'Helping Babies Breathe' Training in Sub-Saharan Africa: Educational Impact and Learner Impressions
'Helping Babies Breathe' Training in Sub-Saharan Africa: Educational Impact and Learner Impressions
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DOI：
10.1093/tropej/fms077
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发表时间：
2013-06-01
影响因子：
2
通讯作者：
Spector, Jonathan M.
中科院分区：
文献类型：
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作者：
Hoban, Rebecca;Bucher, Sherri;Spector, Jonathan M.
背景：复苏不良是导致全球新生儿死亡的重要原因。帮助婴儿呼吸 (HBB) 是针对资源匮乏环境的新的循证新生儿复苏课程。目标：我们试图描述埃塞俄比亚国家级 HBB 培训后的知识变化、与成功培训相关的因素、复苏技能和学员的看法。方法：学员在为期 2 天的课程之前和之后完成了多项选择问卷 (MCQ)。培训结束后，对球囊面罩通气 (BMV) 技能进行评估并完成反馈问卷。结果：复苏知识从 8.7/10 (SD 1.4) 提高到 9.4/10 (SD 1.1；p = 0.003)。与复苏基本方面相关的正确 MCQ 回答增加了 68-79%。医生和非医生之间的预培训知识差异消失了。 MCQ 分数随着培训师与受训者比例的下降而增加 (p = 0.004)。 HBB 后的平均 BMV 分数 [5.7/7 (SD 1.6)] 不受培训师与学员比例的影响。结论：埃塞俄比亚HBB培训提高了新生儿复苏知识，受到好评。较低的培训师：受训者比例与 MCQ 分数增加相关。 HBB 消除了埃塞俄比亚卫生工作者干部之间的基线知识差异。
Background: Poor resuscitation contributes significantly to neonatal deaths globally. Helping Babies Breathe (HBB) is a new evidence-based neonatal resuscitation curriculum for low-resource settings. Objective: We sought to characterize knowledge changes after national-level HBB training in Ethiopia, factors correlated with successful training, resuscitation skills and trainees' perceptions. Methods: Trainees completed multiple-choice questionnaires (MCQ) before and after a 2-day course. After training, bag-mask ventilation (BMV) skills were assessed and feedback questionnaires completed. Results: Resuscitation knowledge improved from 8.7/10 (SD 1.4) to 9.4/10 (SD 1.1; p = 0.003). Correct MCQ responses relating to essential aspects of resuscitation increased 68-79%. Pre-training knowledge differences between physicians and non-physicians disappeared. MCQ scores increased as trainer:trainee ratio decreased (p = 0.004). Mean post-HBB BMV scores [5.7/7 (SD 1.6)] were not impacted by trainer:trainee ratio. Conclusions: Ethiopian HBB training improved neonatal resuscitation knowledge and was well received. Lower trainer:trainee ratio was associated with increased MCQ scores. HBB eliminated baseline knowledge differences between Ethiopian healthworker cadres.