Department of Child Health, University of Ghana Medical School, Accra, Ghana.
Resuscitation. 2009 Nov;80(11):1308-11. doi: 10.1016/j.resuscitation.2009.08.005. Epub 2009 Aug 31.
To evaluate the effectiveness of a strategy for teaching neonatal resuscitation on the cognitive knowledge of health professionals who attend deliveries in Ghana, West Africa.
Train-the-trainer model was used to train health professionals at 2-3 day workshops from 2003 to 2007. Obstetric Anticipatory Care and Basic Neonatal Care modules were taught as part of Neonatal Resuscitation Training package. American Neonatal Resuscitation Program was adapted to the clinical role of participants and local resources. Cognitive knowledge was evaluated by written pre- and post-training tests.
The median pre-training and post-training scores were 38% and 71% for midwives, 43% and 81% for nurses, 52% and 90% for nurse anaesthetists, and 62% and 98% for physicians. All groups of the 271 professionals (18 nurse anaesthetists, 55 nurses, 68 physicians, and 130 midwives) who completed the course showed significant improvement (p<0.001) in median post-training test scores. Midwives at primary health care facilities were less likely to achieve passing post-test scores than midwives at secondary and tertiary facilities [35/53 vs. 24/26 vs. 45/51 (p=0.004)] respectively.
Evidence-based neonatal resuscitation training adapted to local resources significantly improved cognitive knowledge of all groups of health professionals. Further modification of training for midwives working at primary level health facilities and incorporation of neonatal resuscitation in continuing education and professional training programs are recommended.
评估在加纳（西非）教授参与分娩的卫生专业人员新生儿复苏策略对其认知知识的有效性。
使用培训师培训模式，于 2003 年至 2007 年期间，在为期 2-3 天的研讨会上对卫生专业人员进行培训。产科预期保健和基本新生儿护理模块作为新生儿复苏培训包的一部分进行教学。美国新生儿复苏计划根据参与者的临床角色和当地资源进行了改编。通过书面的培训前和培训后测试评估认知知识。
在 271 名完成课程的专业人员（18 名麻醉护士、55 名护士、68 名医生和 130 名助产士）中，助产士的培训前和培训后中位数分数分别为 38%和 71%，护士分别为 43%和 81%，护士麻醉师分别为 52%和 90%，医生分别为 62%和 98%。所有组别的专业人员（18 名麻醉护士、55 名护士、68 名医生和 130 名助产士）在完成课程后，中位数后测分数均有显著提高（p<0.001）。与二级和三级医疗机构的助产士相比，初级保健机构的助产士更不可能通过后测（分别为 35/53 比 24/26 比 45/51（p=0.004））。
针对当地资源的循证新生儿复苏培训显著提高了所有卫生专业人员的认知知识。建议进一步修改在初级卫生保健机构工作的助产士的培训，并将新生儿复苏纳入继续教育和专业培训计划。
