Nurses’ Perspective On Postpartum Education Needs In A Referral Hospital
Article Sidebar
Main Article Content
Abstract
Background: The study about nurses’ perception of postpartum complication education is limited. The previous studies in Indonesia focus on providing education as a direct intervention to patients. This study aimed to determine the educational needs of postpartum mothers from the nurses' point of view.
Methods: This study was a qualitative study conducted from April to July 2021 in a referral hospital in Central Java, Indonesia. Data were collected through focus group discussions, in-depth interviews, and observations. The participant of this study were seven nurses in the postpartum ward. The collected data were analyzed using a tabulated theme conducted through the thematic analysis approach.
Results: All the participants were females. Three major themes were generated in this study: reasons for the need for continuous postpartum education, obstacles to implementing postpartum education, and expectations of future follow-up care. The subthemes for the first theme are patients readmitted to the hospital, excessive educational topics, short admission time, and high-risk postpartum mothers. While the subthemes for the second theme are time constraints, limited educational media, and environmental and cultural influences, and the subthemes for the third theme are continuous monitoring and accessibility of educational media.
Conclusion: The study has provided new insights regarding the continuity of postpartum education and the obstacles nurses face and has implications for developing a system of continuity of care for postpartum patients, especially for high-risk patients.
Article Details
References
Adams, Y. J., & Sladek, L. (2022). A descriptive, cross-sectional study of postpartum education: midwives’ self-reported knowledge and teaching of postpartum complications in Ghana. Reproductive Health, 19(1). https://doi.org/10.1186/s12978-022-01376-z
Agustina, S. H., Latifah, L., & Setiawati, N. (2021). The Effect of Reproductive Health Education with Animation Video on the Knowledge and Motivation of Young Women in Preventing Early Marriage. Annals of Tropical Medicine and Public Health, 7(2), 133–140.
Clapp, M. A., Little, S. E., Zheng, J., Robinson, J. N., & Kaimal, A. J. (2018). The relative effects of patient and hospital factors on postpartum readmissions. Journal of Perinatology, 38(7). https://doi.org/10.1038/s41372-018-0125-8
Dinas Kesehatan Provinsi Jawa Tengah. (2020). Profil Kesehatan Provinsi Jawa Tengah Tahun 2019. www.dinkesjatengprov.go.id.
Direktorat Jenderal Kesehatan Masyarakat. (2019). Panduan Pelayanan Pasca Persalinan bagi Ibu dan Bayi Baru Lahir. Kementerian Kesehatan RI.
Dol, J., Campbell-Yeo, M., Tomblin Murphy, G., Aston, M., McMillan, D., Gahagan, J., & Richardson, B. (2019). Parent-targeted postnatal educational interventions in low and middle-income countries: A scoping review and critical analysis. International Journal of Nursing Studies, 94, 60–73. https://doi.org/10.1016/j.ijnurstu.2019.03.011
Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131. Medical Teacher, 42(8), 846–854. https://doi.org/10.1080/0142159X.2020.1755030
Lambert, S. D., & Loiselle, C. G. (2008). Combining individual interviews and focus groups on enhancing data richness. Journal of Advanced Nursing, 62(2). https://doi.org/10.1111/j.1365-2648.2007.04559.x
Lebet, R. M., Hasbani, N. R., Sisko, M. T., Agus, M. S. D., Nadkarnil, V. M., Wypij, D., & Curley, M. A. Q. (2021). Nurses’ perceptions of workload burden in pediatric critical care. American Journal of Critical Care, 30(1). https://doi.org/10.4037/ajcc2021725
Lewkowitz, A. K., & Cahill, A. G. (2021). Mobile Health Approaches to Breastfeeding. Clinical Obstetrics and Gynecology, 64(2). https://doi.org/10.1097/GRF.0000000000000606
Lincoln, Y. S., & Guba, E. G. (1985). Establishing Trustworthiness. Naturalistic Inquiry. Purpose Meets Execution, 289(331).
Maternal mortality in 2000-2017. (2019). https://www.who.int/gho/maternal_health/countries/idn.pdf
McNab, M., & Skapetis, T. (2019). Why video health education messages should be considered for all dental waiting rooms. PLoS ONE, 14(7). https://doi.org/10.1371/journal.pone.0219506
Mole, M., DwiAnggraeni, M., & Sumeru, A. (2019). The relationship between the level of knowledge about vulva hygiene and the restrictions during childbirth with the perineal wound healing among postpartum mothers page. Annals of Tropical Medicine and Public Health, 22(11). https://doi.org/10.36295/ASRO.2019.221146
Mshelia, D. S., Akinosun, O. M., & Abbiyesuku, F. M. (2007). Effect of increased patient-physician contact time and health education in achieving diabetes mellitus management objectives in a resource-poor environment. Singapore Medical Journal, 48(1).
Ndosi, M., Johnson, D., Young, T., Hardware, B., Hill, J., Hale, C., Maxwell, J., Roussou, E., & Adebajo, A. (2016). Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: A multicentre, single-blind, randomized controlled trial. Annals of the Rheumatic Diseases, 75(6). https://doi.org/10.1136/annrheumdis-2014-207171
Nurdianti, D., Kurniawati, A., & Windiyani, W. (2020). The Application Design of Nifasku Based on Android for Postpartum Care and Newborn. Journal of Physics: Conference Series, 1477(6). https://doi.org/10.1088/1742-6596/1477/6/062015
Paramita, A., & Kristiana, L. (2013). Teknik Focus Group Discussion dalam Penelitian Kualitatif. Buletin Penelitian Sistem Kesehatan, 16(2 Apr). https://doi.org/10.22435/bpsk.v16i2
Patel, S., Rodriguez, A. N., Macias, D. A., Morgan, J., Kraus, A., & Spong, C. Y. (2020). A Gap in Care? Postpartum Women Presenting to the Emergency Room and Getting Readmitted. American Journal of Perinatology, 37(14), 1385–1392. https://doi.org/10.1055/s-0040-1712170
Pemerintah Kabupaten Banyumas Dinas Kesehatan Banyumas. (2020). Profil Kesehatan Tahun 2019. www.dinkes.banyumaskab.go.id
Powles, K., & Gandhi, S. (2017). Postpartum hypertension. Canadian Medical Association Journal, 189(27), E913. https://doi.org/10.1503/cmaj.160785
Pratiwi, L. A., Yetti, K., & Mashudi, D. (2020). Optimalisasi Supervisi Pemberian Edukasi Pasien dan Keluarga pada Rumah Sakit di Jakarta Selatan. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(2). https://doi.org/10.20527/dk.v8i2.7758
Ruchala, P. L. (2000). Teaching new mothers: priorities of nurses and postpartum women. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 29(3), 265–273.
Setiawati, N., Setyowati, & Budiati, T. (2017). SETIA Health Education Set Enhances Knowledge, Attitude, and Parenting Self-Efficacy Score in Postpartum Adolescent Mothers. Comprehensive Child and Adolescent Nursing, 40. https://doi.org/10.1080/24694193.2017.1386979
Shrestha, P., Mahato, V., & Karmacharya, S. S. (2020). Postpartum maternal morbidity requiring hospital admission in a teaching hospital: A descriptive cross-sectional study. Journal of the Nepal Medical Association, 58(229). https://doi.org/10.31729/jnma.5125
Subramanian, L., Murthy, S., Bogam, P., Yan, S. D., Marx Delaney, M., Goodwin, C. D. G., Bobanski, L., Rangarajan, A. S., Bhowmik, A., Kashyap, S., Ramnarayan, N., Hawrusik, R., Bell, G., Kaur, B., Rajkumar, N., Mishra, A., Alam, S. S., & Semrau, K. E. A. (2020). Just-in-time postnatal education programs to improve newborn care practices: needs and opportunities in low-resource settings. BMJ Global Health, 5(e002660), 1–7. https://doi.org/10.1136/bmjgh-2020-002660
Suplee, P. D., Bingham, D., & Kleppel, L. (2017). Nurses’ Knowledge and Teaching of Possible Postpartum Complications. MCN The American Journal of Maternal/Child Nursing, 42(6). https://doi.org/10.1097/NMC.0000000000000371
Suplee, P. D., Kleppel, L., & Bingham, D. (2016). Discharge Education on Maternal Morbidity and Mortality Provided by Nurses to Women in the Postpartum Period. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(6). https://doi.org/10.1016/j.jogn.2016.07.006
Tristanti, I., & Khoirunnisa, F. N. (2019). Potret Perilaku Ibu Hamil Terkait dengan Kesehatan di Kabupaten Kudus. Proceeding of The URECOL. http://repository.urecol.org/index.php/proceeding/article/view/670
Ulya, Z., & Iskandar, A. (2017). Pengaruh pendidikan kesehatan dengan media poster terhadap pengetahuan manajemen hipertensi pada penderita hipertensi. Jurnal Keperawatan Soedirman, 12(1). https://doi.org/10.20884/1.jks.2017.12.1.715
van Walraven, C., Mamdani, M., Fang, J., & Austin, P. C. (2004). Continuity of care and patient outcomes after hospital discharge. Journal of General Internal Medicine, 19(6). https://doi.org/10.1111/j.1525-1497.2004.30082.x
Wongkietkachorn, A., Wongkietkachorn, N., & Rhunsiri, P. (2018). Preoperative Needs-Based Education to Reduce Anxiety, Increase Satisfaction, and Decrease Time Spent in Day Surgery: A Randomized Controlled Trial. World Journal of Surgery, 42(3). https://doi.org/10.1007/s00268-017-4207-0
Yee, L. M., Silver, R. M., Reddy, U. M., Chung, J. H., Mercer, B. M., Haas, D. M., & Grobman, W. A. (2020). 970: Factors associated with postpartum hospital readmission. American Journal of Obstetrics and Gynecology, 222(1). https://doi.org/10.1016/j.ajog.2019.11.981