Neonatal Resuscitation at a privately owned tertiary hospital in Nigeria: Knowledge gap among Health workers and need for sustenance

2015 ◽  
Vol 1 (2) ◽  
pp. 35-41
Author(s):  
AU Solarin ◽  
OA Olutekunbi ◽  
J Renner ◽  
SO Akodu
Keyword(s):  
Health Workers ◽  
Perinatal Asphyxia ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
Tertiary Hospital ◽  
Knowledge Gap ◽  
Training Course ◽  
Obstetrics And Gynaecology ◽  
Resuscitation Training ◽  
Post Test

Objective: Neonatal resuscitation has evolved over the last three decades from word of mouth teachings to organised methods. Resuscitation efforts are geared towards mitigating the adverse sequalae of perinatal asphyxia.  To evaluate the cognitive knowledge of  health workers primarily involved in care of newborn on neonatal resuscitation and document the effects neonatal resuscitation training course have on improving the knowledge of health workers. Method: Standardized pre-test and post-test as used by American Academy of Pediatrics and American Heart Association (AAP/AHA) were administered to the health workers who participated in the neonatal resuscitation training course. Nurses and doctors were from three key departments- Paediatrics, Anaesthesia and, Obstetrics and Gynaecology. The pass mark was set at a cut-off score of ≥ 70%.  Results: Thirty health workers participated in the neonatal resuscitation course. 70% of them were nurses while 30% were doctors. 70% of the participants were from the department of paediatrics while participants from Anaesthesia and Obstetrics and Gynaecology accounted for 16.7% and 13.3% respectively. The mean pre-test and post-test scores among all participants were 40.65±18.05 and 68.00±16.36 respectively (p< 0.001). Participants from paediatrics performed better than other specialties (p <0.001). Conclusion: There is an obvious knowledge gap among health workers directly involved in the care of the new born. Neonatal resuscitation training coursesand regular retraining can bridge this gap in knowledge. 

scholarly journals Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at Student Health Association of Universitas Gadjah Mada, Indonesia

2020 ◽  
Vol 8 (10) ◽  
pp. 3463
Author(s):  
Bayu Fandhi Achmad
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Emergency Situation ◽  
Heart Association ◽  
Student Health ◽  
Resuscitation Training ◽  
Health Association ◽  
Post Test ◽  
Cpr Training

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

scholarly journals Knowledge of General Practitioner Doctors and Midwives Who Has and Has Not Attended Neonatal Resuscitation Course Has No Significant Difference

2020 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Vincent Geraldus Enoch Lusida ◽  
Bambang Puijo Semedi ◽  
Bambang Herwanto
Keyword(s):  
General Practitioners ◽  
Life Support ◽  
Health Workers ◽  
Neonatal Resuscitation ◽  
Newborn Care ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Neonatal Resuscitation Program

Introduction: Infant death is most prominent in the neonatal period. The success of neonatal resuscitation practice has many contributing factors. One of which is the health workers’ knowledge of the Neonatal Resuscitation Program (NRP) algorithm. Therefore, it is necessary to conduct studies to evaluate the health workers’ knowledge of the Neonatal Resuscitation Program who are educated in neonatal resuscitation course and has taken part in Neonatal Life Support practice in primary health care (PHC)  Objective: This study aims to analyze the knowledge of general practitioners and midwives who has or has not attended in neonatal resuscitation course in Surabaya PHC Methods and Materials: this research is descriptive, cross-sectional research. All Basic Emergency Obstetric and Newborn Care (BEmONC) PHC in Surabaya which are Jagir PHC, Banyu Urip PHC, Medokan Ayu PHC, Tanah kali Kedinding PHC, Tanjungsari PHC, Balongsari PHC, Sememi PHC, Simomulyo PHC is included in this research from 2018 to 2019. A nine-item questionnaire referenced from The Textbook of Neonatal Resuscitation 7th Edition is given to ten respondents in each BEmONC PHC. Results and Discussion: from the total sample of 78 respondents, 32 (41,0%) receive a high score, 20 (25,7%) receive a middle score, and 26 (33,3%) receive a low score. The data shows that there is no significant score difference between respondents who has or has not participate in the NRP course (p=0,419). Conclusion:  There is no correlation between difference knowledge midwives and general practitioners who had and had not attended neonatal resuscitation training at basic emergency obstetric and newborn care in public health center Surabaya.

scholarly journals Effectiveness of didactic training on the cognitive knowledge of health professionals on neonatal resuscitation in southern Nigeria

1970 ◽  
Vol 42 (2) ◽  
pp. 88-92
Author(s):  
IP Oloyede ◽  
PA Udo ◽  
EE Nyong
Keyword(s):  
Health Professionals ◽  
Test Scores ◽  
Negative Relationship ◽  
Neonatal Resuscitation ◽  
Health Providers ◽  
Resuscitation Training ◽  
Health Practitioners ◽  
Post Test ◽  
Cognitive Knowledge ◽  
Long Term Impact

Background: Nigeria has a high neonatal mortality rate. Most of these deaths can be prevented by providing adequate training for health providers with available and functional basic resuscitation equipments. Our aim was to assess the effect of training on the cognitive knowledge of health practitioners on neonatal resuscitation.Method: We conducted neonatal resuscitation trainings for selected health professionals from all the senatorial districts of Akwa Ibom State, based on the Neonatal Resuscitation programme (NRP) of the American Academy of Paediatrics (AAP). The facilitators were trained and certified in the NRP train-the trainers program of the AAP conducted by the Paediatric Association of Nigeria (PAN). Pre -and post-test were organized during the training and the test scores analyzed to assess any improvement in the knowledge of the health professionals on neonatal resuscitation.Results: One hundred and eightyone health professionals were trained over a two year period. Sixty five (35.9%) were doctors, while 116 (64.9%) were nurses. Physicians had similar pre- test but significantly higher post- test scores compared to the nurses: 46.35±15.34 vs 43.70± 14.51; p=0.34 and 76.14±13.02vs 66.29±15.7; p=0.04 respectively. All the health professionals showed significantly higher posttest scores compared to the pre-test scores; p=0.001 respectively. There was also a negative relationship between the number of practice years and the pre-training scores for the physicians and nurses; spearman rho= -0.18; p=0.45 and -0.43;p=0.003 respectively.Conclusion: Neonatal resuscitation training leads to an improvement in the cognitive knowledge of health practitioners. All health practitioners should be trained irrespective of number of practice years. Further studies are required to assess its long term impact on neonatal mortality.Keywords: Neonatal Resuscitation Training, knowledge, health

scholarly journals Digital Simulation Improves, Maintains, and Helps Transfer Health-Care Providers' Neonatal Resuscitation Knowledge

2021 ◽  
Vol 8 ◽  
Author(s):  
Simran K. Ghoman ◽  
Maria Cutumisu ◽  
Georg M. Schmölzer
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Digital Simulation ◽  
Neonatal Resuscitation ◽  
Care Providers ◽  
Resuscitation Training ◽  
Post Test ◽  
Over Time

Purpose: To safely care for their newborn patients, health-care professionals (HCP) must undergo frequent training to improve and maintain neonatal resuscitation knowledge and skills. However, the current approach to neonatal resuscitation simulation training is time and resource-intensive, and often inaccessible. Digital neonatal resuscitation simulation may present a convenient alternative for more frequent training.Method: Fifty neonatal HCPs participated in the study (44 female; 27 nurses, 3 nurse practitioners, 14 respiratory therapists, 6 doctors). This study was conducted at a tertiary perinatal center in Edmonton, Canada from April–August 2019, with 2-month (June–October 2019) and 5-month (September 2019–January 2020) follow-up. Neonatal HCPs were recruited by volunteer sampling to complete a demographic survey, pre-test (baseline knowledge), two digital simulation scenarios (intervention), and post-test (knowledge acquisition). Two months later, participants repeated the post-test (knowledge retention). Five months after the initial intervention, participants completed a post-test using a table-top simulation (knowledge transfer). Longitudinal analyses were used to compare participants' performance over time.Results: Overall the proportion of correct performance increased: 21/50 (42%) passed the pre-test, 39/50 (78%) the post-test, 30/43 (70%) the 2-month post-test, and 32/40 (80%) the 5-month post-test. GLMM and GEE analyses revealed that performance on all post-tests was significantly better than the performance on the pre-test. Therefore, training with the RETAIN digital simulation effectively improves, maintains, and transfers HCPs' neonatal resuscitation knowledge.Conclusions: Digital simulation improved, maintained, and helped transfer HCPs' neonatal resuscitation knowledge over time. Digital simulation presents a promising approach for frequent neonatal resuscitation training, particularly for distance-learning applications.

scholarly journals Lessons from the design, development and implementation of a three-dimensional (3D) neonatal resuscitation training smartphone application: Life-saving Instruction for Emergencies (LIFE app)

2022 ◽  
Vol 7 (1) ◽  
Author(s):  
Conrad Wanyama ◽  
Shobhana Nagraj ◽  
Naomi Muinga ◽  
Timothy Tuti ◽  
Hilary Edgcombe ◽  
...  
Keyword(s):  
Health Workers ◽  
Neonatal Resuscitation ◽  
Smartphone Application ◽  
Mobile App ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Three Dimension ◽  
Design Development ◽  
Life Saving ◽  
Resuscitation Training

AbstractNeonatal mortality remains disproportionately high in sub-Saharan Africa partly due to insufficient numbers of adequately trained and skilled front-line health workers. Opportunities for improving neonatal care may result from upskilling frontline health workers using innovative technological approaches. This practice paper describes the key steps involved in the design, development and implementation of an innovative smartphone-based training application using an agile, human-centred design approach. The Life-saving Instruction for Emergencies (LIFE) app is a three-dimension (3D) scenario-based mobile app for smartphones and is free to download. Two clinical modules are currently included with further scenarios planned. Whilst the focus of the practice paper is on the lessons learned during the design and development process, we also share key learning related to project management and sustainability plans, which we hope will help researchers working on similar projects.

scholarly journals REFINE (Rapid Feedback for quality Improvement in Neonatal rEsuscitation): an observational study of neonatal resuscitation training and practice in a tertiary hospital in Nepal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rejina Gurung ◽  
Abhishek Gurung ◽  
Omkar Basnet ◽  
Joar Eilevstjønn ◽  
Helge Myklebust ◽  
...  
Keyword(s):  
Quality Improvement ◽  
New Technologies ◽  
Neonatal Resuscitation ◽  
Feedback System ◽  
Tertiary Hospital ◽  
Intervention Package ◽  
Post Intervention ◽  
Improvement Program ◽  
Resuscitation Training ◽  
Simulation Based

Abstract Background Simulation-based training in neonatal resuscitation is more effective when reinforced by both practice and continuous improvement processes. We aim to evaluate the effectiveness of a quality improvement program combined with an innovative provider feedback device on neonatal resuscitation practice and outcomes in a public referral hospital of Nepal. Methods A pre- and post-intervention study will be implemented in Pokhara Academy of Health Sciences, a hospital with 8610 deliveries per year. The intervention package will include simulation-based training (Helping Babies Breathe) enhanced with a real-time feedback system (the NeoBeat newborn heart rate meter with the NeoNatalie Live manikin and upright newborn bag-mask with PEEP) accompanied by a quality improvement process. An independent research team will collect perinatal data and conduct stakeholder interviews. Discussion This study will provide further information on the efficiency of neonatal resuscitation training and implementation in the context of new technologies and quality improvement processes. Trial registration 10.1186/ISRCTN18148368, date of registration-31 July 2018

Pengaruh Penyuluhan Terhadap Respon Psikososial Keluarga Pasien Yang Dirawat Di Ruang Icu Rsud Dr.Sosodoro Djatikoesumo Bojonegoro

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Maslichah Maslichah ◽  
Bayu Akbar Khayudin ◽  
Ikha Ardianti
Keyword(s):  
Health Workers ◽  
Family Members ◽  
T Test ◽  
Family Counseling ◽  
Test Design ◽  
Significance Level ◽  
Paired Sample ◽  
The Family ◽  
Post Test ◽  
Psychosocial Responses

ABSTRAK Pasien yang dirawat di ICU pada umumnya mengalami sakit kritis biasanya hal ini akan menimbulkan bebagai  respons psikososial  dari anggota keluarganya. Respons ini dapat berupa respons positif maupun respons negatif. Salah satu cara agar respons psikososial menjadi positif yaitu memberikan penyuluhan kepada keluarga pasien agar ada peningkatan kognisi dan emosi. Desain penelitian ini menggunakan metode “Pre-Experiment”, dengan rancangan “One group pra-post test design”. Dengan populasi semua keluarga yang anggota keluarganya dirawat di Ruang ICU RSUD.dr.Sosodoro Djatikoesumo. Sampel diambil dengan proses Total Sampling. Variabel independen  yaitupenyuluhan keluarga pasien ICU, dan variabel dependen adalah respon psikososial keluarga pasien. Pengumpulan data menggunakan kuesioner. hasil penelitian yang dilakukan dengan uji statistik paired sample t-test, pada tingkat signifikansi diperoleh nilai 0,027 0,05 maka Ho ditolak dan H1 diterimaPerawat sebagai tenaga kesehatan yang harus selalu mengembangkan profesionalisme, perlu mengupayakan agar respons psikososial keluarga yang negatif dapat ditekan. Salah satu upayanya yaitu adalah memberikan penyuluhan kepada keluarga. Dalam penyuluhan akan diberikan: komunikasi, informasi, edukasi dan support. Kata Kunci : Penyuluhan, Respon Psikososial Keluarga  ABSTRACT Patients admitted to the ICU in general suffer from a critical illness usually this will lead to the kinds of psychosocial responses of family members. This response can be either a positive response or a negative response. One way to be positive psychosocial responses that provide counseling to the patient's family that there was an increase in cognition and emotion.This study design using the "Pre-Experiment", the draft "One group pre-post test design". With a population of all the families who have family members admitted to the ICU RSUD.dr.Sosodoro Djatikoesumo. Samples were taken with total sampling process. Independent variables, family counseling ICU patients, and the dependent variable is the family of the patient's psychosocial response. Collecting data using questionnaires. results of research conducted by the statistical test paired sample t-test, at a significance level obtained value 0,027 0,05 hence Ho refused and H1 accepted.Nurses as health workers must always develop professionalism, needs to strive for psychosocial response can be suppressed negative family. One of the efforts that are giving counseling to the family. In the extension will be granted: communication, information, education and support. Keywords: Counseling, Family Psychosocial Response

Prediction of encephalopathy in perinatal asphyxia score: reaching the unreached

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Srinivasa Murthy Doreswamy ◽  
Amulya Ramakrishnegowda
Keyword(s):  
Therapeutic Hypothermia ◽  
Sensitivity And Specificity ◽  
Perinatal Asphyxia ◽  
High Specificity ◽  
Test Sample ◽  
Therapeutic Benefit ◽  
Primary Outcome Measure ◽  
Primary Objective ◽  
Post Test ◽  
Test Probability

Abstract Objectives Neonates who develop moderate to severe encephalopathy following perinatal asphyxia will benefit from therapeutic hypothermia. Current National Institute of Child Health and Human Development (NICHD) criteria for identifying encephalopathic neonates needing therapeutic hypothermia has high specificity. This results in correctly identifying neonates who have already developed moderate to severe encephalopathy but miss out many potential beneficiaries who progress to develop moderate to severe encephalopathy later. The need is therefore not just to diagnose encephalopathy, but to predict development of encephalopathy and extend the therapeutic benefit for all eligible neonates. The primary objective of the study was to develop and validate the statistical model for prediction of moderate to severe encephalopathy following perinatal asphyxia and compare with current NICHD criteria. Methods The study was designed as prospective observational study. It was carried out in a single center Level 3 perinatal unit in India. Neonates>35 weeks of gestation and requiring resuscitation at birth were included. Levels of resuscitation and blood gas lactate were used to determine the pre-test probability, Thompson score between 3 and 5 h of life was used to determine post-test probability of developing encephalopathy. Primary outcome measure: Validation of Prediction of Encephalopathy in Perinatal Asphyxia (PEPA) score by Holdout method. Results A total of 55 babies were included in the study. The PEPA score was validated by Holdout method where the fitted receiver-operating characteristic (ROC) area for the training and test sample were comparable (p=0.758). The sensitivity and specificity of various PEPA scores for prediction of encephalopathy ranged between 74 and 100% in contrast to NICHD criteria which was 42%. PEPA score of 30 had a best combination of sensitivity and specificity of 95 and 89% respectively. Conclusions PEPA score has a higher sensitivity than NICHD criteria for prediction of Encephalopathy in asphyxiated neonates.

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