Optimal positioning of preterm infants with endotracheal tubes in the neonatal intensive care unit is essential for promoting normal musculoskeletal development of preterm infants. Nurses must have good knowledge and skills to appropriately position the preterm infants with endotracheal tube.
This quasi-experiment study aimed to examine the effects of coaching on nurses’ practice on positioning preterm infants with endotracheal tubes. The study samples were 18 professional nurses working in the neonatal intensive care unit at Lampang Hospital. Study educational materials included a powerpoint presentation, handbook, a coaching plan, and a nurse self-evaluation form on positioning practices in preterm infants with endotracheal tube. The instrument for data collection was an observation form on nurse’s practices on positioning in preterm infants with endotracheal tube. Data were analyzed by using descriptive statistics and Chi-square test.
The results of this study revealed that after coaching, the proportion of correct practices of nurses on positioning in preterm infants was significantly higher than before coaching (p<.001). Correct assessments of preterm infants prior to positioning increased from 31.90% to 91.43%, correct positioning increased from 54.40% to 92.74%, and correct assessments of preterm infants following positioning increased from 20.95% to 94.29%.
The results of this study indicate that coaching can enhance nurses’ knowledge and skills regarding positioning practices in preterm infants with endotracheal tube. Therefore it is vital to promote coaching for nurses on the correct positioning in preterm infants with endotracheal tube by an expert.