Rural hospital preparedness for neonatal resuscitation
Rural hospital preparedness for neonatal resuscitation
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DOI：
10.1111/j.1748-0361.2008.00190.x
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发表时间：
2008-09-01
影响因子：
4.9
通讯作者：
Lindeke, Linda
中科院分区：
文献类型：
--
作者：
Jukkala, Angela;Henly, Susan J.;Lindeke, Linda
背景：新生儿复苏是所有情况下围产期服务的重要组成部分。用途：系统描述农村医院新生儿复苏的准备情况，并确定分娩量和围产期护理水平是否与总体准备情况或其指标相关。研究方法：我们开发了15点医院新生儿复苏调查，以检查新生儿复苏的机构准备在4个领域：政策和程序，复苏团队成员，继续教育，并与更广泛的围产期护理系统的连接。要求中西部2个州（北达科他州和明尼苏达州）所有58家提供围产期服务的乡村医院提供新生儿复苏准备信息。护理管理人员对调查作出了回应。结果：共有26家医院参加。年交付量从4辆到958辆不等。准备程度评分范围为4至12。每年分娩超过125次的医院报告的准备水平明显高于低容量医院（9.50 vs 5.83，P <0.001）。总体准备与围产期护理水平无关。大多数农村医院没有确定与区域三级围产中心的正式合作关系。结论：医院新生儿复苏准备的实质性变化被确定。准备与输送量相关。农村医院和三级围产中心之间普遍缺乏合作协议。作为优质农村围产期护理的一部分，需要对医院新生儿复苏准备情况的测量进行额外研究，以优化农村出生新生儿的结局。
Context: Neonatal resuscitation is a critical component of perinatal services in all settings. Purpose: To systematically describe preparedness of rural hospitals for neonatal resuscitation, and to determine whether delivery volume and level of perinatal care were associated with overall preparedness or its indicators. Methods: We developed the 15-point Hospital Neonatal Resuscitation Survey to examine institutional preparedness for neonatal resuscitation in 4 areas: policy and procedure, resuscitation team membership, continuing education, and connections with a wider system of perinatal care. All 58 rural hospitals with perinatal services in 2 upper Midwestern states (North Dakota and Minnesota) were asked to provide information describing preparedness for neonatal resuscitation. Nursing administrators responded to the survey. Findings: A total of 26 hospitals took part. Annual delivery volume ranged from 4 to 958. Preparedness scores ranged from 4 to 12. Hospitals with more than 125 deliveries each year reported significantly higher levels of preparedness than lower volume hospitals (9.50 vs 5.83, P < .001). Overall preparedness was not associated with level of perinatal care. Most rural hospitals did not identify a formal collaborative relationship with a regional level III perinatal center. Conclusions: Substantial variation in hospital preparedness for neonatal resuscitation was identified. Preparedness was associated with delivery volume. Lack of collaborative agreements between rural hospitals and level III perinatal centers was pervasive. Additional research into the measurement of hospital preparedness for neonatal resuscitation as a component of quality rural perinatal care is needed to optimize outcomes for rural-born neonates.