Educational Impact of the Neonatal Resuscitation Program in Low-Risk Delivery Centers in a Developing Country
Educational Impact of the Neonatal Resuscitation Program in Low-Risk Delivery Centers in a Developing Country
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DOI：
10.1016/j.jpeds.2008.10.005
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发表时间：
2009-04-01
影响因子：
5.1
通讯作者：
Harris, Hillary
中科院分区：
文献类型：
--
作者：
Carlo, Waldemar A.;Wright, Linda L.;Harris, Hillary
目的评价美国儿科学会新生儿复苏计划（NRP）在提高新生儿知识、技能、研究设计我们使用了适用于赞比亚低风险诊所工作的受过大学教育的护士助产士的NRP材料的内容规格，以发展绩效和自我效能。疗效评价集中于复苏原则、初始步骤、通气和胸外按压。这些评估管理127护士助产士之前和之后的NRP培训和6个月后。（知识评价）从57% +/- 14%提高到80% +/- 12%（平均值+/- SD; P < .0001）;性能评分（技能评估）从43% +/- 21%提高到88% +/- 9%（P < .0001）;自我效能得分从74% +/- 14%提高到90% +/- 10%（P < .0001）。书面和性能的分数显着下降6个月后的培训，但自我效能分数仍然high.Conclusions进行，NRP培训提高了教育成果，受过大学教育的执业护士助产士。培训前的知识和技能得分相对较低，尽管先进的正规教育和经验的参与者，而自我效能得分很高。NRP培训有可能大大提高新生儿复苏的知识和技能。（J Pediatr 2009;154：504-8）
Objective To evaluate the effectiveness of the American Academy of Pediatrics Neonatal Resuscitation Program (NRP) in improving knowledge, skills, and self-efficacy of nurse midwives in low-risk delivery clinics in a developing country.Study design We used the content specifications of the NRP material applicable to college-educated nurse midwives working in low-risk clinics in Zambia to develop performance and self-efficacy evaluations focused on principles of resuscitation, initial steps, ventilation, and chest compressions. These evaluations were administered to 127 nurse midwives before and after NRP training and 6-months later.Results After training, written scores (knowledge evaluation) improved from 57% +/- 14% to 80% +/- 12% (mean +/- SD; P < .0001); performance scores (skills evaluation) improved the most from 43% +/- 21% to 88% +/- 9% (P < .0001); self-efficacy scores improved from 74% +/- 14% to 90% +/- 10% (P < .0001). Written and performance scores decreased significantly 6 months after training, but self-efficacy scores remained high.Conclusions As conducted, the NRP training improved educational outcomes in college-educated practicing nurse mid-wives. Pre-training knowledge and skills scores were relatively low despite the advanced formal education and experience of the participants, whereas the self-efficacy scores were high. NRP training has the potential to substantially improve knowledge and skills of neonatal resuscitation. (J Pediatr 2009;154:504-8)