Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study

Abstract Background In Egypt, approximately 10% of preterm deliveries occur between 32 and fewer than 37 weeks, leading to high neonatal intensive care unit (NICU) admissions. Preterm infants often face oral feeding difficulties due to immature development, which can lead to extended hospital stays...

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Main Authors: Abdelaziz Hendy, Yasmine M. Osman, Hanan F. Alharbi, Maha Suwailem Shuaib Alshammari, Mohammed Musaed Ahmed Al-Jabri, Naif S. Alzahrani, Ahmed Hendy, Abdulaziz Mofdy Almarwani
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Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-024-02647-9
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author Abdelaziz Hendy
Yasmine M. Osman
Hanan F. Alharbi
Maha Suwailem Shuaib Alshammari
Mohammed Musaed Ahmed Al-Jabri
Naif S. Alzahrani
Ahmed Hendy
Abdulaziz Mofdy Almarwani
author_facet Abdelaziz Hendy
Yasmine M. Osman
Hanan F. Alharbi
Maha Suwailem Shuaib Alshammari
Mohammed Musaed Ahmed Al-Jabri
Naif S. Alzahrani
Ahmed Hendy
Abdulaziz Mofdy Almarwani
author_sort Abdelaziz Hendy
collection DOAJ
description Abstract Background In Egypt, approximately 10% of preterm deliveries occur between 32 and fewer than 37 weeks, leading to high neonatal intensive care unit (NICU) admissions. Preterm infants often face oral feeding difficulties due to immature development, which can lead to extended hospital stays and increased health risks. Aim To assess neonatal nurses’ performance in terms of the transition to oral feeding in preterm infants, focusing on knowledge, practices, and attitudes. Methods A descriptive, quantitative, multicenter, cross-sectional study was conducted across 16 hospitals in five governorates in Egypt from November 2023 to March 2024 involving 553 neonatal nurses. The data were collected through a self-administered questionnaire assessing knowledge and attitudes and through an observed checklist for nurses’ practices. The study used statistical methods, including binary logistic regression, to analyze the data. Results The findings revealed significant knowledge gaps among nurses, particularly in terms of oro-motor function, suck-swallow-breathe patterns, and nonnutritive sucking. A total of 64.6% of the nurses had unsatisfactory knowledge, 58.6% had unsatisfactory practices, and 45% had a negative attitude toward the oral feeding transition. Key predictors of satisfactory practices included higher education levels, full-time employment, and positive attitudes. Conclusion This study highlights critical gaps in neonatal nurses’ knowledge and practices regarding the transition to oral feeding in preterm infants. Addressing these gaps through targeted educational interventions and ongoing support is essential for improving care quality and outcomes for infants. The findings revealed that a substantial proportion of nurses lacked adequate knowledge of critical areas, such as oro-motor function, the suck-swallow-breathe pattern, and nonnutritive sucking. These knowledge deficits could hinder the ability of nurses to provide optimal care during this crucial transition.
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spelling doaj-art-4529104d20fc4251ace6cea60ffa45f12025-01-12T12:13:49ZengBMCBMC Nursing1472-69552025-01-0124111110.1186/s12912-024-02647-9Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional studyAbdelaziz Hendy0Yasmine M. Osman1Hanan F. Alharbi2Maha Suwailem Shuaib Alshammari3Mohammed Musaed Ahmed Al-Jabri4Naif S. Alzahrani5Ahmed Hendy6Abdulaziz Mofdy Almarwani7Department of Pediatric Nursing, Faculty Nursing, Ain Shams UniversityDepartment of Obstetrics and Gynecology Nursing, Faculty of Nursing, Zagazig UniversityMaternity and Pediatric Nursing Department, College of Nursing, Princess Nourah bint Abdulrahman UniversityDepartment of Medical Surgical Nursing, College of Nursing, Jouf UniversityNursing Department, Critical Care Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz UniversityDepartment of Medical-Surgical Nursing, College of Nursing, Taibah UniversityDepartment of Computational Mathematics and Computer Science, Institute of Natural Sciences and Mathematics, Ural Federal UniversityDepartment of Nursing Administration and Education, College of Nursing, Taibah UniversityAbstract Background In Egypt, approximately 10% of preterm deliveries occur between 32 and fewer than 37 weeks, leading to high neonatal intensive care unit (NICU) admissions. Preterm infants often face oral feeding difficulties due to immature development, which can lead to extended hospital stays and increased health risks. Aim To assess neonatal nurses’ performance in terms of the transition to oral feeding in preterm infants, focusing on knowledge, practices, and attitudes. Methods A descriptive, quantitative, multicenter, cross-sectional study was conducted across 16 hospitals in five governorates in Egypt from November 2023 to March 2024 involving 553 neonatal nurses. The data were collected through a self-administered questionnaire assessing knowledge and attitudes and through an observed checklist for nurses’ practices. The study used statistical methods, including binary logistic regression, to analyze the data. Results The findings revealed significant knowledge gaps among nurses, particularly in terms of oro-motor function, suck-swallow-breathe patterns, and nonnutritive sucking. A total of 64.6% of the nurses had unsatisfactory knowledge, 58.6% had unsatisfactory practices, and 45% had a negative attitude toward the oral feeding transition. Key predictors of satisfactory practices included higher education levels, full-time employment, and positive attitudes. Conclusion This study highlights critical gaps in neonatal nurses’ knowledge and practices regarding the transition to oral feeding in preterm infants. Addressing these gaps through targeted educational interventions and ongoing support is essential for improving care quality and outcomes for infants. The findings revealed that a substantial proportion of nurses lacked adequate knowledge of critical areas, such as oro-motor function, the suck-swallow-breathe pattern, and nonnutritive sucking. These knowledge deficits could hinder the ability of nurses to provide optimal care during this crucial transition.https://doi.org/10.1186/s12912-024-02647-9Neonatal nursingPrematureOral feedingFeeding methodsHealth knowledgeAttitude
spellingShingle Abdelaziz Hendy
Yasmine M. Osman
Hanan F. Alharbi
Maha Suwailem Shuaib Alshammari
Mohammed Musaed Ahmed Al-Jabri
Naif S. Alzahrani
Ahmed Hendy
Abdulaziz Mofdy Almarwani
Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
BMC Nursing
Neonatal nursing
Premature
Oral feeding
Feeding methods
Health knowledge
Attitude
title Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
title_full Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
title_fullStr Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
title_full_unstemmed Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
title_short Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study
title_sort assessing neonatal nurses transitioning preterm infants to oral feeding a multicenter cross sectional study
topic Neonatal nursing
Premature
Oral feeding
Feeding methods
Health knowledge
Attitude
url https://doi.org/10.1186/s12912-024-02647-9
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