Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam.
Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam.
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DOI：
10.1186/1478-4491-7-36
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发表时间：
2009-04-24
影响因子：
4.5
通讯作者：
Wallin L
中科院分区：
文献类型：
--
作者：
Eriksson L;Nga NT;Målqvist M;Persson LA;Ewald U;Wallin L
据估计，每年有400万新生儿死亡。目前的循证干预措施可以预防很大一部分死亡。然而，参与新生儿护理的卫生保健工作者需要了解这些做法，然后才能将其付诸行动。本次调查的目的是评估初级卫生保健从业人员对越南一个省新生儿护理基本循证程序的了解。另一个目的是调查知识水平的差异是否与社区保健中心的某些特点有关，如获得国家生殖保健准则的机会、助产次数和地理位置。这项横断面调查是在一项基线研究中完成的，为知识转化的干预研究做准备（将知识转化为实践以提高新生儿生存率：越南广宁省的一项基于社区的试验，NeoKIP项目，ISRCTN 44599712）。来自新生儿护理循证实践五个基本领域的16个多项选择题分发给越南某省12个县的155个社区卫生中心，覆盖412名初级卫生保健工作者。所有接受调查的卫生保健工作者都作出了答复。总体而言，他们达到了问卷最高分的60%。工作人员对循证实践的了解程度与社区卫生中心的地理位置有关，但与获得国家指南或社区一级分娩的数量无关。两个独立的地理区域被确定为工作人员的知识水平和新生儿存活率，产前护理和产后家访的并发差异的差异。我们已经确定了一个复杂的模式之间的关联知识，地理，人口因素和新生儿的结果。初级保健工作人员对新生儿健康的了解很少。这是一个可能影响的因素，在今后改善越南新生儿健康状况的努力中应加以考虑。
An estimated four million deaths occur each year among children in the neonatal period. Current evidence-based interventions could prevent a large proportion of these deaths. However, health care workers involved in neonatal care need to have knowledge regarding such practices before being able to put them into action. The aim of this survey was to assess the knowledge of primary health care practitioners regarding basic, evidence-based procedures in neonatal care in a Vietnamese province. A further aim was to investigate whether differences in level of knowledge were linked to certain characteristics of community health centres, such as access to national guidelines in reproductive health care, number of assisted deliveries and geographical location. This cross-sectional survey was completed within a baseline study preparing for an intervention study on knowledge translation (Implementing knowledge into practice for improved neonatal survival: a community-based trial in Quang Ninh province, Viet Nam, the NeoKIP project, ISRCTN44599712). Sixteen multiple-choice questions from five basic areas of evidence-based practice in neonatal care were distributed to 155 community health centres in 12 districts in a Vietnamese province, reaching 412 primary health care workers. All health care workers approached for the survey responded. Overall, they achieved 60% of the maximum score of the questionnaire. Staff level of knowledge on evidence-based practice was linked to the geographical location of the CHC, but not to access to the national guidelines or the number of deliveries at the community level. Two separated geographical areas were identified with differences in staff level of knowledge and concurrent differences in neonatal survival, antenatal care and postnatal home visits. We have identified a complex pattern of associations between knowledge, geography, demographic factors and neonatal outcomes. Primary health care staff knowledge regarding neonatal health is scarce. This is a factor that is possible to influence and should be considered in future efforts for improving the neonatal health situation in Viet Nam.
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影响因子：
5.7
作者：
Grimshaw, J;Eccles, M;Vale, L
通讯作者：
Vale, L
影响因子：
3
作者：
Malqvist, Mats;Eriksson, Leif;Persson, Lars-Ake
通讯作者：
Persson, Lars-Ake
影响因子：
168.9
作者：
Manandhar, DS;Osrin, D;Costello, AMD
通讯作者：
Costello, AMD
影响因子：
3.8
作者：
Heaman, Maureen;Chalmers, Karen;Brown, Judy
通讯作者：
Brown, Judy
DOI：
10.1038/sj.jp.7211278
发表时间：
2005-03-01
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
--
作者：
Bang, Abhay T;Bang, Rani A;Reddy, Hanimi M
通讯作者：
Reddy, Hanimi M