTION.

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