da Conceição, José Ximenes
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Analysis of the Role of the Chief of Nursing for Supervision in the Implementation of Nursing Care in HoREX Baucau da Conceição, José Ximenes; da Costa Abi, Norberto; Crisogono Gaio, Eduardo; Soares, Virgilio; Alito Pinto, Damancio
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.556

Abstract

Introduction: Nursing supervision is a managerial function that plays a crucial role in ensuring the quality of healthcare services in hospitals. The Head of Nursing holds strategic responsibility to direct, guide, and evaluate the implementation of nursing care so it aligns with professional standards and patient needs. Objective: This study aimed to analyze the role of the Head of Nursing in supervising the implementation of nursing care at Horex Baucau Regional Hospital. Method: A quantitative method with a descriptive correlational design and cross-sectional approach. The population consisted of the head of nursing and team leaders in inpatient and outpatient units, with a sample of 32 nurses and technicians. Sampling used a nonprobability total sampling technique. Data were collected through questionnaires and analyzed using the Spearman rho test. Result and Discussion: The results showed a significant relationship between the role of the Head of Nursing and the implementation of nursing care, with a significance value of 0.000 (p < 0.05) and a correlation coefficient of 0.627. This shows that the better the implementation of supervision, the better the implementation of nursing care by nurses. Conclusion: In conclusion, the managerial supervision function of the Head of Nursing is essential to ensure effective nursing care and improve service quality in hospitals.
Prolonged Labor and Gestational Age, with the Incidence of NeonatProlonged Labor and Gestational Age, with the Incidence of Neonatorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospitalorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospital da Conceição, José Ximenes; Rakhmawat, Windy; Suzana Mediani, Henny; Mediawati, Ati Surya; Fatima Cabral, Cenia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.587

Abstract

Introduction: Neonatal asphyxia—defined as failure to establish adequate breathing at birth—remains a major cause of neonatal morbidity and mortality, especially in developing countries. Prolonged labour and abnormal gestational age can impair placental oxygen transfer and heighten asphyxia risk. Objective: To examine the association between prolonged labour, gestational age, and neonatal asphyxia among newborns treated in the Perinatology Unit of Guido Valadares National Hospital. Method: A cross-sectional correlational study involved 85 mother–infant pairs selected purposively from 110 admissions in 2025. Prolonged labour and gestational age were independent variables; neonatal asphyxia was the outcome. Data were gathered via structured questionnaire and medical records, then analysed with multinomial regression (α = 0.05). Results and Discussion: Prolonged labour showed a significant independent association with asphyxia (p = 0.001), whereas gestational age alone did not (p = 0.389). Simultaneous analysis demonstrated that both variables together were significantly related to asphyxia incidence (p = 0.005). Conclusion: Prolonged labour is the principal contributor to neonatal asphyxia, and its combined effect with gestational age further elevates risk. Rigorous intrapartum monitoring and timely obstetric intervention are essential to improve neonatal outcomes