دورية أكاديمية
The impact of an intervention package promoting effective neonatal resuscitation training in rural China
| العنوان: | The impact of an intervention package promoting effective neonatal resuscitation training in rural China |
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| المؤلفون: | Xu, Tao, Wang, Huishan, Gong, Limin, Ye, Hongmao, Yu, Renjie, Wang, Danhua, Wang, Lixin, Feng, Qi, Lee, Henry Chong, McGowan, Jane Ellen, Zhang, Tong |
| المساهمون: | Xu, T (reprint author), Natl Ctr Women & Childrens Hlth, 400 Xiaonanzhuang, Beijing 100089, Peoples R China., China CDC, Natl Ctr Women & Childrens Hlth, Beijing, Peoples R China., Peking Univ, Hosp 3, Beijing, Peoples R China., Tinghua Univ, Hosp 1, Beijing, Peoples R China., Beijing Union Med Coll Hosp, Beijing, Peoples R China., Capital Med Univ, Beijing Matern Hosp, Beijing, Peoples R China., Peking Univ, Hosp 1, Beijing, Peoples R China., Stanford Univ, Div Neonatal & Dev Med, Stanford, CA 94305 USA., St Christophers Hosp Children, Div Neonatol, Philadelphia, PA USA., Natl Ctr Women & Childrens Hlth, 400 Xiaonanzhuang, Beijing 100089, Peoples R China. |
| المصدر: | PubMed ; SCI |
| بيانات النشر: | resuscitation |
| سنة النشر: | 2014 |
| المجموعة: | Peking University Institutional Repository (PKU IR) / 北京大学机构知识库 |
| مصطلحات موضوعية: | Resuscitation, Asphyxia neonatorum, Neonatal mortality, In-service training, Intervention, China, SKILL RETENTION, EXPERIENCE, KNOWLEDGE, TEAMWORK, CARE |
| الوصف: | Objective: To evaluate an intervention package promoting effective neonatal resuscitation training at county level hospitals across China. Methods: The intervention package was implemented across 4 counties and included expert seminars, training workshops, establishment of hospital-based resuscitation teams, and supervision of training by national and provincial instructors. Upon completing the activities, a survey was conducted in all county hospitals in the 4 intervention counties and 4 randomly selected control counties. Data on healthcare providers' knowledge and self-confidence, and incidence of deaths from birth asphyxia from 2009 to 2011 in all hospitals were collected and compared between the two groups. Results: Eleven intervention and eleven control hospitals participated in the evaluation, with 97 and 87 health providers, respectively, completing the questionnaire survey. Over 90% of intervention hospitals had implemented neonatal resuscitation related practice protocols, while in control hospitals the proportion was less than 55%. The average knowledge scores of health providers in the intervention and control counties taking a written exam were 9.2 +/- 1.2 and 8.4 +/- 1.5, respectively (P < 0.001) out of maximum possible score of 10, and the average self-confidence scores were 57.3 +/- 2.5 and 54.1 +/- 8.2, respectively (P < 0.001). Incidence of birth asphyxia (defined as 1-min Apgar score < 7) decreased from 8.8% to 6.0% (P < 0.001) in the intervention counties, and asphyxia-related deaths in the delivery room decreased from 27.6 to 5.0 per 100,000 (P = 0.076). There was no difference over time in asphyxia rates for the control counties. Conclusions: The intervention has not only improved skills of health providers, decreased the mortality and morbidity of birth asphyxia, but also resulted in effective implementation of guidelines and protocols within hospitals. (C) 2013 Elsevier Ireland Ltd. All rights reserved. ; Critical Care Medicine ; Emergency Medicine ; SCI(E) ; PubMed ; SSCI ; 2 ... |
| نوع الوثيقة: | journal/newspaper |
| اللغة: | English |
| تدمد: | 0300-9572 |
| العلاقة: | RESUSCITATION.2014,85,(2),253-259.; 654669; http://hdl.handle.net/20.500.11897/189860Test; WOS:000332776200026 |
| DOI: | 10.1016/j.resuscitation.2013.10.020 |
| الإتاحة: | https://doi.org/20.500.11897/189860Test https://doi.org/10.1016/j.resuscitation.2013.10.020Test https://hdl.handle.net/20.500.11897/189860Test |
| رقم الانضمام: | edsbas.A98D232D |
| قاعدة البيانات: | BASE |
| تدمد: | 03009572 |
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| DOI: | 10.1016/j.resuscitation.2013.10.020 |