Newborn Resuscitation Skills in Health Care Providers at a Zambian Tertiary Center, and Comparison to World Health Organization Standards

Mistry, Sara C; Lin, Richard J.; Mumphansha, Hazel; Kettley, Laura; Pearson, J; Akrimi, Sonia; Mayne, D; Hangoma, Wonder; Bould, M. Dylan

doi:10.1213/ane.0000000000003337

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…[7,10,17] Midwives and Nurses provided NR to the majority of neonates (94.2%) than other HCP (5.8%), similar to a study conducted in Zambia on NR skills in HCP. [2,18] Our findings also showed that HCPs with more than one-year maternity unit experience (76.9%) did more resuscitation than those with less than one year experience (21.3%). These findings were similar to other studies identified by WHO indicated that a more extended period of working on the same unit enhances the HCPs' clinical practice, self-efficacy, and competency in NR skills.…”

Section: Discussionsupporting

confidence: 58%

“…The absence of clocks was similar to a study conducted in Zambia. [2] But in contrast to a survey in Vietnam, whereby 50.3% of the 187 health facilities had clocks. [24] Protocols and guidelines were present for NR, with over half (55.2%) having visual NR action plans and guidelines, and NR flip charts (55.2%) available on the labor and maternity theater units.…”

Section: Discussionmentioning

confidence: 87%

“…Worldwide every year, about 2.7 million neonates die as a result of birth asphyxia and other related complications. [1] One of the most frequent causes of early death is asphyxia, which accounts for almost 23% of neonatal deaths, [2][3] and 99% of these occur in low and middle-income countries (LMICs). [1] According to the World Health Organization (WHO), about 10 million neonates do not breathe at birth, and six million require basic neonatal resuscitation (NR).…”

Section: Introductionmentioning

confidence: 99%

“…[4] Basic NR, at time of birth, comprises of a set of interventions -beginning with drying and stimulation -that is required to establish breathing and circulation in a neonate who is not spontaneously breathing or crying. [4] Approximately 10% of all neonates require basic resuscitation at birth, [2] and less than 1% require advanced resuscitation and ongoing inpatient specialized care. [5] The strategy to reduce neonatal mortality is to improve the quality of basic NR at birth, which is estimated to reduce the mortality rate by 30% in lowresource settings with full-term neonates.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Basic Care During Neonatal Resuscitation Among Health Care Providers at Three District Hospitals in Kigali

Muganwa

Muhayimana

Mukashyaka

et al. 2020

RJMHS

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Background Globally, about 10% of neonates require extra respiratory support to initiate breathing at birth. Over a million neonatal deaths could be prevented with quality basic care during neonatal resuscitation. Objective To determine the quality of care (QoC) of basic NR at birth among health care providers (HCPs) at three district hospitals in Kigali. Methods A descriptive cross-sectional study was conducted. Thirty-six HCPs were observed 2-3 times using a structured checklist. Descriptive and inferential statistics were used to analyze the data. Results The majority had ‘good’ QoC scores for drying and stimulation (74.7%), and fair scores for airway clearance (85.1%). Some had poor scores for advanced bag and mask ventilation (BMV) (13%). Maternity work experience (1-5 years) was significantly associated with good quality drying and stimulation (p = 0.03), initial BMV (p = 0.02), and advanced BMV (p = 0.03), than HCPs with less than one-year experience. Conclusion Maternity work experience of more than one year significantly improved the QoC during neonatal resuscitation. More NR support during the first year of work and regular NR refresher training would improve neonatal outcomes. Rwanda J Med Health Sci 2020;3(2):225-237

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of Basic Care During Neonatal Resuscitation Among Health Care Providers at Three District Hospitals in Kigali

Muganwa

Muhayimana

Mukashyaka

et al. 2020

RJMHS

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“…Literatürde Mistry ve ark. 'nın (40) yaptıkları çalışmada düşük gerçeklikli simülasyonla verilen yenidoğan resüsitasyon eğitimi sonrası katılımcıların çoğunun yetersiz performans gösterdikleri, başka bir çalışmada ise düşük gerçeklikli simülasyon kullanılarak verilen yenidoğan resüsitasyon eğitiminin katılımcıların bilgi ve beceri düzeylerini geliştirdiği saptanmıştır (41) . Yüksek gerçeklikli simülasyon kullanılan iki çalışmada öğrencilerin, bilgi, güven ve becerilerinin geliştiği (19,42) , ancak başka bir çalışmada ise katılımcıların teknik ve teknik olmayan becerileri üzerinde sınırlı bir etkiye sahip olduğu saptanmıştır (43) .…”

Section: Bulgularunclassified

Use of Simulation in Newborn Resuscitation Education: Systematic Review

Sarvan¹,

Efe²

2021

TERH

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Objective: Every year, millions of newborns around the world need the help of health professionals to take their first breath. Healthcare professionals need to have comprehensive knowledge and skills of specified in the neonatal resuscitation algorithm to perform life-saving interventions quickly and accurately. However, since neonatal resuscitation is a rather complicated task, deviations from this algorithm are common. In this article, it is aimed to review the current evidence of simulation used to improve neonatal resuscitation training. Methods: This research is the systematic review design and is a qualitative research based on document analysis of the articles. The universe of the study consisted of 116 articles from 2015-2020, accessed from databases such as Medline Complete, Academic Search Complete, Academic Search Ultimate, CINAHL Complete, Directory of Open Access Journals, Google Scholar and Google Scholar. Nine articles that satisfy the criteria for inclusion in this study were evaluated within the scope of the study. Results: Eight of the nine studies included in the study were reported to be in use high reality simulations. In all studies, educational content ranging from theoretical lessons based on neonatal resuscitation guidance and simulated resuscitation training to scenario-based practices were reported. In simulations to evaluate skill performances Megacode scenario was used in five studies, simulator software in one study, and a standard evaluation form in three studies. Conclusion: In the current studies, despite the improvement in knowledge and skill performance immediately after neonatal resuscitation training, the protection of knowledge and skills in the long term is controversial. For this reason, it may be recommended to conduct refresher trainings for the protection of newborn resuscitation knowledge and skills of health care professionals.

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Trends and Factors associated with Neonatal Mortality among Neonates Hospitalized at the Women and Newborn Hospital in Lusaka Zambia

Tembo,

Kaonga,

Mweene

et al. 2023

Preprint

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Background Neonatal mortality is a global problem especially in resource-poor settings such as sub-Saharan African Countries. Trends and factors associated with neonatal mortality vary in different settings. This cross-sectional study investigated trends and factors that are associated with increased neonatal mortality among hospitalised neonates with a view of identifying pointers that can be modified to help improve neonatal survival. Methods Medical records for all neonates admitted to the NICU in 2018 and 2019 were reviewed for the study. The Mortality rates were calculated using WHO standard and Microsoft excel 2010 used to construct monthly trends analysis using monthly totals. Univariate and multivariate logistic regression analysis to determine the factors associated with neonatal deaths at the tertiary facility using Stata version 14.2. Model fit was evaluated using Hosmer and Lemeshow test (chi2=13.90, P =0.0845), implies the model’s estimates fit the data at an acceptable level. Results A total of 7,581 admissions were seen and 2340 files were extracted for analysis, of which 940 (40.2%) died. The overall Neonatal mortality percentage during the study period was 31.8%. Relatively similar trends were observed during the study period with differences in case fatality rates. Factors associated with an increased odds of dying were not attending antenatal care (AOR=2.09, 95% CI [1.46 - 2.99] p <0.0001), parity (AOR=1.09, 95% CI [1.02 – 1.16] p=0.0013) and age of the neonate in days (AOR=0.92, 95% CI [0.91- 0.94] p <0.0001). Conclusion Neonatal mortality is high among hospitalized neonates at the Women and New-born Hospital in Zambia. Associated Factors included no antenatal attendance, increased parity, and early age of the neonate. This has detrimental effects; hence emphasis is on early Antenatal Care for easy monitoring of mother and neonates for fast actions in case of complications Keywords: Neonate, neonatal mortality, trends, risk factor

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Newborn Resuscitation Skills in Health Care Providers at a Zambian Tertiary Center, and Comparison to World Health Organization Standards

Cited by 7 publications

References 14 publications

Quality of Basic Care During Neonatal Resuscitation Among Health Care Providers at Three District Hospitals in Kigali

Quality of Basic Care During Neonatal Resuscitation Among Health Care Providers at Three District Hospitals in Kigali

Use of Simulation in Newborn Resuscitation Education: Systematic Review

Trends and Factors associated with Neonatal Mortality among Neonates Hospitalized at the Women and Newborn Hospital in Lusaka Zambia

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