AUDITING OF PRE & POSTOPERATIVE NURSING CARES IN NEONATES ADMITTED AT SELECTED HOSPITALS OF SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES

About 3% of neonates have large physical disorders that need surgeries. Upon
increase in birth of premature neonates, the disorders that need surgeries have increased.esophagial
atresia , bowel obstruction and imperforated anus are among the common disorders of neonates that
can be dealt more effectively and safer with nursing cares according to the existing standards and the
duration of stay of neonates at hospitals shall be decreased. This study aims to evaluate the
compatibility of pre and Postoperative nursing cares with the existing standards.
Materials and Methods: The present research is a descriptive auditing study in which 150 cases of
nursing cares before and after the neonatal surgical operations have been studies and compared with
the existing standards. The data collecting tool was checklist containing the data related to the manner
of standard cares before and after neonatal surgical operations, being designed based on the review of
existing contexts and standards and its validity and reliability was evaluated by contextual validity
study and calculation of ICC (Intraclass Correlation Coefficient), respectively, equivalent to 0.88. The
method of information collecting was done by observation and recording the choices of the checklist
at NICU (Neonatal Intensive Care Unit) of Mofid and Mahdieh Hospitals, affiliated with Shahid
Beheshti University of Medical Sciences. The data were then analyzed with descriptive statistics.
Results: The compatibility of pre and Postoperative nursing cares at the neonates’ wards and NICUs
was evaluated as medium (66.9%), where 60.7% of the cares were done properly and 12.5% of them
were not done properly and 26.8% of the cares were not done.
Conclusion: The pre and Postoperative neonatal nursing cares are far away from the standards and it
can be attributed to the carelessness of the caretakers, insufficiency at education, and shortage of
facilities and equipment