Jukkala Angela M, Henly Susan J
School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, NB 312, Birmingham, AL 35294, USA.
J Obstet Gynecol Neonatal Nurs. 2009 Jul-Aug;38(4):443-52. doi: 10.1111/j.1552-6909.2009.01037.x.
To describe nurse and physician readiness for neonatal resuscitation in rural hospitals.
Descriptive, correlational, and comparative.
Twenty-six rural hospitals in two Midwestern states.
Rural providers of care to newborns (165 nurses and 59 physicians).
Neonatal Resuscitation Index (knowledge about neonatal resuscitation) and Neonatal Resuscitation Experience Index (comfort and recent skill performance).
The average Neonatal Resuscitation Index (knowledge) score of 69% was low. Many skills needed for full resuscitation had not been performed by rural providers during the previous year. Nurses reported lower levels of comfort with skills needed for full resuscitation (t=-4.68; p<.01). Correlation between frequency of skill performance and comfort was higher for nurses than physicians (r=.50 vs. .34). Nurses who were current Neonatal Resuscitation Program providers had significantly higher average levels of comfort (3.67 vs. 3.11; p<.01), knowledge (72.18 vs. 60.71; p<.01), and recent experience (0.94 vs. 0.51; p<.01) with resuscitation skills than nurses who were not current Neonatal Resuscitation Program providers.
Maintaining high levels of readiness for neonatal resuscitation in rural hospitals is challenging. Nurses and physicians should make special effort to obtain continuing neonatal resuscitation education to ensure optimal outcomes when newborn emergencies arise in rural hospitals. Teamwork training for neonatal resuscitation readiness is an important topic for future rural health research.
描述农村医院护士和医生对新生儿复苏的准备情况。
描述性、相关性和比较性研究。
中西部两个州的26家农村医院。
农村新生儿护理人员（165名护士和59名医生）。
新生儿复苏指数（关于新生儿复苏的知识）和新生儿复苏经验指数（舒适度和近期技能表现）。
新生儿复苏指数（知识）的平均得分69%较低。农村护理人员在前一年未进行过全面复苏所需的许多技能操作。护士报告称，对全面复苏所需技能的舒适度较低（t=-4.68；p<.01）。护士技能操作频率与舒适度之间的相关性高于医生（r=.50对.34）。当前参与新生儿复苏项目的护士在复苏技能方面的平均舒适度（3.67对3.11；p<.01）、知识水平（72.18对60.71；p<.01）和近期经验（0.94对0.51；p<.01）显著高于未参与该项目的护士。
在农村医院维持高水平的新生儿复苏准备工作具有挑战性。护士和医生应特别努力获得持续新生儿复苏教育，以确保农村医院出现新生儿紧急情况时能取得最佳效果。新生儿复苏准备的团队合作培训是未来农村卫生研究的一个重要课题。
