الفهرس 
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Abstract
The neonatal period is considered a very high risk period for all neonates.
During this period, certain health problems can develop that require nursing
intervention. Neonatal jaundice is one of the most common problems encountered in
neonates.
Phototherapy is preferred method for treatment of neonatal jaundice because
it is a safe and non-invasive procedure. The goals of PT are to prevent the already
elevated level of TSB from rising higher, to prevent the occurrence of ABE
and kernicterus, and to prevent the TSB from rising to level that requires ET.
It was reported that there is a significant reduction in the complications associated
with PT after the application of EBGs for management of neonates with jaundice
undergoing PT. Neonates under this therapy require critical nursing care
and competent experienced nurses.
Nurses play a vital role in management of jaundiced neonates undergoing PT.
Appropriate nursing management and adequate observation are the cornerstone
of improving neonates’ condition and preventing complications. It is important
for neonatal nurses to be updated with and apply such recent EBGs for management
of jaundiced neonates undergoing PT to ensure high quality of care. Therefore, the aim
of the current study was to assess the nursing application of EBGs for management
of neonates with jaundice undergoing PT.
The study was conducted at (IR) in the (OGAH), and at (ID) in the (AHMC),
at Al-Hodeidah City in Yemen.
The sample comprised of all nurses working in the previously mentioned settings
who responsible for providing care for jaundiced neonates undergoing PT.
One tool was used to collect necessary data: Observational checklist
that was developed by the researcher guided by the AAP guidelines after thorough
review of related literature to assess the nursing practices in the application of EBGs
for management of neonates with jaundice undergoing PT before the initiation, during
the exposure, and after the termination of PT.
This tool also included socio-demographic characteristics of nurses as age, level
of education, years of experience, and the attendance of training program
about management of jaundiced neonates undergoing PT.
Every nurse was asked about their socio-demographic characteristics
in their office during the break time individually.
Each nurse was observed three times while providing care for jaundiced neonates
undergoing PT. Two observations in the morning shift and one observation
in the afternoon shift.
The data collection was carried out over a period of three months starting
from the beginning of February till the end of April 2016.
The scoring system was applied to assess the nursing practices in the application
of EBGs for management of neonates with jaundice undergoing PT. It was considered
poor when it was less than 60%, fair when it was 60% to less than 75%, and good
when it was from 75% to 100%.
The main results of the present study revealed the following:
It was obvious that nearly two thirds (61.7%) of nurses aged from 20 to less
than 30 years. While, 38.3% of them aged from 30 to 40 years.
It was clear that 61.7% of nurses had technical diploma in nursing. While,
almost one third (38.3%) of them had bachelor in nursing.
It was noted that more than half (53.3%) of nurses had from 5 to 10 years
of experience. Whereas, 38.3% of them had from 1 to less than 5 years
of experience.
Approximately three quarters (76.7%) of nurses didn’t attend any training
program about management of jaundiced neonates undergoing PT.
All observations indicated that nurses in both hospitals prepared eye shield
and diaper (100% for each). While, none of them illustrated that nurses prepared
white cloth / linen.
All observations reflected that nurses utilized the ordered type of device
and color of lamps and adjusted the distance between lamps and incubator
at 5-8 cm (100% for each). But, all of them explained that nurses didn’t check
the efficiency of lamps for useful lifetime estimated by manufacturer before
the initiation of PT.
Only 23.3% of the observations revealed that studied nurses wiped the light
source before the initiation of PT (None of nurses in OGAH and all of those
in AHMC).
All observations showed that nurses took history about the postnatal age
of neonates.
More than three quarters (78.3%) of the observations lighted that studies nurses
took maternal history of ABO and Rh incompatibility (71.7% and
100% for OGAH and AHMC respectively).