Nurses' Commitment totheIntegrated Management of Childhood Illness ProgramintheManagement of Children withAcute Respiratory Infection
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
The Integrated Management of Childhood Illness (IMCI) program focuses on the overall health of the under-five years old children in which the occurrence of most common diseases take place particularly Acute Respiratory Infection (ARI). There a significant reduction in the mortality rate of those children after commitment to such program. Objective: This study aimed to assess nurses' commitment to the IMCI program in the management of children with ARI. Design: A descriptive research design was used. Setting: All health care centers and units in both urban and rural areas (36) primary health care settings in Damanhour city, AlBehira governorate, in Egypt. Subjects: All pediatric IMCI trained nurses (100) who are responsible for management of children with ARI from the previously mentioned settings. Tools: One tool was used to collect necessary data namely; Nurses' Commitment to the IMCI Program in the Management of Children with ARI Observational Checklist. Results: Two thirds of nurses had "Poor" practices score in commitment to check for danger signs. The majority of nurses had "Poor" practices score in commitment to assess for main symptoms of ARI, identify treatment if no urgent referral is needed, treat sick child, and assess, identify and counsel the mothers about child's feeding problems (95%, 97%, 83% and 95% respectively). Conclusion: The majority of nurses had "Poor" total practices score in commitment to the IMCI program in the management of children with ARI. While, small percentage of them had "Good" and "Fair" total practices score. Recommendations: The recently updated IMCI program for management of different problems of the under-five years old children particularly ARI should be applied by pediatric nurses in primary health care settings.
Authors and Affiliations
Mona Shafick Ahmed El-Safty, AzzaMostafa Darwish, AbeerAbd El-Razik Ahmed Mohammed
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