What Helping Babies Breathe knowledge and skills are formidable for healthcare workers?
What Helping Babies Breathe knowledge and skills are formidable for healthcare workers?
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什么帮助婴儿呼吸知识和技能对于医护人员来说是可强大的？
DOI：
10.3389/fped.2022.891266
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发表时间：
2022
影响因子：
2.6
通讯作者：
Hibberd, Patricia L. L.
中科院分区：
文献类型：
--
作者：
Patel, Archana B. B.;Bang, Akash;Kurhe, Kunal;Bhargav, Savita;Hibberd, Patricia L. L.
大多数新生儿死亡发生在出生后第一周，原因是出生窒息。帮助婴儿呼吸（HBB），是一个基于模拟的新生儿复苏培训计划，以提高知识和技能。关于哪些知识项目或技能步骤对学习者具有挑战性的信息很少。我们使用来自NICHD全球网络研究的培训数据来了解助产士（BA）最具挑战性的项目，以指导未来的课程修改。在印度纳格布尔的15个初级、二级和三级保健设施提供了六溴代二苯培训。6个月后提供了进修培训。根据91%-100%、81%-90%、71%-80%、61%-70%、51%-60%或<50%的学习者正确回答/执行步骤，将每个知识项目和技能步骤从难度级别1到6进行排名。对272名医生和516名助产士进行了初步的HBB培训，其中78名（28%）医生和161名（31%）助产士接受了进修培训。对于医生和助产士来说，与脐带夹紧时间、胎粪污染婴儿的处理以及改善通气的步骤有关的问题是最困难的。客观结构化临床检查（OSCE）-A的初始步骤，即设备检查、去除湿床单和皮肤直接接触，对两组来说都是最困难的。助产士错过了刺激新生儿，而医生错过了脐带夹紧和与母亲的沟通。在OSCE-B中，在医生和助产士的初始和6个月进修培训后，在生命的第一分钟开始通气是最错过的步骤。在再培训时，切割脐带（医生3级）、最佳通气率、改善通气和计算心率（助产士3级）、呼救（两组均为3级）和监测婴儿和与母亲沟通的场景结束步骤（医生4级，助产士3级）的保留最差。所有的BA发现技能测试比知识测试更难。助产士的难度比医生大。因此，HBB培训持续时间和再培训频率可以相应调整。这项研究还将为随后的课程改进提供信息，以便培训员和受训人员都能够达到所需的熟练程度。
Most neonatal deaths occur in the first week of life, due to birth asphyxia. Helping Babies Breathe (HBB), is a simulation-based neonatal resuscitation training program to improve knowledge and skills. There is little information on which knowledge items or skill steps are challenging for the learners. We used training data from NICHD's Global Network study to understand the items most challenging for Birth Attendants (BA) to guide future curriculum modifications. HBB training was provided in 15 primary, secondary and tertiary level care facilities in Nagpur, India. Refresher training was provided 6 months later. Each knowledge item and skill step was ranked from difficulty level 1 to 6 based on whether 91%–100%, 81%–90%, 71%–80%, 61%–70%, 51%–60% or <50% of learners answered/performed the step correctly. The initial HBB training was conducted in 272 physicians and 516 midwives of which 78 (28%) physicians and 161 (31%) midwives received refresher training. Questions related to timing of cord clamping, management of a meconium-stained baby, and steps to improve ventilation were most difficult for both physicians and midwives. The initial steps of Objective Structured Clinical Examination (OSCE)-A i.e. equipment checking, removing wet linen and immediate skin-to-skin contact were most difficult for both groups. Midwives missed stimulating newborns while physicians missed cord clamping and communicating with mother. In OSCE-B, starting ventilation in the first minute of life was the most missed step after both initial and 6 months refresher training for physicians and midwives. At the retraining, the retention was worst for cutting the cord (physicians level 3), optimal rate of ventilation, improving ventilation & counting heart rate (midwives level 3), calling for help (both groups level 3) and scenario ending step of monitoring the baby and communicating with mother (physicians level 4, midwives 3). All BAs found skill testing more difficult than knowledge testing. The difficulty level was more for midwives than for physicians. So, the HBB training duration and frequency of retraining can be tailored accordingly. This study will also inform subsequent refinement in the curriculum so that both trainers and trainees will be able to achieve the required proficiency.
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影响因子：
3.8
作者：
Wall, Stephen N.;Lee, Anne C. C.;Niermeyer, Susan;English, Mike;Keenan, William J.;Carlo, Wally;Bhutta, Zulfiqar A.;Bang, Abhay;Narayanan, Indira;Ariawan, Iwan;Lawn, Joy E.
通讯作者：
Lawn, Joy E.
影响因子：
2.4
作者：
Ashish KC;Målqvist M;Wrammert J;Verma S;Aryal DR;Clark R;Naresh PK;Vitrakoti R;Baral K;Ewald U
通讯作者：
Ewald U
影响因子：
2
作者：
Hoban, Rebecca;Bucher, Sherri;Spector, Jonathan M.
通讯作者：
Spector, Jonathan M.
DOI：
10.3390/medicina58111567
发表时间：
2022-10-31
期刊：
Medicina (Kaunas, Lithuania)
影响因子：
--
作者：
Agudelo-Pérez S;Cifuentes-Serrano A;Ávila-Celis P;Oliveros H
通讯作者：
Oliveros H
影响因子：
3.1
作者：
Bang A;Bellad R;Gisore P;Hibberd P;Patel A;Goudar S;Esamai F;Goco N;Meleth S;Derman RJ;Liechty EA;McClure E;Carlo WA;Wright LL
通讯作者：
Wright LL