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  • Gurung, RejinaGolden Community, Jawgal 11, Lalitpur, Nepal (författare)

Effect of skill drills on neonatal ventilation performance in a simulated setting- observation study in Nepal.

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-10-28
  • Springer Science and Business Media LLC,2019

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/334134
  • https://gup.ub.gu.se/publication/334134URI
  • https://doi.org/10.1186/s12887-019-1723-0DOI
  • urn:nbn:se:uu:diva-400739urn

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  • Språk:engelska

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

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  • gratis
  • Maintaining neonatal resuscitation skills among health workers in low resource settings will require continuous quality improvement efforts. We aimed to evaluate the effect of skill drills and feedback on neonatal resuscitation and the optimal number of skill drills required to maintain the ventilation skill in a simulated setting.An observational study was conducted for a period of 3 months in a referral hospital of Nepal. Sixty nursing staffs were trained on Helping Babies Breathe (HBB) 2.0 and daily skill drills using a high-fidelity manikin. The high-fidelity manikin had different clinical case scenarios and provided feedback as "well done" or "improvement required" based on the ventilation performance. Adequate ventilation was defined as bag-and-mask ventilation at the rate of 40-60 breaths per minute. The effective ventilation was defined as adequate ventilation with a "well done" feedback. We assessed the correlation of number skill drills and clinical case scenario with adequate ventilation rate using pearson's correlation. We assessed the correlation of number of skill dills performed by each participant with effective ventilation using Mann Whitney test.Among the total of 60 nursing staffs, all of them were competent with an average score of 12.73 ± 1.09 out of 14 (p < 0.001) on bag-and-mask ventilation skill checklist. Among the trained staff, 47 staffs participated in daily skill drills who performed a total of 331 skill drills and 68.9% of the ventilations were done adequately. Among the 47 nursing staffs who performed the skill drills, 228 (68.9%) drills were conducted at a ventilation rate of 40-60 breathes per minute. There was no correlation of the adequate ventilation with skill drill category (p = 0.88) and the level of skill performed (p = 0.28). Out of 47 participants performing the skill drills, 74.5% of them had done effective ventilation with a mean average of 8 skill drills (SD ± 4.78) (p-value- 0.032).In a simulated setting, participants who had an average skill drill of 8 in 3 months had effective ventilation. We demonstrated optimal skill drill sessions for maintain the neonatal resuscitation competency. Further evaluation will be required to validate the findings in a scale up setting.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Gurung, AbhishekGolden Community, Jawgal 11, Lalitpur, Nepal (författare)
  • Sunny, Avinash KGolden Community, Jawgal 11, Lalitpur, Nepal (författare)
  • Basnet, OmkarGolden Community, Jawgal 11, Lalitpur, Nepal (författare)
  • Shrestha, Shree KrishnaPokhara Acad Hlth Sci, Ramghat 10, Pokhara, Nepal (författare)
  • Gomo, Øystein HerwigLaerdal Global Hlth, Laerdal Med, Stavanger, Norway (författare)
  • Myklebust, HelgeLaerdal Global Hlth, Laerdal Med, Stavanger, Norway (författare)
  • Girnary, SakinaLaerdal Global Hlth, Laerdal Med, Stavanger, Norway (författare)
  • KC, Ashish,1982Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell mödra- och barnhälsovård (IMCH),Uppsala Univ, Dept Womens & Childrens Hlth, Dag Hammarskjolds Vag 14B,Floor 1, Uppsala, Sweden(Swepub:uu)ashka967 (författare)
  • Golden Community, Jawgal 11, Lalitpur, NepalPokhara Acad Hlth Sci, Ramghat 10, Pokhara, Nepal (creator_code:org_t)
  • Göteborgs universitet
  • Gothenburg University

Sammanhörande titlar

  • Ingår i:BMC pediatrics: Springer Science and Business Media LLC19:11471-2431

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