الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
 |  | from | 151 |  |  |
| | | from | 151 | | |
Abstract
Providing quality emergency obstetric care reduces the risk of maternal and newborn mortality and morbidity. There is evidence that over 50% of maternal health programs that result in improving access to EmOC and reducing maternal mortality have an EmOC training component. Lack of standardized management protocols compromised the quality of obstetric care provided to women which can improved through clinical audit.
This present study aimed to apply clinical audit for immediate nursing intervention during obstetrical emergency. The study was carried out using descriptive cross sectional research design, conducted at emergency unit, ICU and high risk unit at Women’s Health University Hospital, Assiut governorate. During the period from first of April, 2021 to the end of September, 2021 (6 months), the sample size included all nurses ( 53 ) who offering EmOC services during the study.
Data were collected by using the two tools, tool I (Structured self-reported questionnaire for nurses) which designed by the researcher after reviewing the related literatures and included name, age, unit, educational levels, job title , marital state, year of experience and attending clinical training programs about emergency obstetric care and infection control. The tool II Clinical Audit chart (observational checklist), which designed and developed by American College Of Obstetricians And Gynecologists (ACOG) and Centers for Disease Control and Prevention (CDC) 2020.
Procedures: the study was carried out into 3 phases ; ( administrative phase, preparatory phase and implementation phase ).
I-The first phase: (Administrative phase)
An official permission was obtained from the chairman of Woman’s Health Hospital, Assiut University and the research proposal was approved from ethical committee in the faculty of nursing on November 2020.
II-Second phase : (The preparatory phase )
It included Tools development and it is validation was done by panel of three experts, then the pilot study carried out in March 2021 that included 10% of the sample (5 nurses).
III-Third phase :( Implementation phase )
The data were collected during three days weekly from the study setting started from 9.00 am to 11.00 pm ( morning, afternoon and night shifts ) until the sample size reached the predetermined number. The researcher interviewed nurse according to their attendance in hospital registration book and asked them to fill the questionnaire (annex I). Each interview was taken about 5-10 minutes. As regards clinical audit chart (observational checklist), the researcher did not observe more than two nurses concurrently in the same unit. The researcher observed the nursing staff during providing immediate nursing intervention to women who had emergency cesarean section, obstetrical hemorrhage, hypertensive emergency, eclampsia and time consumed for each one. Also the researcher observed the nurses while applying infection control measures which included hand washing, an alcohol-based hand rub, wearing and removal of personal protective equipment (PPE), IV cannula, collecting blood samples and during the insertion of urinary catheterization. Then, the researcher recorded which care was done and which care was not done.